Overview

SCIOinspire is a leading independent provider of cost-containment and quality-improvement solutions for healthcare payers and providers. With an extensive roster of clients that serve more than 30 million patients and plan members, SCIOinspire provides results-driven care analytics and data mining, member engagement and care effectiveness, payment integrity and audit programs, and business process optimization solutions to reduce administrative costs, eliminate payment errors, increase member engagement and measurably improve outcomes and quality.

Founded

Established in 2007 with the vision to become a leader in analytics-driven, technology-enabled, outcomes-based healthcare cost management services.

Value Proposition

SCIOinspire delivers the business value of healthcare data and analytics.

Ownership

Privately owned

Investors include:

  • Sequoia Capital
  • Health Enterprise Partners
  • Silicon Valley Bank Capital
Acquisitions
  • SOCRATES, INC. (2007)
  • Solucia Consulting (2008)
  • WayMark Associates (2009)
  • National Audit (2011)

Leadership Team

SCIOinspire has assembled a superior team of industry leaders with expertise in:

  • Business Process Outsourcing
  • Health Plan Operations
  • Fraud, Waste and Abuse
  • Health Information Technology
  • U.S. Healthcare Service Delivery
  • Finance
  • Actuarial Sciences
  • Consulting

Mergers and Acquisitions

Characterized by a commitment to innovative and strategic solutions to address payers’ most pressing cost management challenges, SCIOinspire executives are singularly focused on the healthcare industry and draw upon extensive, high-level experience with major organizations such as EDS-MphasiS Healthcare™, United/Oxford™, Humana, Health Dialog™, Perot Systems Healthcare™, Eldorado Computing™, Gartner Group™, Intel Corporation™, Tata Consultancy Services™, Terra Systems™, PriceWaterhouseCoopers™ and IBM™ .

Clients

  • Commercial health plans
  • BlueCross/BlueShield plans
  • Medicare and Medicaid
  • Pharmacy Benefit Managers
  • Bio Sciences and Medical Device Manufacturers
  • Care and Wellness
  • Employers, self-insured plans, third-party administrators

Locations

  • Hartford, CT (Corporate Headquarters)
  • Pittsburgh, PA
  • Jacksonville, FL
  • Stratford, CT
  • Chennai, India

Partners

  • CSC
  • Eldorado Computing, Inc.
  • The TriZetto Group
  • TMG Health
  • Health Plan Alliance