Few business problems are unsolvable. Few business opportunities are out of reach.
But healthcare payers and care management suppliers need the right tools and resources to succeed. In todays automated healthcare environment, that often means mature, agile applications that readily integrate with existing infrastructure and can be focused to advance business objectives.
SCIOinspire is a leader in providing consulting and outsourcing solutions and fully understands our clients cost management agendas. Over the years, we have developed robust platforms designed to support our internal processes, meet ever-changing client needs, attain the highest quality standards and deliver enviable results.
To meet our clients cost management agenda, SCIOinspire delivers its proven applications via software-as-a-service (SaaS) or licensing for internal hosting
SCIOinspire is now making these advanced suites available directly to clients. We continuously upgrade and enhance our software to meet the changing needs of the healthcare marketplace.
Developed to meet the needs of those charged with planning, managing and assessing care or medical management programs, the SCIOinspire PRO-series helps health plan and employer payers, as well as care management vendors, develop focused, effective programs to improve enrollment, member compliance, outcomes and ROI:
- PROSpect™ calculates care management program savings potential, determines resource needs and effectively targets candidates for care management services.
- PROGuide™ provides a workflow system so payers can better manage individuals enrolled in care management programs.
- PROFormance™ analysis software calculates ROI and reports savings, drawing upon a dynamic and continuously updated data warehouse supplying users with access to a variety of methodologies and comparison groups.
Our proven MY Series software focuses on subrogation and COB case management, enabling healthcare payers to identify potential OPL, manage investigation processes, recoup OPL payments and strengthen the revenue cycle:
- MY SOCRATES®, Subrogation Outsourcing Case Review and Tracking Empowerment Software, supports internal departments to optimize management of all aspects of the subrogation cycle.
- MY COB™ allows health plans to identify COB claims, streamline and manage the recovery of incorrect payments, and build comprehensive databases to prevent future incorrect provider reimbursements.
