SCIOinspire provides results-driven care analytics and data mining, member engagement and care management solutions to help improve the effectiveness and efficiency of care management programs through analytics, custom reporting, value-based benefit design, presales analytics, opportunity assessment, ROI analysis and reporting.

Value Proposition

  • Comprehensive suite of solutions and products that help improve the effectiveness and efficiency of care management programs
  • Deep domain expertise and thought leadership in Care Analytics, Medical Management, Value Based Benefit Design, Employer Reporting, and Custom Consulting
  • Comprehensive solutions that maximize the effectiveness of programs
  • Industry-leading technology platforms for outcomes analytics, reporting, value based benefit design, program fulfillment, opportunity assessment, and gaps-in-care analytics
  • Extensive experience using healthcare data to help clients identify and solve problems
  • Flexible engagement models including advisory services, analytics, and SaaS based delivery models

Actionable analytics solutions for population health and care and wellness programs.

Care Management and Member Engagement

Outcomes Evaluation measurement

Program Evaluation:
We help payers and medical management companies improve the effectiveness and efficiency of care programs through consultative reviews to identify what’s working, what’s not and how programs can be improved to deliver superior results.

Financial and Clinical Outcomes reporting:
SCIOinspire provides credible, auditable, and customizable outcomes analytics built on our deep expertise in retrospective outcomes analysis, proprietary software, flexible methodology, and extensive care analytics benchmark database.

SCIOinspire provides Outcomes Analytics to help program sponsors and vendors understand and demonstrate the value of their programs to help improve effectiveness and rationalize care management dollars.

Consumer and provider engagement

Value Based Benefit Design:
The industry agrees that the pressure to bend the healthcare trend is paramount to sustainable lowering of healthcare costs. SCIOinspire offers VBBD consulting, modeling, and reporting services to help payers accelerate the introduction of Value Based programs and also provide insight into the effectiveness of member engagement. The VBBD solution provides a working model to understand scenarios and identify how benefit variables can be adjusted to encourage adherence and reduce avoidable healthcare utilization.

Just InTime® Wellness:
Improve member engagement through intelligent identification and personalized member communication. SCIOinspire’s Just InTime Wellness helps improve medication adherence and compliance with clinical regimen by leveraging intelligent gaps in care and wellness analytics that identifies target members for gaps in care interventions, wellness and ad-hoc communications; Reaches members using innovative outreach; Improves patient outcomes; and Reduces overall member engagement costs.

Health Economics Modeling

SCIOinspire Health Economics Solution helps Bioscience companies build a credible financial model that can be leveraged consistently during the sales process to demonstrate value to potential buyers. SCIOinspire leverages deep actuarial and healthcare expertise to build a custom financial model that describes the company’s business.

Data Integration and Reporting

We have deep experience in managing multiple data feeds including claims, pharmacy, lab, HRA, and care management AND transforming these data into homogeneous high-performance databases for claims, care analytics, cost management, contracting, and network management.

Custom Predictive Modeling:
SCIOinspire has deep expertise and experience in developing custom predictive models for clients. This allows clients to utilize models that are finely tuned to their data and their needs.

David Costello, Ph.D.
Executive Vice President and General Manager of Care Analytics Division

David Hom
President, Consumer & Provider Engagement

Bart Bracken
Chief Operating Officer, Consumer & Provider Engagement

Tamim Ahmed, Ph.D.
Senior Vice President, Analytics & Consulting

Mark Howland
Vice President & Chief Actuary

Phillip Fiero
Vice President, Analytics