Today, care and disease management programs are among the single largest administrative costs to a health plan. Measuring the financial impact of medical management programs is challenging in the methods used, the accuracy of their application and their results.

Whether you have internal or outsourced medical management programs, SCIOinspire provides highly credible, actionable outcomes analyses. Our skilled team brings extensive experience in medical management program design, implementation, and financial outcomes analyses to the development of the most appropriate and relevant evaluation methodology.

Healthcare payers agree that medical management programs are required to reduce unnecessary and avoidable healthcare costs. Unfortunately, these programs often use a generic, broad-brush approach that does not address the healthcare utilization issues within a specific health plan population or business segment.

SCIOinspire specializes in assessing the potential and estimating the performance of care and disease management programs by offering actuarially-based, methodologically sound analyses. By turning claims data into actionable information, we create a foundation for informed benefit design, vendor selection (if applicable) and clinical analysis, for our clients.