Viewed as an industry in crisis, healthcare today is driven by a mandate to cut costs – the cost of providing care as well as the cost of doing business.
SCIOinspire believes its innovative, outcomes-based solutions – focusing on high-impact cost areas affecting healthcare payers and the healthcare community – address these key challenges.
Founded in 2007 and built on decades of experience in healthcare technology, finance and consulting, SCIOinspire offers analytics-driven, technology-enabled solutions:
- Actuarial/Underwriting Support - using claims and enrollment data to develop a variety of integrated actuarial models used for underwriting, pricing, trend analysis and population studies
- Care Management Support – applying predictive modeling and analytics to improve program design and execution, while enhancing outcomes and helping healthcare payers assess clinical and financial ROI
- Other-party Liability Recovery Services – identifying other-party liability sooner and constructing knowledge bases to minimize future inappropriate disbursements
- Claim Audit and Recovery Services – offering E&M, specialty pharmaceutical and implantable device audits that produce higher net claims recoveries than others in the industry
- Care Analytics and Data Management – providing innovative data warehousing, custom predictive models and care management analytics to help clients synthesize data and make decisions to improve care program effectiveness and processes
SCIOinspire solutions are powered by technology platforms to advance subrogation, coordination of benefits and care management analytics – with the goal of empowering clients and supporting in-sourcing and internal process-improvement efforts.
Every client’s opportunities and obstacles are unique. That’s why you won’t hear us promote a one-size-fits-all service delivery model. SCIOinspire is dedicated to supporting each client’s cost management agenda through flexible, innovative, collaborative approaches that include outsourcing, co-sourcing, software and business process services. We are committed to extraordinary client service and welcome opportunities to customize solutions to meet client needs.
