A premier provider of cost management services for healthcare payers and the healthcare community, SCIOinspire offers results-oriented analytics, care management support, revenue recovery and claims management outsourcing solutions. SCIOinspire draws upon an expert pool of clinical, actuarial, legal and analytical resources, complemented by technology and knowledge assets.
Established in 2007 with the vision to become a leader in analytics-driven, technology-enabled, outcomes-based healthcare cost management services.
Privately owned
- Sequoia Capital
- Health Enterprise Partners
- Silicon Valley Bank Capital
- SOCRATES, INC. (2007)
- Solucia Consulting (2008)
- WayMark Associates (2009)
- Deliver measurable cost savings through claims payment and overpayment services
- Utilize data to improve clinical and financial outcomes of care management programs
- Provide strategic advice and support on running care management programs efficiently and effectively
- Automate and improve key healthcare business processes through software-as-a-service (SaaS) technology platforms
- Ensure optimal medical loss ratio and administrative efficiency
SCIOinspire has assembled a superior team of industry leaders with expertise in:
- Business Process Outsourcing
- Operations
- 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™, Health Dialog ™, Perot Systems Healthcare™, Eldorado Computing™, Gartner Group™, Intel Corporation™, Tata Consultancy Services™, Terra Systems™, PriceWaterhouseCoopers™ and IBM™ .
- Commercial health plans
- BlueCross/BlueShield plans
- Medicare and Medicaid
- Employers, self-insured plans, third-party administrators
- Health plan support vendors such as care management companies, healthcare technology vendors and benefits consultants
More than 40 clients with solutions delivered for over 20 million lives.
- Hartford, CT (Corporate Headquarters)
- Pittsburgh, PA
- Stratford, CT
- Chennai, India
- CSC
- Eldorado Computing, Inc.
- The TriZetto Group
- TMG Health
- Health Plan Alliance
