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Dodge Communications
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SCIOinspire Acquires National Audit
Combined offerings produce industry’s most comprehensive healthcare payment integrity solution;
SCIOinspire welcomes National Audit’s claims audit and payment integrity programs to its extensive suite of analytics-driven health cost management technology and services offerings
Hartford, CT - February 1, 2011 - SCIOinspire, Corp., a premier provider of analytics-driven business process solutions for health plans and hospitals, today announced it has acquired National Audit, a leading healthcare claims audit and payment integrity services provider to large commercial, Medicare and Medicaid payers, as well as Pharmacy Benefit Managers (PBM). The acquisition elevates SCIOinspire to a top-tier, independent cost-management and care quality-improvement company with the most comprehensive set of solutions in the healthcare industry.
SCIOinspire is highly regarded in the industry for superior technology and service offerings in the areas of care and wellness management, care analytics and data mining, payment integrity, and business process optimization. The acquisition of National Audit augments SCIOinspire’s existing administrative expertise with a seasoned clinical perspective into the complexities of healthcare claims auditing. With these additional capabilities, SCIOinspire can provide a 360-degree view of MLR and ALR improvements to its clients, and offer a flexible approach consisting of advisory, technology, compliance audit, pre-payment, co-sourcing and full-outsourcing options.
The combined assets enable SCIOinspire to deliver an end-to-end suite of solutions that address the full spectrum of reimbursement challenges facing health plans and providers, including tools to:
"The clinical resources that National Audit brings to SCIOinspire are second to none," says Siva Namasivayam, CEO of SCIOinspire. "National Audit exhibits unsurpassed expertise in all hospital- and payer-related reimbursement methods, and brings deep insight into specific high-cost areas across treatment settings such as hospital, pharmacy, and skilled nursing facilities - all of which are recognized as vulnerable to payment issues. These attributes, combined with a well deserved reputation for superior service delivery and quality, illustrate that National Audit is the ideal complement to SCIOinspire’s analytics-driven cost management technologies and services."
National Audit executives have accepted senior executive positions with SCIOinspire to ensure a smooth transition and position the company for continued growth. National Audit was advised by Technology Holdings in the acquisition.
"We are excited about the opportunities that lie before us," adds David Hedrick, CEO of National Audit. "We are confident that our personnel will contribute significant value to SCIOinspire and are delighted with the expanded offerings now available to National Audit clients. We anticipate that the healthcare community will benefit greatly from this combination of leading-edge technologies and proven audit services - offering health plans a holistic look at payment integrity from both a clinical and administrative perspective."
About SCIOinspire
SCIOinspire is the nation’s leading independent provider of cost-containment and quality-improvement solutions for healthcare payers and providers. With an extensive roster of clients that serve more than 30 million patients and plan members, SCIOinspire provides results-driven care analytics and data mining, member engagement and care effectiveness, payment integrity and audit programs, and business process optimization solutions to reduce administrative costs, eliminate payment errors, increase member engagement and measurably improve outcomes and quality. With expertise spanning clinical and administrative operations, SCIOinspire offers a unique combination of software and services to help healthcare organizations positively impact Administrative Loss Ratios (ALR) and Medical Loss Ratios (MLR). Drawing upon an expert and experienced team of clinical, actuarial, legal and analytical resources, SCIOinspire offers a global service delivery model, with multiple delivery centers in the U.S. and India.
