SCIOinspire’s Global Delivery Solutions now provides strategic and tactical levers to strengthen your ALR strategy
Health plans are under increased pressure to optimize ALR and MLR while providing greater benefits to their members. It has become imperative for health plans to find immediate opportunities to reduce costs while investing in the right operational levers that will reduce costs in the medium term in a sustainable manner.
The levers that are currently available to health plans are limited and have traditionally not focused on specifically addressing the root causes for ALR and MLR growth and therefore do not offer health plans the means to meaningfully optimize these costs. With budgets being scrutinized, options have been further reduced.
Our Global Delivery Solutions
Our global delivery model based solutions are built on four integral levers that offer health plans the operational and strategic tools necessary to meaningfully address root causes for escalating ALR and MLR growth. Our solutions help them improve their claims operations, expand cost avoidance initiatives and accelerate financial recovery programs.
Cost Reduction Solutions: Our Cost Reduction solutions deliver significantly lower operating costs for specific claims and service operations processes through lower cost of offshore operations. Our cost reduction solutions are primarily focused around claims and service operations and we have the ability to provide support and drive processes across the claims value chain.
Cost Avoidance Solutions: We provide assistance with areas that may not currently be addressed sufficiently since they are cost prohibitive, e.g., MSP processing assistance and contract compliance testing. The solutions are offshore centric with US-based subject matter experts and are delivered either as Technology/BPO service or through resource augmentation.
Revenue Recovery Solutions: Identify and help to recover 30-35% in savings over competition, through lower thresholds and expanded manual special investigations efforts using a blended global delivery model. We work with our clients to conceptualize, build and deliver custom global delivery based revenue recovery programs. E.g. Low Dollar Subrogation, Coordination of Benefits analytics etc.
To learn more about how your organization can further streamline operations to achieve their ALR goals faster and more sustainably, please contact us at marketing@scioinspire.com.
