The healthcare system is presently undergoing tremendous change and payers are looking to offset escalating prices with an infusion of smart technology that can resonate the unique ways they do business with their members, partners, distribution channels, and themselves as they move towards more efficiently managed cost structures.
Payers are looking at technology that can positively impact their cost structures and plug the financial leakage caused by the overwhelmingly complex healthcare system. They do not however want off-the-shelf products that scarcely resemble their internal business processes, claims data, SLAs, SOPs, and cost far too much to customize resulting in excessively diminished value.
SCIOinspire offers payers two broad product development services targeted around Overpayment Recovery and Care Management Analytics. As a product and services organization with over 40 clients, we have a deep appreciation for building real-world technology that echoes the needs of the marketplace.
Our value proposition to Payers is our strong product and services background in delivering state of the art technology solutions for Subrogation, Coordination of Benefits, Care Management ROI Analysis and Reporting, Care Management Workflow Management, and Care Management Opportunity Assessment. We offer custom product development in OPL Recovery, COB Overpayments Recovery, and Care Management Analytics and Reporting.
- Pure-play healthcare services provider with deep healthcare domain knowledge
- Proven track record of creating and delivering commercially-available state-of-the-art technology platforms
- Dedicated clinical, technology, and project management assets
- Strong understanding of care management, TPL/OPL recovery, claims management
- Domain knowledge drives requirements analysis, which in turn drives product development
- Ability to offer very high levels of customization at very affordable/flexible pricing with private-labeling options as well
