1.800.653.3144
info@scioinspire.com
Care management programs make sense. But how can you verify they genuinely improve patient health and lower claims costs?
SCIOinspire helps healthcare payers eliminate uncertainties about whether or not programs are appropriately focused on effective cost reduction and health improvement opportunity. We have assembled an unsurpassed team of expert healthcare management consultants in disease, care and wellness management to enhance:
- Strategic planning
- Program design and evaluation
- Organizational change
- Process improvement
Employing data-driven methodologies, SCIOinspire consultants contribute objectivity and decades of experience to all aspects of care management and population health management programs. We support clients in:
- Intensifying program focus on areas of opportunity
- Conducting program evaluation using a proprietary “Value Chain Assessment” model to identify and address operational inefficiencies
- Guiding preparation for accreditation (NCQA and URAC)
- Ascertaining optimal benefit design, pricing and administration
- Managing procurement processes including RFP development, vendor evaluation, selection, negotiation and contracting
- Providing resources and software tools to facilitate all stages of care management efforts – PROSpect™, PROFormance™, PROGuide™
