The industry has clearly recognized the need for preventive and chronic care management as the only sustainable lever that will result in improved outcomes and holistic cost management. In order for health plans, employers, care and wellness management vendors, and PBMs to improve outcomes they need to be able to:
SCIOinspire’s care analytics suite comprises powerful web-based application modules that form our SCIOvantage platform. SCIOvantage provides decision makers that ability to significantly improve the effectiveness of programs and the impact of care and wellness initiatives through actionable analytics driven by comprehensive data management and proprietary algorithms.
Care Opportunity Assessment:
SCIOvantage’s opportunity assessment module (PROSpect) helps program sponsors identify the inherent financial opportunity for care management within their population. Decision makers can accurately measure potential savings from running a new program before making significant investments.
Health Management Outreach and Workflow:
The SCIOvantage Health Management Outreach and Workflow module helps streamline care management operations through robust Identification and Stratification, Member Outreach, and Care Management workflow.
Gaps in Care and Wellness Alerts:
Much of a care and wellness management program’s success lies in its’ members being compliant with their physicians advice and being Compliant with their medication regimen. Typically care management programs touch 10-15 per cent of the population that is suffering from chronic conditions. It is also important that wellness initiatives touch the rest of the population to educate members and create a sustainable culture of health. The Gaps in Care and Wellness Alerts system helps close gaps in care, promote wellness, and creates a culture of health.
Care Financial and Clinical Outcomes Analytics:
Programs sponsors and medical management suppliers can now quantitatively understand the clinical and financial return on investment of their programs through an auditable and reliable methodology. The Care Financial and Clinical Outcomes Analytics module, leverages the DMAA standard evaluation methodology to help sponsors and vendors understand and demonstrate the true ROI.
Value Based Benefit Design Modeling:
Value Based Benefit Design Modeling helps health plans improve member engagement through a combination of plan design and financial incentives. The modeling application enables users to determine key drivers of an employer’s healthcare cost; identify which conditions require greatest attention; demonstrate estimated cost increases and savings; run scenarios to build the best product; and create a proactive monthly analytics report to assess impact of value-based programs.
