SCIOvbbd®- Value Based Benefit Design

Health plans today agree that one of the top challenges being faced is low member engagement. The VBBD application is designed to help health plans improve member engagement through a combination of plan design and financial incentives. Innovative features and functionality enable users to determine key drivers of an employer’s healthcare cost; identify which conditions require greatest attention; demonstrate estimated cost increases and savings; and create a proactive monthly report to assess impact of value-based programs. The VBBD application provides a working model to understand scenarios and identify how benefit variables can be adjusted to encourage adherence and reduce avoidable healthcare utilization.

Value Proposition

SCIOinspire's expertise integrates thought leaders in VBBD with clinical and actuarial modeling based on years of experience with employers, health plans, and consulting firms to deliver a robust application.

The VBBD solution is built on a proprietary framework of clinical and actuarially sound logic, algorithms and data, and can be customized for health plans to:

  • Improve overall health while controlling costs by increasing the availability of high-value services such as preventative services and early-stage disease management
  • Improve the health plan’s medical loss ratio (MLR) by reducing hospitalizations and emergency room visits
  • Identify and curtail the use of low-value services, such as repeat MRI and CT scans, which often are over-utilized and expensive
  • Identify the appropriate incentives to drive positive behavior changes at the member level

Our Delivery Models

The VBBD application is a flexible modeling solution that allows health plans to develop products and plan designs while identifying additional services - such as disease management, wellness programs, targeted communications and web portals - to engage members more effectively.

Our VBBD solution can assist you in three distinct ways:

  • As an advisory and evaluation application through which they submit variables and data for remote analysis via the SCIOinspire application;
  • As a hosted application that allows the health plan to run the software separately for each of their employers based on their own claims, demographics, industry code, risk factors, income and co-morbid conditions; and
  • As a customized solution that can be tailored to each plan based on the unique medical policies, physician practice patterns, employer demographics and other regional differences

Our approach is partnership oriented and we work with clients to identify the most appropriate way they can leverage value based benefit design and how our application can act as a catalyst to help them optimize healthcare costs proactively.

To learn more about how we can help your organization improve member engagement through Value Based Benefit Design, please write to us at marketing@scioinspire.com or click on the link on the right to request for more information.

To attend our complimentary healthcast on Value Based Benefit Design please follow this link.