SCIOinspire - White Papers

Insights & Analysis

Specialty Pharmaceuticals - Payers Struggle to Contain Costs in a Rapidly Expanding Healthcare Sector
Specialty pharmaceuticals are one of the most expensive segments within the healthcare costs, wherein the payers seem to struggle to contain these costs. This paper discusses the strategies that are currently available to payers to manage the costs of specialty pharmaceuticals. Click here.
Subro-Accelerator for Cost Management and OPL-identification Strategies
SCIOinspire’s “Subro-accelerator” solution allows health plans and plan sponsors to minimize avoidable disbursements, thus curtailing the costs of post-payment recovery. To learn more about how our sophisticated pursue-and-pay model could save as much as 40-50% over traditional subrogation models, click here.
Subrogation & MY SOCRATES^® – A Story of Innovation
As a subrogation/reimbursement software product, MY SOCRATES^® deals with end-to-end management of the claims, from receipt to financial recovery. This paper addresses the issues concerning third-party liability, to ensure that the right and responsible party is held financially accountable for recovery in a health claim, click here.
PROFormance™ - Addressing the Challenge of Financial Outcome Reporting for Purchasers of Medical Management Programs
PROFormance™, our care management reporting application, allows health plans and other care management program sponsors to perform consistent reporting of financial, operational and clinical metrics for customers. To learn more about how this robust application enhances credibility of calculated clinical and financial savings results, click here.
PROFormance™ - Evaluating Wellness Programs
This thought-leaders' piece provides insight into the two different methodologies for evaluating population programs within the industry. To learn more about the methodology that may provide a powerful tool to evaluate the financial effect of wellness programs on risk factor reduction, click here.
PROSpect™ - Care Opportunity Assessment Application
Care management programs are popular with patients, health plans and employers, all of whom believe that encouraging individuals to lead healthy lifestyles, comply with physician treatment and adhere to best-practice medicine will improve clinical outcomes and lower healthcare costs. This paper discusses how PROSpect™, our care opportunity assessment application, serves as an important planning tool for those health plans and service providers who want to understand the source and nature of savings from a care management process. Click here.