SCIOinspire

 

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Audit, Data Mining, and Recovery
Disease and Care Management Support
Underwriting, Actuarial, and Marketing Support
Analytics, Data Management, and Reporting
Claims Management
Membership and Provider Managment

Our Analytics, Data Management, and Reporting Services

Our team of skilled analytical consultants knows what to look for, where to find it, and how to fix the problems that break your bottom line. Whether you choose a one-time analysis or a full performance monitoring solution, our web-based reporting means that real insight is just a click away. In addition to custom analytics, our service portfolio includes:

  • Business Process Assessment & Optimization – Understand what's working, what's not, and how to get the biggest bang for your buck.
  • Financial Performance – "Follow the money" from claims submission to payment and recovery, and plug the leaks that drown your bottom line.
  • Data Warehousing – Manage your data effectively with data modeling, conversion, requirements analysis, analysis, and reporting.
  • Clinical Performance – Understand which treatments yield superior results and which need work.
  • Member Analytics – Understand the populations you serve.
  • Charge Analysis & Cost Diagnostic – Get to the bottom of your cost structure to understand where your money's going and if it's well spent.
  • Predictive Modeling – See not just what's happening now, but what it will mean down the road.
  • Fraud Detection & Prevention – Find and prevent fraudulent charges both large and small.
  • Decision Support – Get the information you need to make the right choices.
  • Custom Databases – Build the database that works for your organization.

Client Pain Points

  • Dynamic and constantly changing healthcare environment
  • Importance of identifying trends and areas for improvement
  • Need for accurate information to drive strategic planning, profitability, and outcomes
  • Inconsistent data in different formats from multiple sources
  • Lack of time and intellectual capital to design necessary improvements
  • Enterprise-wide teamwork prevented by operational silos
  • Expense of acquiring skilled resources with unique expertise
  • Financial leaks in cost structure and claims processes

Our Value Proposition

SCIOinspire will transform your mountains of data into knowledge you can use to optimize core processes, improve outcomes, and get ahead of emerging trends. Our analysts and services will help your organization:

  • Aggregate, rationalize, and manage your data
  • Get a single view of multiple data sources
  • Bring important patterns and trends into sharp relief
  • Use data strategically to improve outcomes, optimize performance, and understand insured populations
  • Significantly reduce costs by choosing to offshore data production
  • Optimize your service delivery
  • Identify new business opportunities
Real insight is just a click away

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