Our Underwriting, Actuarial, and Marketing Support Services
SCIOinspire provides a full range of healthcare actuarial services. Using claims and enrollment data, we have developed a variety of integrated actuarial models used for underwriting, pricing, trend analysis, and population studies. Our expertise includes:
- Data cleansing and validation
- Data mining and predictive modeling using custom and industry models
- Cost and utilization models
- Trend studies
- Care/disease management program studies, both feasibility and evaluation
- Clinical modeling including understanding clinical drivers of utilization
- Predictive modeling applications such as underwriting, forecasting, pricing, population studies, trend analysis, and risk burden development
- Contract evaluation, reimbursement, pay for performance, and outlier payments
- Rate filings
- Reserve capital adequacy and surplus development
- Small and midsize group underwriting
Client Pain Points
- Need for reliable data and rates for pricing services
- Difficulty of collecting risk profiles and demographic details of underwritten groups
- Importance of provider cost trends and other inherent qualitative aspects
- Need for rate approval by a credentialed actuary
Our Value Proposition
SCIOinspire can provide employers, vendors, health plans, governments, and other healthcare payers with the following benefits:
- Full range of underwriting and actuarial services
- Access to a repository of knowledge resources in the form of subject matter experts and actuaries
- Maximum value creation, especially for small- and medium-sized firms
- Reliable data and rates for pricing
- Comprehensive information relating to risk, demographic details, and pricing trends
