THE SCIO® DIFFERENCE

SCIOInspire’s core DNA is in healthcare. Through our trusted expertise, rigorous methodology, rapid innovation and proven impact we help drive measurable and positive change across the care continuum.

The Value to Our Clients

Trusted Expertise

  • Proven service and industry experience across domains and care continuum
  • Leader in leveraging analytics to drive behavior, outcomes impact,
    operational efficiency and performance
  • Clinical, claims, coding and operations bench strength
  • Risk-adjustment and quality measure compliance
  • Advanced predictive models to drive care transformation and optimize costs
  • Tailored approach and workforce augmentation to enable rapid growth

Rigorous Methodology

  • Detailed processes result in low appeals and overturn rates
  • Proven implementation and deployment processes
  • Systematic approach to data acquisition and management
  • Advanced capability to identify and prioritize care gaps
  • Targeted program evaluations
  • Focus on continuous process improvement and Six Sigma
  • End-to end approach to solve business problems

Proven Impact

  • Claim audit savings of over $550 million in 2015
  • Reduction in cost and improved PMPM savings
  • Increased HCC Risk Adjustment Score by 55% on average
  • Improvement in clinical quality measures
  • Enhanced patient, member and provider engagement
  • Decreased acute Inpatient and ED utilization
  • Improved operational performance and sales force effectiveness

Rapid Innovation

  • Agile, flexible and scalable approach
  • Comprehensive solution scales as your business evolves
  • Continued innovation in predictive analytics, payer-provider collaboration
    and operational effectiveness
  • Focus on prevention and upstream reimbursement strategies
  • Leverage data for cross continuum solutions

partnership

SCIO Health Analytics
  • Proven service and industry experience across domains and care continuum
  • Leader in leveraging analytics to drive behavior, outcomes impact,
    operational efficiency and performance
  • Clinical, claims, coding and operations bench strength
  • Risk-adjustment and quality measure compliance
  • Advanced predictive models to drive care transformation and optimize costs
  • Tailored approach and workforce augmentation to enable rapid growth
SCIO Health Analytics
  • Detailed processes result in low appeals and overturn rates
  • Proven implementation and deployment processes
  • Systematic approach to data acquisition and management
  • Advanced capability to identify and prioritize care gaps
  • Targeted program evaluations
  • Focus on continuous process improvement and Six Sigma
  • End-to end approach to solve business problems
SCIO Health Analytics
  • Claim audit savings of over $550 million in 2015
  • Reduction in cost and improved PMPM savings
  • Increased HCC Risk Adjustment Score by 55% on average
  • Improvement in clinical quality measures
  • Enhanced patient, member and provider engagement
  • Decreased acute Inpatient and ED utilization
  • ? Improved operational performance and sales force effectiveness
SCIO Health Analytics
  • Agile, flexible and scalable approach
  • Comprehensive solution scales as your business evolves
  • Continued innovation in predictive analytics, payer-provider collaboration
    and operational effectiveness
  • Focus on prevention and upstream reimbursement strategies
  • Leverage data for cross continuum solutions