SCIO® offers a suite of solutions that help payers and providers manage their costs and improve outcomes in the areas such as population health, claims payment, health cost and risk adjustment, consumer engagement, quality measurement, network management and commercial effectiveness. We strive to deliver flexible solutions that drive measurable change and outcomes improvement through care, network and reimbursement optimization as well as commercial effectiveness.

Our Suite of Solutions

Care Optimization

Care Optimization

Through advanced analytics, SCIO® uncovers the opportunities that lead to lower costs and healthier outcomes – thereby enabling healthcare organizations to realize the true potential of value-based care. Key to success in this endeavor is the ability to deliver actionable knowledge to identify the highest opportunities for health improvements and cost avoidance. SCIO’s analytics transforms data into the intelligence that drives efficient and effective care using relevant, predictive, and actionable insights.

We provide the following solutions under Care Optimization:

  • - Population Health Management
  • - Quality Measures

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Network Optimization

Network Optimization

Healthcare organizations benefit from standardizing care around their top performers. It’s difficult to accurately measure provider efficiency, making like-for-like comparisons between providers impossible. To optimize payments, organizations also need to keep patients within their network and proactively prevent leakage. To address this need, SCIO’s network optimization capabilities drive care quality and utilization improvement by measuring provider and network efficiency and performance.

For Network Optimization, we provide the following solutions:

  • - Provider Performance and Efficiency
  • - Network Management

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Reimbursement Optimization

Reimbursement Optimization

SCIO® supports comprehensive, holistic reimbursement initiatives that help payers and providers control costs, reduce overall health claim expenditures and optimize revenue opportunities while improving care quality. Our solutions provide the sophisticated insights required to manage risk, contain costs and prevent payment errors that occur due to the complexity of healthcare reimbursement overall. More specifically, SCIO® leverages data analytics to produce actionable insights at every touchpoint along the payment continuum from the prevention of claims errors; to the remediation of errors pre-payment; to claims corrections post-payment.

Our solutions for Reimbursement Optimization include:

  • - Payment Integrity
  • - Risk Adjustment and Compliance
  • - Quality Measurement

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Commercial Excellence

Commercial Excellence

Drawing on significant subject matter expertise, SCIO® minimizes the heavy resource burden that life sciences companies encounter as they try to bring together fragmented commercial operations and marketing data. We provide insights into sales and marketing data, helping organizations make faster, more effective business decisions. SCIO’s commercial excellence solutions allow for instant analysis and reporting to meet the evolving business needs of the Life Sciences industry.

We provide the following solutions under Commercial Excellence:

  • - Intelligent Data: Integrated Data Management And Insights Platforms
  • - Sales Force Effectiveness: Incentive Compensation
  • - Shaper Insights: Advanced Analytics

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