SCIO Health Analytics® is a leading health analytics solutions and services company, serving over 80 healthcare organizations across the care continuum. Through the use of integrated healthcare data, proprietary algorithms and technologies, SCIO® focuses on providing actionable and predictive analytics, business services and insights for the following markets:
With the rising cost of healthcare and the evolving shift to value-based care, payers are looking for ways to optimize healthcare reimbursement. The need for new and strengthened capabilities to engage members, optimize risk adjustment and quality, enhance provider and network efficiency, prevent fraud waste and abuse and contain costs is more critical than ever. To succeed, payers need to bring together fragmented data and collaborate with providers to facilitate a member-centered delivery model.
Globally, each year actionable insights from SCIO® reach more than 90 million covered lives, 406 million medical claims, and 1.3 billion prescription claims to drive measurable outcomes improvement.
Providers are taking on increasing risk burden in the management of patient populations as organizations shift to delivering value-based care. The need for population health management has ACOs and other risk-bearing providers investing in analytics to connect data from disparate sources and to deliver actionable knowledge to identify the greatest opportunities for health improvements and cost avoidance.
SCIO’s capabilities range from population health to risk adjusted analytics, member engagement and HEDIS/Star Monitoring. We have over 14 years of experience partnering with clients to help manage risk-based programs and leverage analytics to modify behavior and drive outcomes.
As healthcare costs continue to climb year after year, employers continue to look for opportunities to control costs and improve the overallhealth of their employees. Employers can greatly improve outcomes in these areas if they are able to capitalize on their valuable employee/member data by using it tosupport critical business goals, including:
- Creating a competitive benefit plan to recruit and retain a high talent, productive workforce
- Designing and implementing effective population health management programs
- Managing and reducing year over year trends in medical spend
SCIO’s capabilities support employers in both managing employee/member health as well as driving cost containment efforts. With a single integrated solution that leverages advanced analytics and delivers prescriptive insights, employers are able to easily identify opportunities to improve health outcomes across employees and members as well as mitigate financial risk drivers across their populations.
Health Service Companies
Successful wellness programs engage the right people with the right information to close gaps in care and launch effective care management programs. In order to succeed in the shifting care delivery environment health service companies need to integrate and analyze data from diverse sources to understand target populations. Monitoring patient compliance and intervening at the right time ensures that members avoid costly hospitalizations and ER visits.
SCIO® provides powerful data analytics and predictive tools to plan, track, monitor and assess outcomes to optimize wellness programs.
Life Sciences companies have access to volumes of data coming in from multiple, complex sources but they don’t necessarily have the tools to leverage the data for actionable insights that improve their commercial efforts. The challenge is to bring together fragmented commercial operations and marketing data for insights, which drive business decisions. As sales and marketing budgets plummet, Life Sciences companies need to motivate their teams and focus their resources efficiently.
SCIO’s suite of products and services geared towards commercial effectiveness offers instant analysis and reporting to meet the evolving business needs of the Life Sciences industry with a focus on commercial analytics, business intelligence, cloud based data management, incentive compensation, and sales force excellence.