In an ever-changing healthcare environment, companies are looking to enhance care management programs, improve member engagement, identify gaps-in-care, and measure performance to improve health outcomes through wellness and disease management programs. The SCIOinspire PRO-series software and Just InTime^® Wellness alerts are designed to improve care management results through enhanced program design, operational efficiencies, staff training and development, and decision support systems. SCIOinspire’s analytics-driven solutions will support HMC HealthWorks’s efforts to develop focused and effective care management programs to improve enrollment, member compliance, outcomes and return on investment. The suite of solutions delivered by SCIOinspire will allow HMC HealthWorks to better serve their clients and members.

Who are we?

SCIOinspire was founded in 2007 through acquisition of several companies with long term successful track records. We provide value though our Payment Integrity and Health Analytics lines of services, driving tangible medical and administrative cost savings. By processing over 60 million in consumer claims data and $190 billion dollars in payments, we are championing the big data era.

Our Value Proposition

SCIOinspire provides predictive and actionable analytics, delivered through flexible models, and addresses key pain points for consumers and employers.

Our Capabilities

Our SCIOVantage platform is the basis for our health analytics capabilities. Stemming from this central data warehouse are the following:

• Consumer Engagement: Improving clinical quality, revenues, and bending the trend through our unique value based benefit design, consumer analytics, and digital engagement tools
• Analytics and Reporting: Providing data-driven insights to enhance client ROI, and reduce administrative costs through outcomes ROI research, health data integration, and employee group reporting
• Health Economic Modeling: Predicting medical loss ratios of new technologies/interventions through standardization of coverage requests, outcomes models, and actuarial support
• Provider Analytics: Optimizing network costs and improving provider efficiencies through bundled payments, network analytics, P4P networks using high and low value services, and ACOs/PCMHs