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Who We Serve
Transforming data into action…
to reduce costs and optimize opportunities.
Politics and policy aside, healthcare has been transformed. “We’ve always done it this way” no longer resonates.
Visionaries are capturing data and unleashing its power through healthcare analytics — to improve wellness and quality, decrease costs and missed opportunities, and pursue ROI and sustainability.
SCIO Health Analytics serves as an extension of our clients’ healthcare analytics and informatics teams, supporting both short- and long-term initiatives. Since 2008, our commitment to data-driven outcomes has produced $175 million in annual savings for our clients. SCIO® healthcare analytics have driven 10-15% in actual medical and administrative cost savings — in addition to delivering measurable improvements in payment integrity, third party liability, cost of care, customer acquisition/retention and new product design (such as value based benefit design).
Health Plans
Plans require advanced healthcare analytics to help navigate a new landscape, ensuring both the highest clinical outcomes and ongoing payment integrity through claims accuracy and third party liability (TPL) analytics.
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Employers
Rising healthcare costs have created a financial quandary for employers. They require technologies and services that can maximize the value of their plan offerings to optimize clinical outcomes and better manage health benefit costs.
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ACOs / Care Management
Care management programs can deliver exceptional value to health plans, employers and members. Our information solutions support care management firms by enhancing their member identification as well as program design, population health and execution efforts.
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Pharmacy Benefit Management
PBMs face an increasingly competitive marketplace, requiring unique strategies to lower costs while stepping up client acquisition and retention activities. We help PBMs continually demonstrate value to health plans and members alike through care management and other programs.
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Pharmaceutical & Life Sciences Companies
Pharmaceutical and bioscience firms must demonstrate value to health plans, providers, PBMs, members and even investors. We assist these companies in prove medical credibility by demonstrating improved clinical outcomes, increased diagnoses accuracy, lower costs and defensible ROI.
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Medicare & Medicaid Plans
Public health plans face unique quality and cost containment challenges. Applying our experienced resources, we provide a healthcare analytical solution set designed to enhance payment integrity and improve clinical outcomes.
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