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Employers

Employers succeed with care management, value-based
benefit design — powered by
healthcare analytics.

Rising healthcare costs have created a financial quandary for employers. They require technologies and services that can maximize the value of their plan offerings.

SCIO Health Analytics provides innovative solutions that enable employers to:

  • Deliver a successful care management program with innovative member enrollment and management tactics
  • Assess risks with predicative modeling to determine care management program effectiveness
  • Eliminate inappropriate payments by identifying third party liability (TPL) cases through subrogation and coordination of benefits (COB) analysis
  • Validate clinical outcomes results and translate the information into defensible ROI
  • Evaluate program data to better understand performance, costs and clinical outcomes

Our suite of solutions:

Care & Risk Management

Delivering healthcare analytics tools and expertise to help improve member identification, facilitate program design and execution, enhance population health, and produce defensible ROI. 

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Payment Integrity

Helping health payers control costs associated with third party liability, and incorrectly billed or overpaid health claims — to reduce overall health claim expenditures. 

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Consumer & Employer

Providing actionable data to help plans and their customers identify the best opportunity for improved health and clinical outcomes, and achieve cost avoidance through the use of value based benefit designs and incentives/disincentives. 

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Network & Provider

Analyzing the impact of changes in provider contracts, identifying high-trend providers, and delivering reports and recommendations to help network teams uncover opportunities for improving provider relationships and delivering better results.

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