Looking to Advance Your Payment Integrity Journey? Time to Embrace Innovation

May 16 2018 | by Leslie Strader and Monique Pierce in Payment Integrity

With healthcare costs, aging populations, patients with chronic conditions and overbilling schemes all on the rise, payment integrity is more important than ever. As such, payers need to make sure that they have payment integrity basics down – while also striving to implement audit innovations that deliver benefits more expediently with reduced administrative burden and greater success.

Poll Results: Ready to Embrace Outcomes-Based Contracts?

April 18 2018 | by SCIO Health Analytics in Life Sciences

During a recent webinar entitled, “Outcomes-Based Contracts Between Pharma and Payers: Preparing for the Future, Now!”, John Pagliuca, Vice President, Life Sciences at SCIO Health Analytics, examined the ins-and-outs associated with outcomes-based contracts between payer organizations and pharmaceutical companies – and explained how these contracts could benefit all involved.

Risky Business: Three Key Levers to Successfully Manage Your Risk

April 11 2018 | by Rose Higgins in Population Health

The pace toward value-based care delivery and contracting is quickening and gaining momentum at an increasing rate. Consider the following: The number of Medicare Shared Savings Program Accountable Care Organizations (ACOs) has grown from just 100 in 2012 to 480 in 2017.1 And, enrollment in Medicare Advantage has grown from 24.1% of beneficiaries in 2010 to 31.7% in 2017.2 The challenge for your healthcare organization? Ensuring you stand on solid ground when looking to assume and manage the risk across your organization.

Poll Results: Organizations Dip Their Toes in Advanced Analytics Waters

April 05 2018 | by SCIO Health Analytics in Health Analytics

During a recent Webinar entitled “5 Ways to Use Data for Advanced Analysis,” Eileen Cianciolo, Chief Product Officer at SCIO Health Analytics, explored how healthcare organizations can use advanced analytics to succeed under value-based care models. By using advanced analytics to create a 360-degree view, healthcare organizations can understand their current situation, predict what will happen in the future – and take the actions that will enable them to succeed.




Arun Rangamani
SVP, Care Optimization and SCIOXpert Services

Ben Steverman
Chief Technology Officer

David Hom
Chief Evangelist

Dr. Kevin Keck
Chief Medical Officer

Eileen Cianciolo
Chief Product Officer

Jen Cressman
Vice President, Professional Services

John Pagliuca
Vice President, Life Sciences

Jonathan Niloff, MD (Guest Author)
President, Niloff Healthcare Strategies, LLC

Lalithya Yerramilli
Vice President, Analytics

Lesli Adams, MPA (Guest Author)
Director of Population Health Strategy, Oracle Corporation

Leslie Strader
Project Manager

Mark Feeney
Life Sciences Consultant

Monique Pierce
Vice President, Business Optimization

Nayfe Faillace
Chief Compliance & Privacy Officer

Nicole Cormier
Senior Manager, Home Health

Rachel Hall
Senior Business Analyst

Rena Bielinski
SVP, Strategic Accounts

Rodger Smith
SVP, Payment Integrity

Rose Higgins
President, North America

Subha Vaidyanathan
VP, Technology and Data Management

Taryn Bevilacqua
Compliance Director

Tom Peterson
SVP, Risk Adjustment


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