Analytics To The Rescue: Helping Brokers Answer Health Insurance ROI Queries

June 05 2018 | by David Hom in Health Analytics

Employers typically aim to hold health insurance investment costs down while also enhancing employee health programs to experience improved recruitment/retention, employee productivity and overall satisfaction.

Custom concept development: The key to overpayment recovery ROI

May 30 2018 | by Lalithya Yerramilli in Payment Integrity

This post originally appeared on SmartBrief's Leadership Blog.

It seems simple. Health insurers receive a bill for medical care and make the payment. Yet, payment integrity has long posed a challenge in health care. Although health plans have made substantial progress, in 2014, they were still over- or under-paying claims 9.5% of the time.[1] Consequences include health care provider abrasion, wasted spending and investment in resources to recoup excess payments.

Making Progress? Poll Participants Assess Value-Based Care Efforts

May 24 2018 | by SCIO Health Analytics in Health Analytics

During a recent webinar entitled “Key Levers to Manage The ‘Risk’ in Your Risk-based Contracts,” Rose Higgins, President, SCIO Health Analytics, described how healthcare organizations can succeed under value-based care arrangements by identifying/closing care gaps, implementing population health programs and optimizing network performance. And, Linda Pantovic, Director of Compliance & Risk Adjustment at Scripps Health Plan Services, offered an up-close look at how Scripps is mitigating risk across their organization by focusing on key documentation and coding best practices.

Patient Engagement: 3 Ways to Rise Above the Electronic Noise

May 22 2018 | by Arun Rangamani and Priyanka Rajkumar in Health Analytics

Electronic communication is all pervasive in today’s world. Not surprisingly, healthcare organizations and their patients/ members want to communicate via smartphones and other mobile devices. What they don’t want, however, is a lot of electronic noise.




Arun Rangamani
SVP, Care Optimization and SCIOXpert Services

Ben Steverman
Chief Technology Officer

Bob Abrahamson
Vice President, Product Management

David Hom
Chief Evangelist

Dr. Kevin Keck
Chief Medical 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

Linda Pantovic (Guest Author)
Director of Compliance & Risk Adjustment, Scripps Health Plan Services

Mark Feeney
Life Sciences Consultant

Monique Pierce
Vice President, Business Optimization

Nayfe Faillace
Chief Compliance & Privacy Officer

Nicole Cormier
Senior Manager, Home Health

Priyanka Rajkumar
VP - SCIOXpert and Solutions, Analytics

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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