6 Real World Value-Based Care Success Strategies

July 11 2018 | by Linda Pantovic (Guest Author) in Population Health

At Scripps Health Plan Services, we are focused on ensuring successful value-based care outcomes. To accomplish this, our organization has zeroed in on costs, utilization, access and quality of care. To move the needle in the right direction, we have learned that it is important to:

Flipping the Switch: How Life Sciences Companies Can Help Providers See Care in a New Light

July 03 2018 | by John Pagliuca in Life Sciences

It takes seeing things in a different light to break out of a rut. So, oftentimes when a teacher, a friend, a business partner, a relative, or even a stranger provides that one piece of much needed insight, the proverbial light bulb goes off. It is then possible to finally move forward and start experiencing life in new ways.

Poll Participants Pinpoint Most Pressing Payment Integrity Challenges

June 27 2018 | by SCIO Health Analytics in Payment Integrity

During a recent webinar entitled “Expanding Frontiers: The State of Payment Integrity in 2018,” Monique Pierce, Vice President Business Optimization at SCIO Health Analytics, and Leslie Strader, Manager, Product Management at SCIO Health Analytics, discussed how to foster a pragmatic approach to payment integrity. During the presentation, the healthcare executives specifically offered their perspectives on payment integrity trends and challenges; longitudinal data mining; post-payment auditing of outpatient and ancillary claims; the use of medical record reviews in prepayment auditing; and provider behavior modification.

4 Ways to Fight the Good Fight Against Opioid Abuse with Analytics

June 21 2018 | by Rena Bielinski in Health Analytics

In 2016, there were 32,445 deaths involving prescription opioids, which works out to roughly 89 deaths per day. That’s a 44% increase in deaths in just one year, up from 22,598 in 2015.1 Startling figures, to be sure.




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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