HARTFORD, Conn.--(BUSINESS WIRE)--SCIOinspire, Corp., a premier provider of analytics-driven business process solutions for health plans and hospitals, today announced the latest release of PROFormanceTM, its groundbreaking care management savings analysis and reporting application. Developed by Solucia Consulting, a SCIOinspire company, PROFormance 2.0 offers extensive reporting and scenario-testing capability for care management plans and programs. This enables employers, health plans and third-party administrators (TPAs) to increase opportunities for cost savings and improved outcomes within targeted patient populations.
PROFormance, currently serving more than one million members, was introduced in 2009 and gained rapid industry acceptance as it proved highly effective in allowing payer and care management providers to calculate genuine return on investment (ROI), and report savings to employers and other stakeholders. DMAA's adjusted historical control methodology provides the foundation for PROFormance reporting, which is augmented with a wide range of user-defined alternatives, including the ability to test reductions in condition-specific utilization ("plausibility").
PROFormance 2.0 expands the product's flexible financial and utilization capabilities to include a broad spectrum of clinical measures. PROFormance 2.0 comes pre-configured with 100 standard measures of clinical quality, while also allowing users to construct an unlimited number of additional measures.
"These new scenario-testing capabilities can serve as a powerful tool for users who wish to assess plan, program or provider performance with a range of variables at play," explains Ian Duncan, FSA, FIA, FCIA, MAAA, President and Founder of Solucia. "Users may define populations by common characteristics, such as condition, clinical risk, utilization and provider group, and benchmark against similar populations."
Unique PROFormance 2.0 reporting features allow analysts and account managers to efficiently generate batch reports, eliminating the need for IT and programming resources and greatly increasing the timeliness of report delivery.
"We are exceptionally pleased with the functionality now available through PROFormance," says Siva Namasivayam, Chief Executive Officer for SCIOinspire. "Healthcare has long been challenged to demonstrate - in dollars, cents and clinical quality - the effectiveness of care management programs. We are confident PROFormance will deliver great value to purchasers and providers of these programs, advancing their efforts to develop highly focused programs with greater potential to achieve identified objectives."
Complementing PROFormance within the PRO-series suite are:
- PROSpectTM, an opportunity assessment application that calculates a healthcare management program's savings potential and projects resource needs.
- PROGuideTM, a workflow system that provides care managers and consumers with data-driven triggers that identify opportunities for health education and gap closure.
SCIOinspire provides analytics-driven business process solutions to the health plans and hospitals, enabling the healthcare community to achieve measurable outcomes, cost savings and increased revenues. Offerings include care analytics, third-party liability recovery, claim audit and overpayment services, data management, care management evaluation and support, and actuarial services.
SCIOinspire collaborates with clients through a unique delivery model that includes strategic consulting, analytics support, software-as-a-service technology platforms, and business process outsourcing and co-sourcing. To optimize cost-management outcomes for clients, SCIOinspire draws upon an expert team of clinical, actuarial, legal and analytical resources, complemented by technology and knowledge assets. To learn more about SCIOinspire, please visit http://www.scioinspire.com.