SiO HP Home - SiO Health Partners

Forecast

Harness the power of SiO Engine, an advanced platform that predicts health costs, disease prevalence, and usage patterns up to 12 months ahead with accuracy and ease.

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Expound

Our intuitive dashboards swiftly highlight usage patterns and cost trends, classifying members into distinct risk categories and illuminating key drivers of their risk profiles.

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Pursue

With real-time, easily accessible data, SiO Engine enables you to act proactively, from initiating targeted interventions to setting precise premium rates well ahead of renewals.

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Population Health

Leverage Advanced Risk Profiling and Predictive Modeling

Software Acceleration

Regardless of whether you’re a large or small Professional Employer Organization (PEO) striving to decode your claims and premium data, a broker aiming to carve a strong presence in the market, or a medical management company focused on providing top-tier value to your clients, the central challenge remains: transforming health data into actionable insights that drive strategic decision-making.

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Payment Integrity & Payment Accuracy

Numerous studies, including those published in the Journal of American Medical Association (JAMA), estimate that a staggering 25%-30% of all healthcare spending in the US can be classified as “wasteful spending.” Within employer health plans, this figure is even more alarming. According to SiO HP’s analysis, over half of the total healthcare expenditure by private employers can be attributed to inefficiencies and wasteful spending.

Medical Opportunity Discover

Uncover costly inefficiencies across various services. Our algorithms examine medical claims for avoidable, wasteful spending within areas such as Payment Accuracy, Clinical Lab Services, Durable Medical Equipment, Evaluation and Management Services, Administered Drugs and Immunizations, Imaging, High-Cost Providers, and more.

Pharmacy Opportunity Discovery

Gain insights into drug utilization and prescription patterns. Identify inefficiencies within formularies and overall pharmacy spending, such as over-prescription of high-cost brand-name drugs, under-utilization of cost-effective generics, best-buy generics, and generic therapeutic alternatives.

ER Opportunity Discovery

Analyze ER claims and identify potential for cost redirection. By examining all ER visits and their presenting diagnoses, opportunities for directing patients to less expensive care settings like Urgent Care, Physician Office, or Telemedicine are identified, leading to significant cost savings.

Enhance Decision Making Capabilities

Seamlessly Go Live Within A Week

PEOS

SiO Engine aids PEOs in identifying high-risk groups and predicting claims costs for strategic benefits management.

Employers

Our platform equips employers with insights to manage high-risk cases and offer cost-effective, employee-pleasing health plans.

Medical

SiO Engine turns complex health data into actionable reports, enhancing medical management companies’ service value.

Benefits

SiO Engine offers payers a competitive edge, improving their advisory capabilities for healthier clients and better financial outcomes.

Payers

SiO Engine aids PEOs in identifying high-risk groups and predicting claims costs for strategic benefits management.

Our Mission

Your Go-to Ally for Healthcare Cost Management, Population Health, and Advanced Analytics

Integrity

We offer sophisticated technology and comprehensive solutions at an accessible price, ensuring all organizations can benefit from our expertise. By converting complex data into coherent narratives, we aim to deliver significant value to our clients.

Quality

Our drive for speed is always counterbalanced by an unwavering commitment to quality. While we strive to deliver value faster than others, we do so ensuring each insight we provide is based on comprehensive, reliable data analysis, upholding the highest standards.

Transparency

We keenly identify our clients’ specific objectives and requirements, employing our proprietary tools to convert data into transparent, impactful insights. We then assist each client in crafting lucid, step-by-step strategies to improve health and curtail costs.

Why Work With Us?

Fast Accurate Results…

On average, our clients experience a substantial $2.5M reduction in health plan expenditures in their initial year with us. This impressive saving is achieved through our diligent approach in mitigating risks, streamlining inefficiencies, curbing wasteful expenditures, and combating fraudulent activities.