Distinguished Benefit Management Companies Unite to Establish the SKYGEN USA Family of Companies Brand to Drive Heightened Integrated Value for Healthcare Organizations
Renowned leaders in their respective markets, Wonderbox Technologies, Scion Dental,
The launch of
"The Affordable Care Act and the move to performance-based models such as accountable care have created a tremendous amount of turmoil around health insurance, especially within specialized benefits such as dental and vision," said
Research shows the market stands ready for new partnerships that yield high-value outcomes driven by innovation and technology to lower the cost of delivering benefits. When research respondents were probed about the favorability of the establishment of an umbrella brand, they reacted positively to working with a larger entity with multiple capabilities and more extensive resources versus contracting separately for technology and/or services with disparate vendors. A key advantage to the new framework is it enables customers to contract with one company, or multiple depending on their needs.
Employees of the
Leading with technology innovation
The heart of the
For example, the technology takes traditional challenges related to delays in claims processing and authorization out of play. With an integrated system architecture and customized packages of business rules that establish workflows to investigate questionable claims and delegate immediate review, the often laborious process is expedited. The intricate software design allows the claims processing system to perform automated crosschecks and relationship edits as well as audits on all claims based on each client's unique requirements. Designed for complex processing, the Enterprise System routinely achieves auto-adjudication rates of nearly 99% while continuing to instill a careful process for review when certain claims require an expert level of analysis.
The Enterprise System also simplifies the administration of new, complex Essential Health Benefits, a requirement of the Affordable Care Act ("ACA") requiring insurers to integrate dental and vision benefits into small group and individual healthcare policies for dependent children and special needs adults. This new requirement translates into significant data integration efforts for healthcare insurers. Now, they must incorporate dental and vision patient out-of-pocket charges into primary health plans and have the ability to accurately track and report deductibles as well as maximums. To complicate matters further, many new health plans include different co-insurance levels for subscribers and spouses versus dependents, posing further intricacy as it relates to data integration.
"As the ACA evolves with new mandates such as Essential Health Benefits, insurers are faced with implementation challenges that may stress their problem-solving resources," stated Kasten. "To meet this need, the
Third, the technology addresses one of the greatest challenges payers face today: delivering a digital experience to both providers and members to create further efficiencies and exceed expectations. Through the use of the company's web portal technology, Wonderbox Technologies offers custom-built web portals to payers which can be branded to their organization and offered to providers and members. "Adoption of web portal technology is the pathway to the future for healthcare payers, providers and members. Through easy-to-use online tools, our solutions help reduce the cost of administering healthcare benefits and increase time savings," stated
Customers of the
Through
The platform helps
"Payers often make expensive, long-term commitments for benefit management platforms, sometimes as much as 12 years," Kasten said. "They need assurances the partner is viable and sustainable over the long term. Yet they also want to ensure these new solutions can be easily integrated with existing technologies so they can work from a single platform. We are currently seeing this particularly in the areas of dental and vision insurance. The Enterprise System already fulfills all of those requirements."
Proven benefit management innovation
Unification under the SKYGEN
- Dental benefits management – Perhaps the best-known of the individual companies, Scion Dental is a distinguished, world-class dental administration company focused on bringing next-generation claims management and technology solutions together for government entities managing dental claims and commercial payers. The solutions enable payers to improve process efficiencies, achieve compliance, and dramatically reduce the cost of delivering dental benefits. Backed by its roots in forming
Doral Dental U.S.A. , one of America's largest and fastest growing dental management companies and later sold toDentaQuest Ventures , the team at Scion Dental brings a deep understanding of the dental benefits landscape to every client relationship. - Medical benefits management –
Vestica Healthcare is a cohesive medical administration company focused on bringing next-generation claims management and technology solutions together for healthcare payers, managed care organizations, and delivery systems. This enables these organizations to improve efficiencies, mitigate risk, and dramatically reduce the cost of delivering healthcare benefits. The company has distinguished itself in its work with government entities and has proven capabilities in the area of administering complex bundled payment arrangements. - Therapy benefits management – American Therapy Administrators is an experienced therapy administration company providing an acclaimed reimbursement model and next-generation technology to healthcare payers. The solution enables payers to reduce over-utilization and dramatically reduce the cost of delivering therapy benefits.
- Vision benefits management – Ocular Benefits is an innovative vision administration company providing next-generation benefits administration and technology solutions together for healthcare payers. This allows payers to improve process efficiencies, compete in the retail environment, and dramatically reduce the cost of delivering eye care benefits.
- Pharmacy benefit data analytics – Hylis Pharmacy Solutions is a leading-edge data analytics company focused on bringing a new wave of technology-driven intelligence to plan sponsors that enables them to implement savings initiatives and deliver cost effective and clinically appropriate prescription drug programs to their members.
Future plans call for
Marketing innovation
A new
The collection of websites is united by the establishment of a new gateway site (www.skygenusa.com) where visitors can learn more about the integrated solutions, leadership team, and future vision. The gateway site directs visitors to each company brand site, which are also accessible through the existing website URLs: www.wonderboxtech.com, www.sciondental.com, www.vestica.com, www.therapyadmin.com, www.ocularbenefits.com, and www.hylispharmacysolutions.com.
Backed by the innovation and expertise of its people, two Knowledge Centers have been created (www.skygenusatechnologies.com and www.skygenusabenefitmanagement.com) to house market-appropriate thought leadership materials including videos, white papers, case studies, and articles. The websites also continue to extend access to client, provider, and member web portals. The "Find A Dentist" tool on www.sciondental.com maintains its position on the site to assist members in finding the right dentist for them.
"Plans for our new branding strategy have been in the making for some time," said
About
For media inquiries, please contact:
[email protected]
Logo - http://photos.prnewswire.com/prnh/20150505/213807LOGO
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/distinguished-benefit-management-companies-unite-to-establish-the-skygen-usa-family-of-companies-brand-to-drive-heightened-integrated-value-for-healthcare-organizations-300077313.html
SOURCE
Attorney Samuel W. Bearman Says Homeowners Affected by Hurricane Sandy will Need to Contact FEMA to Reopen Their Insurance Claims
RSA Canada Selects Guidewire System for Claims Management
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News