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Find the right balance between marketing, provider network and financials with SKYGEN USA.

SKYGENUSA Powering Healthcare for the Digital Age

Aimed at optimizing overall benefit spend, SKYGEN USA’s Benefit Plan Analysis examines the market- and plan-specific impact of best-practice strategies which drive cost savings, greater provider satisfaction, and improved employer group experience. Our analytics can determine the services that should be included as part of standard benefit offerings based on those already available within specific markets, and identify where reimbursement schedules can potentially be consolidated or eliminated.

SKYGEN USA’s Benefit Plan Analysis examines:

  • Benefit design and comparison
  • Benefit design to meet desired outcomes
  • Medical, vision (and other) integration
  • Appropriate care rules, pre-requisite rules, and more
  • Types of authorizations, denial rates and trends

By providing in-depth insight into key variables, SKYGEN USA helps payers avoid waste and find the balance needed to improve performance across multiple plan objectives.