Big Savings, Better Care with SKYGEN: A $10M Dental Benefits Transformation in Medicaid and Medicare Plans

SKYGEN

A dental benefits administrator recently scored a major win for its client by driving costs down and upgrading quality of care in Medicaid and Medicare dental plans. The MVP? SKYGEN’s Enhanced Benefit Management & Analytics (EBM).

Here’s what happened: After replacing its legacy system with SKYGEN’s modern SaaS dental benefits automation platform, the administrator saw an opportunity to bring managed dental care to its clients. SKYGEN’s EBM team could help the company improve quality of care and patient experiences, and reduce costs by focusing on appropriate care.

SKYGEN’s EBM team used sophisticated analytics to create visibility into factors affecting cost of care and network performance for the administrator’s client. Then, SKYGEN’s EBM team and clinicians worked closely with the administrator and its client on benefits plan changes that

increased preventive care
reduced restorative care
reduced the need for patients to make multiple visits
significantly reduced PMPM cost, saving $10M in the first year

“One of the reasons we have a very successful story with our client is teamwork,” says the administrator’s president. “We were able to work as a team with SKYGEN’s expertise, our expertise and our client’s expertise together. That teamwork help us get the results.”