SKYGEN USA
Holistic Benefits Administration Solutions for Dental and Vision Specialties

Dental insurers today face challenges associated with shifting market dynamics, improving access to appropriate care, elevating member and provider experiences, all while being under the pressure to reduce hefty administrative cost. They can no longer rely on legacy technology and approaches to address those challenges. As such, finding the right dental benefit administration partner is critical in order to compete in this increasing competitive market segment.

This is where SKYGEN USA’s innovative, technology-enabled solutions enters the dental insurance landscape. Growing from supporting the Medicaid dental industry to powering dental insurers across the country through technology-enabled solutions, SKYGEN USA transforms organizations through third party administrative services, innovative SaaS offerings for benefits automation and tools for simplified data sharing and risk management—all geared towards the dental specialty. Over the years, the company has also expanded into vision specialty benefits administration.

In an interview with CIOApplications, Darrin Haehle, CTO of SKYGEN USA, throws light on how the company helps to drive efficiency, reduce benefit and administrative costs, and elevate experiences for its clients.

Who are your typical customers and how do you cater to their needs?

We mainly deal with Managed Care Organizations (MCOs) that are focused on administering specialty benefits for dental and vision. We partner with commercial and government payers, providers and provider organizations, conduct meetings in an effort to understand their needs and collaboratively work to provide innovative solutions.

Our flagship product is the Enterprise System which is intended to bring business rule configuration and operational functionality to our end-users. The uniqueness of our systems is that they are configurable and most of the business rules and operational configuration is data-driven.

SKYGEN's third party administration services allow dental insurers to focus on their core business. Our Provider Data Management solutions provide a single source of truth and make it easy for providers to keep their information up-to-date. We are also passionate about member engagement and are focused on offering mobile services and applications for members.

How do you help your customers in successfully moving from legacy systems to cloud?

Knowing that new and potential customers have most likely been using legacy systems for 20-30 years, we provide change management education to help them embrace new workflows supported by newer technologies. We understand the type of resources they have, and accordingly bring in business analysts to learn and understand their requirements and business workflows. We also offer training services to our clients during the pre and post implementation phase.

In due course of the implementation phase, we will get database administration team members and data analysts to handle the bits and bytes of the deployment process. If our clients are struggling with data mapping, we help assess their legacy systems that host their mission critical data, and we go through the appropriate steps to ensure that all of the customer's data is successfully moved onto/into the Enterprise System.

What differentiates SKYGEN USA from the other players in the market?

Most of our competitors are developing system solutions for the larger primary healthcare market, whereas we are focused on serving the dental and vision specialty benefits industry. Besides this, our Enterprise System product offering provides a single system solution that supports dental and vision benefit program administration for commercial and government-funded (i.e. Medicaid and Medicare) programs. We are not aware of any competitors who can support commercial and government dental and vision lines of business on a single system as robustly as we can. Our dedicated solution design and development resources utilize an Agile SCRUM methodology to support faster, more efficient development cycles. When desired and appropriate, we provide customized solutions to help our clients realize additional business and market advantages.

Proactively supporting regulatory and compliance system functionality within our solutions allows clients to configure and scale to meet changing needs and increase stakeholders satisfaction. Our connectivity solutions save time and money by automating transactions. Our robust API offerings facilitate connectivity through accurate real time data sharing, streamlined workflows and improved stakeholder experiences.

One of the key benefits of working with us is that we provide enhancements and new functionalities within weeks. We continually review our solution development process, and we are actively driving toward continuous integration and deployment of our system solutions.

Could you elaborate more on the roadmap of the company?

Currently, we are focusing on introducing and enhancing mobile apps for members so that they can realize a robust self-service experience. Another major focus for us is the resounding theme of connectivity which includes making information exchange between all stakeholders (members, providers and MCOs) easier and more meaningful.