MENOMONEE FALLS, Wis., Nov. 10, 2016 /PRNewswire/ -- When Scion Dental, part of the SKYGEN USA family of distinguished benefit management companies, launched its Dental Administration Transformation Program in January 2016, the overarching goal was straightforward. The cross-functional team was charged with creating additional strategies to ensure each of the Medicaid dental programs it manages is as efficient as possible, and that the limited funding available to those programs is stretched to provide more benefits to more people within the nation's most vulnerable population.
The first fruits of this ongoing effort have now begun to appear, as Scion Dental is already working with its clients to eliminate paper remittance advices in 2016. Following this transition, all remittance advices will be electronic and available on Scion Dental's newly redesigned and enhanced provider web portal. "Using paper to confirm remits is needlessly expensive, and frankly rather 'old school'," said Gail Buenger, J.D., vice president of operations for Scion Dental and the driving force behind the Dental Administration Transformation Program. "There are a number of inefficiencies that can weigh down government-funded dental benefit programs. Our mission is to look at every operation we have to find ways to reduce the cost, speed the delivery time or improve the quality of the provider or member experience. By doing so, we can eliminate waste and instead put those dollars to work delivering better care to more Medicaid members." Transforming from fully manual to fully electronic processes for six types of transactions has been estimated to save health plans and providers more than $8.5 billion annually. Dental health plans also tend to lag medical health plans by 30 percentage points, on average, in adoption of fully electronic transactions. Increasing use of electronic transactions not only means money can be reallocated into patient care by current Medicaid dental providers, but it can also mean that lowering administrative expenses and burdens makes offering Medicaid services more attractive to dentists who are not currently serving that population. Much of the Dental Administration Transformation Program revolves around the use of technology to automate manual processes, saving time and money while improving accuracy. Scion Dental has a significant advantage over other benefit management organizations in the endeavor since it uses the Enterprise System from sister company Wonderbox Technologies as its core technology. The Enterprise System is one of the most sophisticated healthcare benefit management software platforms in the industry. Unlike other technologies that were originally designed for medical benefit management and then must be adapted for dental benefits, the Enterprise System was built to manage dental from day one. As a result, when the Dental Administration Transformation Program team develops or reinvents a process, it can be seamlessly incorporated into the Enterprise System so the improvements can be realized within a few weeks instead of waiting months for redevelopment as is common with other technologies.