Scion Dental Enhanced Benefit Management Program Helps Drive Superior Medicaid Dental Program Stewardship

By a News Reporter-Staff News Editor at Insurance Weekly News -- While controlling administrative costs on Medicaid dental programs is important, it still only accounts for roughly two to four percent of the total spend. HYPERLINK "http://www.sciondental.com/" nScion Dental's HYPERLINK "http://sciondental.com/sd/Our-Solutions/Benefit-Management/Enhanced-Benefit-Management.htm" nEnhanced Benefit Management Program is designed to address the larger opportunity. By enhancing the management of the benefit spend, payers are able to realize significant savings of a few dollars per member per month (pmpm) rather than the few pennies they might save by managing the administrative spend.

Key to the program is Scion Dental's use of the Medicaid dental industry's most sophisticated big data analytics, which delve deeply into factors that affect the cost of the program such as provider performance, benefit plan design, and reimbursement strategies. These findings are then used to develop benefit management strategies that are specific to each market a payer serves. Strategies include recognizing and encouraging dentists who are doing a great job of delivering appropriate and efficient care, as well as addressing those who may not meet the payer's standards.

"Our Enhanced Benefit Management program is all about providing unparalleled program stewardship," said John Schaak, president, Scion Dental. "We work tirelessly to save money so that budgeted dollars can provide more and better care to more members, while also improving the provider experience through, among other things, higher reimbursement rates. Given the potential changes the Medicaid program may face over the next few years, it will be more important than ever to encourage greater provider participation while also managing precious program dollars."

Keywords for this news article include: Medicaid, Dentistry, Scion Dental, Health Policy.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2017, NewsRx LLC