Dental Payer

Chart a new course
The Patient Protection and Affordable Care Act introduced one of the most significant changes to the healthcare landscape in years—new marketplaces through which individuals may obtain medical and dental insurance. Dental payers, which have traditionally served commercial customers, face critical decisions: Will you participate in these new markets, and how? Will you build out your own e-commerce capabilities or join in private or federal facilitated exchanges?  

Whether you are contemplating these questions or moving fast to implement your new consumer strategy, we can help. 

Deep dental payer experience
We have helped many leading dental payer organizations develop and execute strategies for responding to transformational change. Whether your goal is to think strategically about member engagement strategies or prepare to participate in new health insurance exchanges, we offer the dental payer experience and resources you need to accomplish your goals. 

We understand the forces driving reform and the changes taking place in your marketplace
Our experience enables us to translate this knowledge into winning strategies for your business in the form of facilitating strategic discussions, developing practical business and technology solutions, fostering technology innovation, and leading your organization through change. 

Our skilled team has dental payer experience related to:

  • Strategies for participating in health insurance marketplaces
  • Guidance on healthcare reform (EHB offerings on and off-exchange, individual)
  • Business transformation and complex program management
  • Contact center and customer experience enhancement
  • Benefit system (claim platform) selection and migration
  • Business process optimization
  • Mobile applications
  • Portals (member, provider, broker)
  • Reporting and predictive analytics, including enterprise data warehouses
  • Integration solutions between key systems
  • Establishing and integrating new lines of business
  • Mergers and acquisitions 

Change is inevitable
How can we help you respond—and succeed?

Healthcare Payer

How will you manage unprecedented change and transformation?
While some questions around federal reform remain, many mandates and changes are already in play, requiring forward thinking and immediate action. Most immediately, healthcare payers must be ready to begin enrolling individuals—for many, an entirely new customer segment—through new private and federal-facilitated exchanges.  

Whether you need help with broad transformation or specific changes required by healthcare reform, such as retooling your contact center capabilities, we can help. Our healthcare payer practice works with a wide array of payer organizations to understand opportunities in this evolving marketplace, define a competitive and profitable path forward, and transform their businesses to capture additional market share. 

Develop winning strategies
Our experience enables us to translate knowledge into winning strategies—from facilitating strategic discussions to developing practical business and technology solutions to leading your organization through change. 

Our skilled team has healthcare payer consultants can assist with:

  • Strategies for participating in health insurance marketplaces
  • Business transformation and complex program management
  • Contact center and customer experience enhancement, including strategies for marketing to new customer segments to support exchange offerings
  • Benefit System (claims platform) selection and migration
  • Business process optimization
  • Mobile applications
  • Portals (member, provider, broker)
  • Reporting and predictive analytics, including enterprise data warehouses, to fuel growth or contain costs
  • Integration solutions between key systems
  • Establishing and integrating new lines of business
  • Mergers and acquisitions 

Confront change, emerge as a leader
Respond effectively to regulatory mandates. Operate more efficiently—and nimbly. Raise your competitive position as the industry shakes out. How can our payer industry experience help your organization navigate change and emerge as a leader? 

Population Health

Positioned for success in a growing market
More and more, as employer groups and health insurance brokers confront cost and quality challenges, they will choose health plans and programs with proven population health and wellness models that promote healthy lifestyles and stop—or ideally reverse—migration of health risks. 

If you are developing or refining your core capabilities and offerings for this growing market, we can help. 

Experienced support—from strategy to successful intervention
We work with a variety of accountable care organizations to develop competitive strategies and capabilities for addressing population health—while simultaneously addressing goals for cost control and clinical outcome.  

Our experienced healthcare team can assist with:

  • Developing relevant market strategies—including defining a competitive marketplace position and core offerings
  • Aggregating data and implementing advanced analytics capabilities that enable you to understand specific patient risks and design interventions to prevent risk migration
  • Developing and executing credible and successful intervention and member outreach programs—incorporating our extensive knowledge of customer experience principles
  • Introducing new mobile technology solutions that enable you to reach individual consumers who favor those channels—as a means of delivering more effective intervention programs

The time is now 
Cost-containment and pending introduction of health insurance exchanges are among the factors creating a growing demand for population health services. Are you ready to meet the demand?

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