Dental and Ancillary
Take charge of the future

The dental and ancillary landscape continues to evolve as new business-to-consumer marketplaces settle. Leaders in this space are continuously assessing their marketplace opportunities and fine-tuning their strategies and business models. But they are doing more than that to stay ahead. They are defining the capabilities they will need to be successful in the future. They are using customer experience to win a greater share of today’s hyper-connected customers. And they are modernizing operations and building flexible platforms that will allow them to adapt, wherever reform leads them next.

Deep dental and ancillary experience

We understand your market. Our experienced Healthcare team has helped many leading dental, vision, life, and other ancillary insurance organizations develop and execute strategies to respond to transformational change. Whether your goal is to think strategically about member engagement strategies or to evaluate mergers and acquisitions to fast track your future business model, we offer the deep industry, consulting, and technology experience and resources you need to accomplish your goals.

We understand the changes taking place in your marketplace—and what it takes to be successful
Our uncommon blend of skills and experiences enables us to translate knowledge into winning strategies for your business. We can facilitate strategic discussions, develop practical business and technology solutions, bring technology innovation to life, and lead your organization through change.

We assist dental, vision, life, pet, and ancillary insurance organizations with:
  • Refining and optimizing product and customer strategies for today’s reform-driven marketplaces and expanding access to the complex healthcare ecosystem
  • Introducing new customer-driven channels, such as mobile technology and member/provider/broker portals
  • Transforming operations and customer experience—efficiently
  • Developing and executing strategies to establish (buy, build, or borrow) new lines of business
  • Creating future-focused claims platforms and software solutions that integrate key systems
  • Developing reporting and predictive analytics capabilities, including enterprise data warehouses, to fuel growth or contain costs
  • Developing proactive strategies to mitigate cybersecurity risks
  • Supporting organizations throughout the merger and acquisition lifecycle, from diligence through successful integration and synergies 

Change is here to stay
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?

Cybersecurity

Data breaches are on the rise. A recent report by the Identity Theft Resource Center (ITRC) revealed that 2015 represents the second highest year on record since the ITRC began tracking breaches in 2005. The healthcare industry alone accounted for 35.5 percent of all data breaches in the U.S. in 2015.

Healthcare organizations represent an extremely attractive target for cyber criminals due to the wealth of personally identifiable information they maintain. The lack of organizational awareness of data privacy and security risks combined with the limited resources to improve the enterprise security posture can lead to serious financial, operational, and reputational consequences for the organization.

As healthcare organizations aim to provide better health outcomes, improve customer engagement, and provide cost and quality transparency—all at a lower cost—they will need to weigh carefully how to balance privacy and security needs with consumer demand and running a nimble business.

Mitigate the risk, better position the organization

We understand that when it comes to data breaches, prevention is the best approach. We help organizations balance their need for security with the desire for convenience and a seamless customer experience—all while staying within cost constraints. Our unique blend of industry and security experts align security with your business strategy because we know security does more than reduce the likelihood of a breach. It builds trust, increases member and provider engagement and ultimately improves your bottom line.

We can also help you build business cases for security improvements that go beyond avoiding costly penalties, highlighting how initiatives to improve security can be beneficial to other areas of your business, including:

  • Consolidation of data sources to drive a ‘source of truth’ for various data types while simplifying the protection of that information
  • Upgraded technologies, compliant with security, that offer new features and capabilities
  • Improved and more secure customer experience and engagement
  • Optimization and operationalization to better leverage the existing investment in security products
  • Greater collaboration between business, IT, and compliance
  • Help non-technologists in your organization understand and participate in cybersecurity conversations so that security is aligned with your business objectives when making strategic decisions

A proactive approach

It is only with thoughtful investment in information security that healthcare payers and providers will be able to prepare for new risks and responsibilities, while maintaining patient confidence and profitability. Our security experts focus on risks to your organization that extend beyond HIPAA compliance and audit requirements. We have extensive experience using HITRUST Common Security (v7) and NIST Cybersecurity frameworks to help our clients improve their ability to identify, detect, protect, respond to and recover from potential security incidents. In addition, we translate the framework data into easy-to-understand language that enables executives to make well informed decisions. 

With dedicated IT security resources and up-to-date knowledge of IT security threats and solutions, our security practice can help you protect your data and operations from cyber threats and set you on a path to continually improve your security posture.  

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