SKYGEN USA
Augmenting Dental and Vision Specialty Benefits with the Prowess of Technology

Enabling working together in a connected pattern while facilitating the flow of information in real-time, digital technologies can augment dental practices holistically, across its every facet. Growing from supporting the Medicaid market for dental care to powering dental insurers across the country through technology-enabled solutions, SKYGEN USA transforms dental and vision care stakeholders through third-party administrative services, innovative SaaS offerings for benefits automation, and tools for simplified data sharing and risk management.

SKYGEN USA provides a marketplace connectivity solution that helps dental, and vision healthcare payers connect with members and providers to transact critical business processes on-demand and real-time. “Our dental and vision connectivity solutions inspire our clients to move confidently into the future by employing technology that creates unparalleled efficiencies, streamlines marketplace interactions and drives better healthcare access, value and satisfaction,” mentions Craig Kasten, CEO and Managing Partner of SKYGEN USA.

In an interview with CIOApplications, Kasten shares insights into the company’s history and how SKYGEN USA is delivering efficient health benefit plans in the country while driving efficiency and reducing benefit and administrative costs.

Can you please provide us with a brief history of the company and how it has aligned itself with the current market challenges?

Established in 1994, SKYGEN USA is a software company formed even before the advent of the internet. Initially, the company had two arms—software development and administrative services. We brim with pride in saying that this software company was built without any private equity investment. The way we ran our operations was we would use our under-developed software for administrative services and then put back the received profit to complete the software. This helped us fund our software development project without equity investment and fuelled us to continue our software development by a heavy administrative arm.

As we continually updated our software, we began to attract more clients. We were soon established as the most efficient and effective healthcare organization in the country that has a SaaS offering and provides technology-enabled services. Migrating to the latest technologies and adding more features to our software, we had 40 modules on our platform and qualified as state-of-the-art software. From a business standpoint, I see SKYGEN USA as one of the success stories that has brought millions of dollars of revenue within a decade through its SaaS business.

The way we solve the market challenges is by being a solution that provides high connectivity.

We demonstrate how efficiently we can bring things to market if we connect them. One of our prime goals has been connecting the different players in the industry to drive maximum efficiency. One such industry has been the eyewear and vision, where we successfully connect one of the largest insurance companies to one of the world’s largest eyewear labs as well as connect to national vision retailers other independent offices to create a continuously connected eyewear benefits processing environment.

How is SKYGEN USA delivering the most efficient health plans in the country while achieving process improvements and cost savings for its customers?

Over 20 years ago, we had a paper-based industry, and as we went through technological innovations, we reduced the use of paper. Transforming everything to a digital scale, we built a continuously processing application that generates great information and the lowest possible administrative overhead. One of the significant advantages of this continuously processing information is that it can be traced backwards to find an error source and can be prevented in the future. The purpose of generating all this information is to help clients make better decisions.

We make it possible for people to be involved in the administration of insurance benefits. Our flagship product is the Enterprise System, which is intended to bring business rule configuration and operational functionality to our end-users. Our systems’ uniqueness is that they are configurable, and most of the business rules and operational configuration is data-driven.

Further, our 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.

Can you share with us a client success story?

We had a client that had a sizeable population of members for vision benefit. There was a lot of work invested in doing two things—paying for an eye exam and processing for a pair of glasses. Before working with us, these functions were operated as separate transactions. As we came in, we analyzed the workflow and began with a different approach to combining the two offsetting transactions.

We created a new record that captured all the system information and had the system process efficiently. With our technology-enabled solutions, we supported routine eye exams and lowered vision administrative costs for our client. Meeting the bespoke needs of individual customers of our client, we create a personalized client experience.

As the connectivity began to occur, we connected through web portals customized to each client’s needs. Discouraging the idea of one size fits all, we created a personalized customer experience in each venue. It was a combination of both software and new workflows that needed to be created.

How does the immediate future roadmap of the company look like?

We are setting a benchmark in the software development domain through the continuous integration and deployment of our software. The frequency at which we deploy and update our software without interruptions is one of the major differentiators. One of the prime values that we want to bring for our clients is an approach that helps them to seamlessly transit from their legacy systems to our innovative software offering.

Right now, our business is on the right track to grow exponentially over the next decade. As we grow, we need to outreach to potential integration partners, people who can help us manage very large projects, simultaneously. We are also planning to inject new ideas and hire more employees to create a great team with persistence, perseverance, and dedication that demonstrate their capabilities to build innovative and cutting-edge solutions for our clients.