NADP Knowledge Center
*FREE* Five Payer Strategies to Power Dental for the Digital Age (2018)
Recorded On: 06/05/2018
Technology has advanced the practice of dentistry tremendously over the last 30 years. Yet when it comes to the administration of dental benefits that enables claims to be reimbursed for this groundbreaking care, much of the industry seems to be stuck in the 1980s.
In this presentation, Heather Kane, CEO of Dental at UnitedHealthcare, will discuss the macro trends in dental and outline the compelling call-to-action for re-engineering the business of dental insurance. Then a panel of experts from SKYGEN USA will highlight the five strategies payers should consider to achieve new levels of efficiency, excellence, and engagement as they fundamentally transform their dental business for the digital age, including:
- Strategy #1: Aim for continuous automation to drive efficiency, scalability, and compliance (presented by Julie Gau, product executive, dental)
- Strategy #2: Drive digital dominance with on-demand technologies (presented by John Schaak, chief operating officer and moderator for the webinar)
- Strategy #3: Engage members and providers to drive better results (presented by Dr. Shirley Spater, clinical director of Benefits Management and cost containment)
- Strategy #4: Elevate performance using analytics (presented by Marcel Tetzlaff, vice -president of provider experience and benefits management)
- Strategy #5: Leverage industry expertise and limit costs through outsourced services (presented by Kyle Koltz, vice president of operations)
CEO of Dental, UnitedHealthcare
Heather Kane is the CEO of Dental at UnitedHealthcare, based in the company’s Chicago office. Her organization is responsible for the development and management of all dental products and services across the company’s Commercial, Medicare and Medicaid business segments.
Heather has a passion for identifying and developing innovative solutions to continuously improve the health care segment, growing start-up businesses, and mentoring new leaders across the organization.
She is active in non-profit and healthcare-related organizations. She is currently a board member and committee chair of the Gateway for Cancer Research, a non-profit organization dedicated to funding innovative, patient-centered advancements in cancer treatment. Heather earned a Bachelor of Arts degree from Hillsdale College and an MBA from the University of Michigan.
Chief Operating Officer, SKYGEN USA; Webinar Moderator
John Schaak and his team are responsible for driving growth, operational performance, and customer satisfaction across SKYGEN USA’s suite of solutions. He leads efforts to improve effectiveness and efficiencies in the company’s benefits administration solutions, advance business services including client implementations, and increase customer responsiveness, making it easier for clients to do business with SKYGEN USA as their strategic solutions partner.
John is an experienced speaker who, among other things, takes every opportunity to speak about the need to protect children from pediatric dental abuse. He has been listed on the Wisconsin Super Lawyers, Rising Stars list multiple times, and holds a Juris Doctorate from Marquette University Law School. He earned a Bachelor of Science Degree in Political Science and Criminal Justice with a minor in Sociology from the University of Wisconsin Oshkosh.
Vice President of Provider Experience and Benefits Management, SKYGEN USA
Marcel Tetzlaff leads SKYGEN USA’s continuing commitment to helping its clients provide superior program stewardship. He and his team are responsible for developing and executing the company’s Enhanced Benefit Management program that is designed to ensure delivery of the most appropriate and efficient care possible. By leveraging SKYGEN USA’s technology, along with its clinical, analytical and administrative expertise, the appropriate intervention can be initiated to achieve optimum performance, including recognizing and rewarding high performing providers.
Marcel has more than 20 years of experience in managing government and commercial medical and dental plans. During that time he has implemented best practices for Medicare Advantage programs and developed workflows, reports, education, training, and documentation for the Medicare Shared Savings Program (MSSP), Risk Adjustment Factor (RAF), Health Effectiveness Data Information Set (HEDIS), and other quality and efficiency measures. Marcel earned his MBA at the University of Wisconsin-Milwaukee with a major in healthcare management. He also holds a Bachelor of Business Administration Degree from the University of Wisconsin-Whitewater.
Dr. Shirley Spater
Clinical Director of Benefits Management and Cost Containment, SKYGEN USA
Shirley Spater, DMD, MPH, FADPD, DABSCD is a Board-certified dentist whose hands-on experience as a clinician, clinical manager, and educator brings a unique perspective to SKYGEN USA’s benefit management programs. She also continues to serve as clinical dental director at Bedford HealthCare Solutions in the New York City area, which helps her advise the company on the challenges facing dental providers in the digital age and how SKYGEN USA’s technology-enabled and benefit management solutions will be received on the front lines of care.
Dr. Spater has received numerous honors and awards in a career that spans more than 20 years, including the Maxwell J. Schleifer Distinguished Service Award; Head Start Oral Health Honor Roll; and multiple Fellowships and Community Service Awards. She holds a Master’s of Public Health from the University of North Carolina at Chapel Hill, Gillings School of Global Public Health, and received her Doctor of Medicine in Dentistry from the Farleigh Dickenson University College of Dental Medicine. She also earned a Bachelor of Science, Biology from Farleigh.
Product Executive, Dental, SKYGEN USA
Julie Gau is an accomplished professional who is focused on helping SKYGEN USA optimize the user experience for payers, providers, and health plan members. She is also a proven leader who has managed teams across a variety of initiatives in the healthcare, financial services, and travel industries. Her expertise in eCommerce is particularly valuable in helping SKYGEN USA ensure the usability of its provider and member portals as well as guiding the continued adoption of digital solutions.
Julie’s more than 20 years of experience in marketing and product management make her an invaluable contributor in conveying how the automation delivered by SKYGEN USA’s technology solutions help payers streamline operations while improving service to members and providers. She is a graduate of the University of Wisconsin-Eau Claire with a Bachelor’s Degree in Business Administration and Marketing.
Vice President of Operations, SKYGEN USA
Kyle Koltz is an experienced leader who holds direct responsibility for the efficiency of SKYGEN USA’s benefit administration operations, including P&L for the company’s government and commercial dental and vision lines of business. He is charged with developing strategies to bring payers into the digital age, as well as the planning, budgeting, client relationship development, and operational/quality improvements to bring those strategies to fruition.
Kyle’s career spans more than 30 years, much of it on the health payer side where he led major initiatives in IT as well as operational excellence. While he is recognized as a strategic thinker, Kyle is not afraid to roll up his sleeves and do what needs to be done to accomplish organizational goals. He holds a Bachelor’s of Business Administration from the University of Wisconsin-Whitewater.