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Why Choose Healthplex as Your Dental Partner? |
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Participating health care organizations and their partners are faced with multiple challenges:
- They must find and eliminate obstacles to access, so that members and their families can take advantage of the coverage they are privileged to receive.
- They must monitor the treatment being delivered in order to verify that proper services are being rendered according to the highest standards of care.
- They must work as a team to control costs, especially in an environment that is subject ot the unpredictable nature of government funding.
HEALTHPLEX CAN HELP!!
At Healthplex, our sole purpose is to support the Managed Care Organization with whom we are contracted.
Regarding care, we have pledged to provide their members with increased access to dental treatment and to preserve their dignity.
Regarding costs, our flexible funding mechanisms have allowed plans to stabilize their expenses and continue to offer dental as part of a total health benefit.
All this along with improved HEDIS scores makes Healthplex your vendor of choice and here's why:
Experience and Expertise
Healthplex can focus on the provision and administration of dental benefits because dental is our only business. We were established by, and are still managed by, dentists who used their clinical knowledge to create an efficient dental health care delivery system. For 30 years our various insured, and administrative services programs have dependably served the Commercial and Government Services markets. Backed by advanced technology and over two million enrollees, Healthplex has been a credible leader in the field of dental benefits.
Full Risk Capabilities
To completely manage a health care program, you must effectively manage risk. While administrative service plans can often be of value, many organizations find that fully insured options are better at controlling costs. Healthplex has the actuarial experience to provide you with stable dental care premiums, even in an environment of rising expenses for medical and pharmaceutical care. When we manage the risk with a fully funded plan, your budget becomes fixed and predictable.
Seamless Transition
Healthplex has significant experience in adding large blocks of business to our system. With groups ranging in membership from tens to hundreds of thousands, our skilled implementation team ensures a smooth transition with complete continuity of care. These experts handle all of the details and allow your staff to focus on other more important plan issues.
NCQA Certified
Healthplex has been certified by the National Committee on Quality Assurance (NCQA*) as a Credentials Verification Organization in ten out of ten credentialing elements. This certification affirms our commitment to quality services and professional care.
Large Provider Networks
Participating provider networks have always been a key component of Healthplex's dental programs. We recognize the value of a strong relationship with the dental community and have always attempted to balance the needs of dentists with those of our enrollees. Because of this, we have been successful in establishing panels that are consistently expanding. We offer dentists access to a wider patient base and we offer enrollees superior access to care.
Extensive Outreach Programs
HEDIS scores are important to all of us because they measure our mutual ability to provide care. At Healthplex, we understand that the continuation of valuable dental benefit programs is contingent upon this rating. Therefore, we strive to encourage utilization in numerous ways.
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