Beyond the horizons

Never ending dilemma over best healthcare

Meaningful Growth

Imagine a healthcare system that delivers quality care while being affordable and accessible for all. A profitable and sustainable healthcare model is a challenge with administrative costs posing a risk with unpredictable outcomes.

Our innovative solution harnesses cutting-edge technology and data-driven strategies to optimize resources and enhance collaboration among patients, providers, and policymakers. We’re committed to reshaping healthcare into a system where affordability and quality go hand in hand along with ensuring profitability. Join us in this transformative journey to ensure that every individual can access the care they deserve. Together, we can build a healthier future for all—because everyone deserves the best care!

Economics

Enhancing Patient Experience

Analytics/ Worksheets

Process Engineering

Prevalence of Dental Caries Estimates - Summary Report

The NHANES Select Oral Health Prevalence Estimates dataset provides nationally representative estimates of key oral health indicators for the U.S. population, derived from the National Health and Nutrition Examination Survey (NHANES). NHANES is a continuous, cross-sectional survey that combines interviews and standardized clinical dental examinations, making it one of the most reliable sources for monitoring oral health trends over time. This dataset focuses on prevalence

Dental Analytics

Kathan Mehta

5 min read

Going out of network with Confidence: Strategy- Risks and Considerations

Dealing wih dental insurance companies: Bewilderness to Clarity 4 Patients file a class action lawsuit against Delta dental for misrepresenting out of network reimbursements and paying a certain percentage of their set lower proprietary fees instead of Usual and Customary fees, forcing patients to pay more for seeing out of network providers. According to another survey, Delta Dental’s (which is one of the top 10 dental insurance providers) internal fees are approximately

Dental Process Engineering

Kathan Mehta

6 min read

Quantifying Insurance Reimbursements- Introduction

Dealing with Dental Insurance Reimbursements- Bewilderness to Clarity 3 Dental insurance reimbursements play a critical role in the financial health of a dental practice. While many practices focus heavily on clinical excellence and patient experience, the ability to accurately quantify and analyze insurance reimbursements often determines long-term sustainability and growth. Understanding how reimbursements are calculated, tracked, and optimized allows dental professional

Dental Process Engineering

Kathan Mehta

4 min read

Dealing with Umbrella Networks: Strategy

Dental insurance companies: Bewilderness to Clarity: 2 In the previous article, we realized how much healthcare firms are bleeding money and how some streamlining exercises can help protect revenue at various levels. We even saw how utilizing the correct umbrella networks can help increase revenue and, at the same time, in this PPO-driven market, you get the freedom from not relying yourself on Medicaid mix. According to one study by ADA , almost 50-60% of to

Dental Process Engineering

Kathan Mehta

3 min read

Maximising Insurance Reimbursements: Concept and Template

Dental Insurance Companies: Bewilderness to Clarity 1 It's been difficult times – industry-wide as well as economically. AI being questioned already with lawsuit over a major insurance company giving out denials inadvertently. Moreover, the overall need to compete in this ever-changing environment are encouraging and pushing investors to try more innovative ways to generate revenue with minimal spending. Healthcare industry stand at a tangent here. We all know that no matter

Dental Process Engineering

Kathan Mehta

4 min read