Last updated on April 16, 2014 at 17:34 EDT

Gateway Health Plan Attributes 15 Years of Growth and Superior Service to Collaboration with DST Health Solutions

September 27, 2012

BIRMINGHAM, Ala., Sept. 27, 2012 /PRNewswire/ — DST Health Solutions, LLC, and Gateway Health Plan – announced today – their longstanding collaboration has resulted in the achievement of a number of strategic business objectives for Gateway, including growth, product expansion and a reduced administrative cost ratio. A new case study highlights the background and successes.

Industry-leading Gateway Health Plan, named “One of America’s Best Health Plans” by U.S. News and World Report, boasts membership of 249,000 Medicaid and 28,000 Medicare Advantage dual-eligible members, all serviced by DST Health Solutions’ Business Process Outsourcing (BPO) organization.

“DST has helped Gateway achieve a number of important business objectives, including a 200 percent increase in membership, product expansion and a reduced administrative cost ratio of 7.2 percent,” said Margaret Worek, Vice President of Operations, Gateway. “Due to the results we’ve achieved, we are able to consider expansions of our Medicaid business with tens of thousands of new members that will be supported by DST.”

Today, DST provides Gateway front-end and mailroom processing, enrollment and membership management, end-to-end claims administration and provider reimbursement. In addition, Gateway is able to leverage disaster recovery services from DST as part of its application system hosting.

“Even as a young company, we recognized that the areas of strategic value resided in growth, expansion, provider relations and medical management, and not claims, mailroom and hiring programmers,” said Michael Blackwood, Chief Executive Officer, Gateway. “We wanted one vendor on which we could rely for superior business process outsourcing and software, and we found that in DST Health Solutions.”

Among the-more notable results achieved by Gateway are:

  • A 30 percent gain in workflow productivity in just six months.
  • A 200 percent increase in members in 13 years.
  • An administrative cost ratio of just 7.2 percent.

“We are committed to providing Gateway the strategic support they have come to expect and rely on from DST Health Solutions,” said Steve Sabino, the company’s President. “This approach is reflected in such things as our annual, joint planning sessions, wherein our two organizations share and discuss business initiatives for the-forthcoming year. Leveraging this level of mindshare, we’ve been able to drive benefits for both of our organizations.”

To order a PDF of the case study, click here.

For more information on how we can help your organization, call DST Health Solutions, at 800.272.4799 or visit us at www.dsthealthsolutions.com.

About Gateway Health Plan
Gateway Health Plan’s Medicare Assured® HMO SNP product is one of the nation’s largest and Pennsylvania’s largest Medicare Approved Special Needs Plan for those who are eligible for both Medicare and Medical Assistance. For individuals who qualify, there is no monthly premium, and they receive healthcare coverage, plus prescription drug coverage, dental, transportation, vision, hearing services, fitness center membership, and bathroom safety products – all from one plan. Gateway Health Plan® emphasizes the development and delivery of innovative programs to positively affect the personal health of its members. Gateway maintains a healthcare delivery system that assures the availability of high quality medical care for the Gateway member, based upon access, quality and financial soundness.

About DST Health Solutions
DST Health Solutions, LLC, delivers systems and services that help improve efficiency, reduce operational costs, increase speed to market, and facilitate medical cost management and price containment. Our clients include commercial health plans, consumer-directed plans, government plans (Medicare Advantage, Medicare Part D and Medicaid) and physician practices. DST Health Solutions’ enterprise applications and outsourcing services include claims processing, member and provider management, benefit plan management, new product development, care management and medical management, and decision support/analytics. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc. For more information about DST Health Solutions, contact 800.272.4799, email inforequests@dsthealthsolutions.com or visit www.dsthealthsolutions.com.

The information and comments above may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST’s views as of today, and actual actions or results could differ. There could be a number of factors affecting future actions or results, including those set forth in DST’s latest periodic financial report (Form 10-K or 10-Q) filed with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking comment. The Company will not update any forward-looking statements in this press release to reflect future events.

Larry Stephenson

SOURCE DST Health Solutions

Source: PR Newswire