Suleman Nasimi, DDS, a dentist at Tooth Fresh Meadows in Queens, N.Y., has been arrested and charged with nearly 40 felony counts related to an alleged Medicaid fraud scheme. Dr. Nasimi allegedly stole more than $300,000 from Medicaid by billing…
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Private equity promised dentists a payday. For some, what showed up instead was a pay cut with strings attached. Greg White, DMD, the president and CEO of PepperPointe Partnerships in Lexington, Ky., recently joined Becker’s Future of Dentistry Roundtable Sept.…
Private equity has brought real gains to dentistry — greater access to care, more investment in technology and a deeper reach into Medicaid populations in some states. But one executive says a bigger shift may still be ahead, as consolidation…
California Gov. Gavin Newsom signed Assembly Bill 1629, which requires dental plans to honor patients’ assignment of benefits requests and improves oversight of dental plan networks. The bill ensures dentists can receive payment directly from dental plans, rather than requiring…
Dental practices are navigating persistent margin pressure from rising overhead costs, PPO fee compression and tight labor markets. Cost-cutting alone rarely moves the needle. According to dental leaders, the squeeze on margins is no longer temporary. Dental equipment and supply…
Dallas-based MB2 Dental recently acquired Hawaii Pacific Dental Group in Honolulu. Hawaii Pacific Dental Group, located in the Hawaii Kai neighborhood of Honolulu, provides general, cosmetic and restorative dentistry for patients of all ages and includes an on-site dental lab…
A former credit supervisor at a Melville, N.Y.-based healthcare products distributor has been sentenced to 30 months in federal prison for embezzling $1.6 million from the company over four years. Tony Ream, 35, of Greenville, S.C., was sentenced Sept. 24…
Health systems face rising case complexity, thin specialty coverage and operating margins too tight to absorb preventable revenue loss. Denials and misclassified patient status quietly drain dollars that smaller systems can least afford to lose. A nonprofit health system serving…
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Physicians in value-based contracts are doing two jobs at once: delivering care and proving it. Risk adjustment, quality reporting and payer-specific documentation all land on the same clinicians already spending 5.3 hours in the EHR for every eight hours of…
Presented by:
For most health plans, social risk lives inside care management, disconnected from strategy and the balance sheet. The result is avoidable utilization no one has quantified and spending no one has traced to a cause. As medical costs climb and…
Presented by:
- April Richardson, MD, VP Clinical Services, BCBS South Carolina
- Trenor Williams, MD, Chief Executive Officer, Socially Determined
- James Beem, Senior Partner, Mathematica
- David Wolf, SVP, Commercial Product, MedeAnalytics
