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Risk adjustment without the sprint: What outside leaders see that specialists miss

Most Medicare Advantage plans still run risk adjustment the way they always have — as a specialized function, staffed and led by risk adjustment experts. That specialization built deep expertise, but it also built blind spots. Leaders trained in actuarial…

Oct 27, 2026 1:00 PM - 2:00 PM CDT

Presented by:

Presenters:

Nicole LaBarbera, Vice President, North America, Charta Health
Aleesa Jansick, JD, MPP, Senior Director, Government Programs, Sanford Health Plan
Koh Kerdsri, Chief Information Officer, Clever Care Health Plan

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Aetna resolves claims processing issue affecting Medicare dental claims

Aetna recently resolved a system configuration error that caused some out-of-network Medicare Advantage dental claims to be adjudicated under Medicare medical rules rather than dental benefit rules, the American Dental Association reported Sept. 3. The issue came to the ADA’s…

Minnesota attorney general issues first round of refunds to patients of shuttered dental practice

Minnesota Attorney General Keith Ellison has sent the first round of refund checks to patients affected by the 2024 closure of Omega Dental Care in Eden Prairie. Annelle Soberay, DDS, closed Omega Dental Care in 2024 due to a medical…

5 numbers making dentists nervous

Here are five statistics Becker’s has reported on in recent months that could lead to future roadblocks in the dental industry: 1. The U.S. currently has 7,980 dental professional shortage areas, according to new data from the Health Resources and…

4 dental acquisitions in August

Here are four dental acquisitions that took place in August: 1. Sacramento, Calif.-based Straine acquired its first practice in Idaho, marking its 17th state. 2. Chicago-based Phase 1 Equity added a multi-site orthodontic practice in North Dakota to its network.…

The 5 states where DSOs added the most in August

From a $64 million acquisition to the entering of new states, DSOs and dental groups were active in their network expansions during August. These five states saw at least two DSO moves in August, as reported by Becker’s, including practice…

Lone Peak Dental Group acquires 4 Alabama offices

Englewood, Colo.-based Lone Peak Dental Group has acquired four Vital Smiles pediatric dental and orthodontic practices in Alabama. The acquisition expands Lone Peak’s existing Vital Smiles partnership, which also includes two practices in Georgia. The most recent deal brings the…

Imagen Dental Partners adds Illinois practice

Scottsdale, Ariz.-based Imagen Dental Partners has added an Illinois practice to its network. The dental partnership organization affiliated with Eric N. Bloom, DDS, Family and Implant Dentistry in Glenview, Ill., according to a Sept. 3 news release. Dr. Bloom has…

Pearl launches Second Opinion 3D AI program for CBCTs

Dental AI company Pearl launched Second Opinion 3D, marking the first time Pearl’s imaging AI is available as a commercial product for general dentists. Second Opinion 3D is a CBCT tool designed for general dental practices and is integrated into…

Heartland Dental rolls out care coordination platform

Effingham, Ill.-based Heartland Dental launched Conuity Care Coordination to better connect general dentists, specialty providers and patients. The platform combines technology and care coordination services to manage specialty dental care across referral, scheduling, treatment and follow-up. Currently, only about 15%…