The Colorado House Health and Human Services Committee has passed legislation aimed at improving transparency within dental insurance networks. HB26-1070 would require insurance carriers to obtain dental providers’ consent before renting out their services. The HHS Committee approved the bill…
Revenue Cycle Management
Dental membership platform Clerri has completed its System and Organization Controls 2 Type I audit. The audit demonstrates that Clerri’s data security measures meet AICPA Trust Services Criteria, according to a Feb. 17 news release from the company. Clerri also…
CMS is proposing to reverse a recently added policy that allowed states to add adult dental services as an essential health benefit to their benchmark plans. Five notes: 1. CMS issued a final rule in April 2024 that adds routine…
Massachusetts Gov. Maura Healey has proposed implementing a $1,000 annual cap on Medicaid dental coverage as part of the state’s budget for fiscal year 2027, Boston 25 News reported Feb. 10. Seven notes: 1. State officials are trying to reign…
Several states are grappling with Medicaid funding challenges, while proposed Medicare changes are receiving pushback from dental organizations. Four notable updates: 1. The American Dental Association urged CMS to retain oversight of Medicare Advantage supplemental benefits. The groups said that…
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The American Dental Association has urged CMS to retain oversight of Medicare Advantage supplemental benefits. Proposed changes for contract year 2027 could weaken transparency, lessen insurer accountability and reduce access to care, according to a Feb. 3 news release from…
Dental insurance company Liberty Dental Plans will lay off 95 employees April 6. Liberty Dental Plans has decided to contract out operations, leading to the job cuts, according to a Feb. 5 WARN notice filed with the Florida Department of…
Maine lawmakers are considering an emergency proposal to increase Medicaid reimbursement rates for pediatric dentists who perform work on patients under anesthesia. Six notes: 1. HP1438 states that Maine currently does not fully reimburse for dental services requiring anesthesia, which…
Lawmakers in Mississippi are considering a bill requiring dental insurance carriers to calculate dental loss ratios, according to a Jan. 30 report from DeSoto County News. House Bill 1117, the Creating Transparency and Accountability in Dental Services Act, would require…
How dental organizations are reducing financial exposure while protecting clinical and operational performance. Across the dental industry, growth alone is no longer enough. Scale still matters, but predictability has emerged as a defining marker of resilience. For DSOs navigating compressing…