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Revenue Cycle Management

The California Dental Association has committed to pushing for dental reform after losing its appeal against Delta Dental of California.  The California Dental Association filed a legal action against Delta Dental of California in December 2022, claiming that the insurer…

Georgia’s Department of Community Health has failed to adopt recommendations made in a 2021 audit that were meant to improve children’s access to dental care under Medicaid, Georgia Public Broadcasting reported Sept. 30.  Six notes:  1. The Georgia Department of…

The West Virginia Dental Association is lobbying for the state to pass a dental loss ratio for insurers, The Real WV reported Sept. 24. Three notes:  1. The WVDA launched a campaign to advocate for legislation during the state’s upcoming…

A Michigan federal judge has denied class certification in a lawsuit against Solstice Benefits.  Brian Lyngaas, DDS, filed a class-action lawsuit in 2022 alleging that the dental benefits provider violated the Telephone Consumer Protection Act by sending advertisements via fax…

An Illinois federal judge has denied a group of dental providers class certification in a lawsuit against Delta Dental.  The lawsuit, filed in 2019, alleges that Delta Dental engaged in several anticompetitive practices within its state subsidiaries, including suppressing reimbursement…

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Oral healthcare is taking a hit as persistent issues with Medicaid prevent dental providers from seeing more patients.  In addition to consistently low reimbursement rates, federal funding cuts to Medicaid have dental providers and other stakeholders worried about the future…

The American Dental Association is advocating for operational improvements for dental service payments under Medicare.  Three notes:  1. Dental services covered under Medicare are limited to specific procedures in which dental care is considered “inextricably linked” to a covered procedure’s…

Colorado Gov. Jared Polis recently issued an executive order that includes cuts to the state’s Medicaid program.  Four notes:  1. Gov. Polis issues Executive Order D2025-014 to help fill the state’s $750 million budget deficit. 2. The executive order includes…

Medicaid funding cuts under the recently passed federal budget could exacerbate accessibility issues in Southeast Ohio, WOUB reported Sept. 11. Seven notes:  1. President Donald Trump signed the One Big Beautiful Bill Act July 4. The bill is expected to…

Here are four Medicaid updates Becker’s has reported on since July: 1. A new report from the American Dental Association’s Council on Advocacy for Access and Prevention found that only seven states are meeting network adequacy standards for Medicaid. 2.…

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