Maryland recently enacted a law that expands assignment of benefits protections for patients and out-of-network dentists. HB 1091 bars insurers, including health insurers and dental plan organizations, from prohibiting an assignment of benefits to a dentist or refusing to directly…
Revenue Cycle Management
The Rhode Island House of Representatives recently passed a bill that would expand reimbursement options for services provided by public health dental hygienists. Five notes: 1. Hygienists who provide services in public health settings are currently only allowed to be…
Here are four updates on dental insurance and payers that have taken place since April 30: 1. The potential reduction in pediatric dental Medicaid coverage could lead to nearly 96,000 additional cases of dental caries and $86.5 million in additional…
The potential reduction in pediatric dental Medicaid coverage could lead to nearly 96,000 additional cases of dental caries and $86.5 million in additional healthcare costs, according to a new study published in JAMA Network Open. The study, “Projected Oral Health…
Dentists have filed class-action lawsuits against Delta Dental in four states, alleging that the organization engaged in conduct that suppressed reimbursement rates and limited competition in the insurance market. Four notes: 1. The lawsuits — filed April 30 in California,…
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Dentists and lawmakers have continued to push for increased oversight of dental insurers and transparency of their practices. Four updates since March 9: 1. The American Dental Association urged the Federal Trade Commission’s new Healthcare Task Force to investigate competition…
Nebraska Medicaid recipients are facing challenges with scheduling appointments as the number of participating dentists has declined, the Nebraska News Service reported May 6. Six notes: 1. Nebraska currently contracts with three companies to manage its Medicaid program: Molina Healthcare,…
The American Dental Association is urging the Federal Trade Commission to investigate competition and transparency within the dental insurance market. Four notes: 1. The FTC launched the Healthcare Task Force in March to enhance regulation enforcement and oversight of anticompetitive…
The Delta Dental Insurance Company and Delta Dental of New York will pay a $2.2 million penalty for violating cybersecurity regulations from the New York State Department of Financial Services. The MOVEit software suffered a data breach in 2023 that…
Dental sedation is emerging as a significant opportunity for anesthesia leaders, particularly certified registered nurse anesthetists, according to Jeff Tieder, MSN, CRNA, clinical assistant professor at the University of Tennessee at Chattanooga. “It’s very much a nonoperating room anesthesia space…