{"id":2111,"date":"2023-09-16T15:27:57","date_gmt":"2023-09-16T15:27:57","guid":{"rendered":"https:\/\/www.helsapart.com\/?p=2111"},"modified":"2023-09-16T15:29:18","modified_gmt":"2023-09-16T15:29:18","slug":"organized-dentistry-leaders-share-how-more-voices-can-sustain-momentum-for-dental-insurance-reforms","status":"publish","type":"post","link":"https:\/\/www.helsapart.com\/fa\/organized-dentistry-leaders-share-how-more-voices-can-sustain-momentum-for-dental-insurance-reforms\/","title":{"rendered":"Organized dentistry leaders share how more voices can sustain momentum for dental insurance reforms"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Dentists regularly rate dental insurance issues among the most important concerns facing the profession today.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The good news: Many reform measures that improve how patients and dentists experience and use dental insurance have passed in recent years, and these reforms shift the balance of power from insurance companies back to the dental office \u2014 which, in turn, strengthens doctor-patient relationships.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In fact, from 2018 to 2023, state dental societies \u2014 with the help of the American Dental Association\u2019s State Public Affairs program \u2014 have successfully advocated for 149 new state laws that have helped tip the scales in favor of dentists and patients. With these new laws, there are now at least\u00a0<a href=\"https:\/\/www.ada.org\/-\/media\/project\/ada-organization\/ada\/ada-org\/files\/powerof3\/ada_dir_shifting_the_balance_of_power.pdf?rev=5e81d19836f44bccb083aa72517f5e5d&amp;hash=286C9DB12A2D6C00F6F784326674158A\" target=\"_blank\" rel=\"noreferrer noopener\">240 dental insurance reform laws<\/a>\u00a0on the books across the U.S.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"407\" src=\"https:\/\/www.helsapart.com\/wp-content\/uploads\/2023\/09\/ADA2.jpg\" alt=\"\" class=\"wp-image-2112\" srcset=\"https:\/\/www.helsapart.com\/wp-content\/uploads\/2023\/09\/ADA2.jpg 500w, https:\/\/www.helsapart.com\/wp-content\/uploads\/2023\/09\/ADA2-300x244.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">When multiple states are fighting for similar reforms, that\u2019s not lost among dental insurance companies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThey are very aware of what the ADA is doing,\u201d said Mark A. Vitale, D.M.D., chair of the New Jersey Dental Political Action Committee. \u201cThat is where the strength in numbers comes in \u2014 they pay attention when dentists come together to move the needle on issues that are important to dentists and their patients. That\u2019s why our&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ada.org\/join-the-ada\/thriving-together-as-one-dental-community?utm_source=adanews&amp;utm_medium=adaorg&amp;utm_content=po3-sep23-dir-unified-voice&amp;utm_campaign=membervalue-po3\" target=\"_blank\">tripartite\u2019s unified voice<\/a>&nbsp;is critical as we work to make change across the nation.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">New Mexico is an example of the trending success in reforms. The state\u2019s new dental insurance law included five unique and significant issues, including assignment of benefits, network leasing, prior authorization, virtual credit cards and retroactive denials. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re working on multiple fronts across the country at the same time together,\u201d said Tom Schripsema, D.D.S., executive director of the New Mexico Dental Association. \u201cWith the help of the ADA, we\u2019re able to have a larger impact and lay the groundwork first with the credibility and then provide background information on issues that took a lot of time and preparation before the bills were able to get passed.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;There\u2019s no other group that is actively lobbying for you in the field of dental insurance,\u201d said Duc \u201cDuke\u201d Ho, D.D.S., Texas Dental Association delegate to the ADA. \u201cAt the end of the day, the work that the ADA is doing for dental insurance reform is about making dentists\u2019 lives easier \u2014 by eliminating the burdens that keep you from getting your money sooner.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here are a few of the recent wins for dental insurance reforms across the country:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Assignment of benefits laws require dental insurers to pay claims submitted on behalf of their subscribing patients directly to dentists \u2014 regardless of whether the dentist is in network with the carrier \u2014 if subscribers request it. Half of states have implemented laws on this topic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Retroactive denial laws establish reasonable limits on the time insurers have to claw back claim payments made to dentists if they discover they paid the dentist in error. Two states have enacted these laws so far in 2023, adding to the many states enacting retroactive denial laws over the years.\u202f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Virtual credit card laws give dentists the freedom to choose the form of payment by an insurance carrier and not be limited to virtual credit cards only. Insurers are increasingly using virtual credit cards that force dentists to pay a fee in order to receive the funds. \u202f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Prior authorization laws require dental insurers to pay what they promised in the authorization. Rather than fighting for payment on authorized services, dentists can rely on this law to ensure insurers actually pay for services they authorize. Five years ago, there were no prior authorization laws.&nbsp; Now, there are 13 states with these laws.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Network leasing laws expand transparency before a dentist\u2019s in-network relationship with an insurer is rented to another insurer and provide an opportunity for dentists to accept or refuse a new leasing relationship without penalty. Twenty-one states have these laws that include the opt-in\/opt-out option on the books as of 2023, up from zero in 2018.\u202f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Oregon is just one state that has recently passed network leasing laws. Barry Taylor, D.M.D., executive director of the Oregon Dental Association, credits the passage to the collective efforts of his organization and the ADA.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThanks to our partnership, we were well aware that this issue had begun to arise in other states, so we were able to get ahead of the curve on it before it became a significant problem for our members,\u201d Dr. Taylor said. \u201cBecause the ADA shared resources from other states and provided guidance throughout the process, we were able to quickly and easily get the law passed.\u201d&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe dental insurance maze can be daunting for patients, dentists and dental team members,\u201d Dr. Vitale said. \u201cThe best way to minimize confusion and inequity is for dentists to ask questions so that they can then educate their team members and their patients about their dental plans. Dentists taking an active role in organized dentistry and advocating for insurance reform is key to reducing confusion. Dentists and dental team members need to stay informed because dentists don\u2019t know what they don\u2019t know. If you\u2019re not already in contact with your local dental society, read the latest information shared by the ADA and others and ask questions.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While the collective efforts of the ADA and state and local dental societies have resulted in numerous recent wins, there are some limitations to what the ADA can do. To help dentists overcome these challenging issues, the ADA offers the&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ada.org\/resources\/practice\/dental-insurance\/advocacy\/state-based-policy-reform-efforts\" target=\"_blank\">Third Party Payer Concierge program<\/a>, in which ADA members can work with a designated expert for insurance-related issues and access the latest dental insurance information to navigate the nuances of doing business with dental insurance companies.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cEven though insurance companies will always have more money than a small statewide nonprofit organization [like a state dental society], the ADA helps us level the playing field thanks to the insights they have from working on these laws every day,\u201d Dr. Taylor said.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dentists regularly rate dental insurance issues among the most important concerns facing the profession today.&nbsp;&nbsp; The good news: Many reform measures that improve how patients and dentists experience and use dental insurance have passed in recent years, and these reforms shift the balance of power from insurance companies back to the dental office \u2014 which, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2113,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[14],"class_list":["post-2111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-newstag"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Organized dentistry leaders share how more voices can sustain momentum for dental insurance reforms - \u0647\u0644\u0633\u0627 \u067e\u0627\u0631\u062a<\/title>\n<meta name=\"description\" content=\"Dentists regularly rate dental insurance issues among the most important concerns facing the profession today.\u00a0\u00a0The good news: Many reform measures that improve how patients and dentists experience and use dental insurance have passed in recent years, and these reforms shift the balance of power from insurance companies back to the dental office \u2014 which, in turn, strengthens doctor-patient relationships.\u00a0In fact, from 2018 to 2023, state dental societies \u2014 with the help of the American Dental Association\u2019s State Public Affairs program \u2014 have successfully advocated for 149 new state laws that have helped tip the scales in favor of dentists and patients. With these new laws, there are now at least\u00a0240 dental insurance reform laws\u00a0on the books across the U.S.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.helsapart.com\/fa\/organized-dentistry-leaders-share-how-more-voices-can-sustain-momentum-for-dental-insurance-reforms\/\" \/>\n<meta property=\"og:locale\" content=\"fa_IR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Organized dentistry leaders share how more voices can sustain momentum for dental insurance reforms - \u0647\u0644\u0633\u0627 \u067e\u0627\u0631\u062a\" \/>\n<meta property=\"og:description\" content=\"Dentists regularly rate dental insurance issues among the most important concerns facing the profession today.\u00a0\u00a0The good news: Many reform measures that improve how patients and dentists experience and use dental insurance have passed in recent years, and these reforms shift the balance of power from insurance companies back to the dental office \u2014 which, in turn, strengthens doctor-patient relationships.\u00a0In fact, from 2018 to 2023, state dental societies \u2014 with the help of the American Dental Association\u2019s State Public Affairs program \u2014 have successfully advocated for 149 new state laws that have helped tip the scales in favor of dentists and patients. 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