The document discusses key differences between dental and medical insurance. Dental insurance focuses on prevention through regular cleanings and checkups, while medical insurance focuses on treating illness and disease. Dental disease is also less likely to be catastrophic than medical conditions. Stand-alone dental carriers have more expertise in dental care, negotiate stronger dentist networks, and manage costs through an emphasis on preventive care rather than utilization control like medical plans. Overall, the document argues that stand-alone dental carriers are better able to provide value through their dental-specific focus and experience.
Dental insurance provides coverage to help pay for dental care costs. There are several common types of dental insurance plans, including preferred provider organizations (PPOs), dental health maintenance organizations (DHMOs), indemnity plans, and direct reimbursement plans. PPOs allow patients to receive care from a network of dentists who charge reduced fees. DHMOs provide comprehensive care through designated provider offices for a fixed monthly fee paid per enrolled patient. Dental insurance helps provide access to dental care and reduces costs for major dental procedures.
finance in dentistry is based on soben peter article said about the varies methods of financing in the world for dentistry and which i included some indian methods in financing as well as kerala.
The document discusses various mechanisms for payment of dental care services, including in India. It begins by outlining the common fee-for-service basis where patients pay providers directly for specific services. However, as dental care costs rise, most people cannot afford treatment. The document then examines several alternative payment methods including post-payment plans, private third-party prepayment plans such as insurance, and public programs. It notes that while fee-for-service remains most prevalent in India, access to dental care is still limited for many due to high costs.
The document provides a summary of dental benefits offered through the DeltaCare USA dental plan. Key benefits include:
- Access to a large network of dentists to choose from for regular dental care and referrals to specialists if needed.
- Many preventive services like cleanings, x-rays, and exams are covered with no copayment.
- Restorative services like fillings and crowns have set copayments ranging from $8-$395 depending on the type of material and number of surfaces.
- Specialty care is covered through referrals from the selected general dentist with only the specialist copay applying.
There are more than 2 million visits every year to hospital emergency rooms for dental pain as uninsured and Medicaid patients often seek dental care in the ER due to lack of access to a dentist. ERs are ill-equipped to treat dental issues and usually only provide temporary pain relief without addressing the underlying problem. As a result, costs are high as dental ER visits range from $400-$1,500 compared to $90-$200 for a dentist visit. Several states have implemented initiatives to reduce ER visits for dental issues by increasing access to care through programs like referring patients to volunteer dentists or on-site dental clinics in hospitals. These programs have led to reductions in dental ER visits of up to 70% while improving outcomes
Overview of the differences between long-term and short-term rehabilitation services, the advantages and disadvantages of each, as well as financial and other considerations for health administrators per type of service.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
Still struggling to find the monetary value of a strong patient communications program? This white paper maps the advantages and provides evidence about the ROI of using sustained electronic communications to improve patient satisfaction and outcomes.
Dental insurance provides coverage to help pay for dental care costs. There are several common types of dental insurance plans, including preferred provider organizations (PPOs), dental health maintenance organizations (DHMOs), indemnity plans, and direct reimbursement plans. PPOs allow patients to receive care from a network of dentists who charge reduced fees. DHMOs provide comprehensive care through designated provider offices for a fixed monthly fee paid per enrolled patient. Dental insurance helps provide access to dental care and reduces costs for major dental procedures.
finance in dentistry is based on soben peter article said about the varies methods of financing in the world for dentistry and which i included some indian methods in financing as well as kerala.
The document discusses various mechanisms for payment of dental care services, including in India. It begins by outlining the common fee-for-service basis where patients pay providers directly for specific services. However, as dental care costs rise, most people cannot afford treatment. The document then examines several alternative payment methods including post-payment plans, private third-party prepayment plans such as insurance, and public programs. It notes that while fee-for-service remains most prevalent in India, access to dental care is still limited for many due to high costs.
The document provides a summary of dental benefits offered through the DeltaCare USA dental plan. Key benefits include:
- Access to a large network of dentists to choose from for regular dental care and referrals to specialists if needed.
- Many preventive services like cleanings, x-rays, and exams are covered with no copayment.
- Restorative services like fillings and crowns have set copayments ranging from $8-$395 depending on the type of material and number of surfaces.
- Specialty care is covered through referrals from the selected general dentist with only the specialist copay applying.
There are more than 2 million visits every year to hospital emergency rooms for dental pain as uninsured and Medicaid patients often seek dental care in the ER due to lack of access to a dentist. ERs are ill-equipped to treat dental issues and usually only provide temporary pain relief without addressing the underlying problem. As a result, costs are high as dental ER visits range from $400-$1,500 compared to $90-$200 for a dentist visit. Several states have implemented initiatives to reduce ER visits for dental issues by increasing access to care through programs like referring patients to volunteer dentists or on-site dental clinics in hospitals. These programs have led to reductions in dental ER visits of up to 70% while improving outcomes
Overview of the differences between long-term and short-term rehabilitation services, the advantages and disadvantages of each, as well as financial and other considerations for health administrators per type of service.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
Still struggling to find the monetary value of a strong patient communications program? This white paper maps the advantages and provides evidence about the ROI of using sustained electronic communications to improve patient satisfaction and outcomes.
The document discusses the eReferral Pilot program launched by the Ontario Dental Association. The eReferral Pilot allows dentists to create and share patient referral cases electronically in a secure and confidential manner. It aims to improve communication between dentists and ensure patient privacy when referrals are made. The program streamlines the referral process for dentists and makes it more efficient while meeting Canadian privacy laws.
9) balik what makes positive pt experience pt safety monitor journal oct11ekha chosiah
This document discusses factors that contribute to positive patient experiences in the hospital setting. It summarizes a report by the Institute for Healthcare Improvement that identified five primary drivers of excellent patient care and experience: leadership, staff commitment, respectful partnerships with patients, reliable care processes, and evidence-based practices. The report found that improving patient experience requires an integrated, system-wide approach rather than isolated initiatives. It also emphasizes the importance of understanding the patient perspective by observing their journey through the healthcare system.
this dental administration incorporates routine dental examinations or registration, oral wellbeing guidance, scale and cleaning, extractions, fillings, X-beams, crevice sealants and root channel medicines and looks to address all ebb and flow dental concerns.
The document discusses private dental and medical insurance in Costa Rica. It covers the right to comprehensive healthcare, types of private insurance available including those with national and foreign capital, how insurance works through contributions and covering costs of services, and the advantages and disadvantages of insurance from the perspective of patients and healthcare professionals.
Top Challenges & Opportunities for Spine in 2011Nicola Hawkinson
The document discusses the top challenges and opportunities for spine care in 2011, as presented by Nicola Hawkinson. The biggest challenges are healthcare reform, declining reimbursement, decreasing overhead costs, staff retention, and increasing efficiencies. The biggest opportunities are new trends, minimally invasive procedures, education advancement, electronic technology, and growth in outpatient care. ASCs will need to adapt to healthcare reform by focusing on coordinated care, outcomes, and becoming centers for multidisciplinary outpatient services.
The Wisconsin Dental Association (WDA) held a networking and continuing education event for new dentists and dental students. Almost 100 attendees learned about fundamentals of running a successful dental practice from a panel of experienced dentist members. The panelists shared lessons on practice development, patient management, securing financing, and leadership. They emphasized the importance of continuing education and mentors for new dentists. The event aimed to address the unique needs of new dentists and bridge gaps in knowledge as they transition from clinical training to owning a business. The WDA hopes to continue providing resources and support for new dentists through such events and dialogue with successful members.
Care advocates evolent health presentationwendyking
The document discusses the need for healthcare advocacy and introduces Evolent Health's Care Advocates program. It outlines issues like insurance confusion, healthcare reform changes, an aging population, presenteeism, and lack of health education resources that advocates would address. Care Advocates would provide a comprehensive service bundle including assisting with benefits, claims, care coordination, and aging parents. This would take responsibility off of HR, brokers, and insurance call centers to devote more personalized help to employees' and their families' healthcare needs.
This document provides an overview of a presentation given to the Utah Dental Association about financial planning strategies for dental professionals. It discusses the firm Cambridge Wealth Counsel, including their services and credentials. It then outlines a three stage "Dental Financial Life-Cycle" model consisting of Professional Adolescence, Professional Maturity, and Full Financial Freedom. Each stage provides target ages, timelines, income and debt milestones, and strategies for dental practitioners to progress through each phase financially.
The document discusses various methods of funding health care systems and providers. It begins by defining key terms like funding, remuneration and payment. It then explains that funding methods create incentives around who provides services, what services are provided, and the quality and location of services. The document goes on to describe important trade-offs in funding around insuring risks versus moral hazard, and productive efficiency versus strategic selection. It also introduces the principal-agent framework used in health economics. The rest of the document provides details on common funding schemes like fee-for-service, capitation and case-based payment, and discusses concepts like prospective versus retrospective payments.
This document summarizes a case study about quality and performance at Robert Wood Johnson University Hospital. It discusses the hospital's background and national recognition for clinical quality. Customer satisfaction is important for quality healthcare and is measured through metrics like successful surgeries and how patients are treated by staff. In 2004, the hospital was cited for poor quality regarding a lack of effective patient feedback systems. However, it has since implemented solutions like an anonymous online patient feedback tool called Patient Voice and employee engagement programs to improve quality and patient satisfaction. The hospital has won several quality awards including the Malcolm Baldrige National Quality Award in 2004.
Robert Wood Johnson University Hospital in New Jersey has received several awards and national recognition for its clinical quality and patient safety. It was ranked #36 for heart surgery, #40 for cancer, and #50 for respiratory disorders by U.S. News & World Report in 2009. The hospital also strives to improve customer satisfaction and address any issues cited in surveys. It implemented a patient voice feedback system and employee engagement initiatives to better understand customer concerns. These efforts have helped improve satisfaction scores and the hospital has continued to receive quality awards such as the Malcolm Baldrige National Quality Award.
The document discusses several problematic practices hospitals have engaged in with regards to 501(r) regulations requiring financial screening and assistance. Specifically, it notes that some hospitals have failed to properly train all patient access employees on the new requirements. This can result in non-compliance issues like not providing financial policy information to patients or inconsistently applying financial assistance. The article provides examples of practices that do not meet 501(r) standards, such as only mentioning financial help as a last resort or pressuring uninsured patients to pay rather than informing them of assistance options. It emphasizes that compliance is only achieved through proper implementation of financial policies across all entry points.
Evolent case study: W2O Digital Health PracticeNextWorks
Evolent Health was formed to help health systems transition to value-based care, which aims to improve health outcomes while lowering costs. In 2013, Evolent secured $100 million in funding, highlighting investor support for value-based care. Evolent's media strategy was to define value-based care for non-experts, emphasize the benefits for patients and costs, and build long-term relationships with reporters rather than quick coverage. This resulted in 29 stories about the funding and coverage over a month that reached over 1 million people on social media.
Patient access departments are facing challenges dealing with the rise of narrow network health plans and increased authorization requirements from payers. This is resulting in lost revenue, denied claims, and unhappy patients who discover their care is out of network. To address these issues, departments are:
1) Revamping processes to better identify out-of-network coverage upfront through tools and direct communication with payers.
2) Working closely with clinical areas to obtain necessary authorizations and avoid denials by ensuring patient access is involved from the start.
3) Educating patients on narrow networks and the need to apply for exceptions to receive in-network rates when their providers are out of network.
This webinar discussed financing options for electronic health record (EHR) adoption. It began with introductions of the panelists and their experience in healthcare and EHRs. The webinar then covered considering the full range of EHR costs, different licensing models, payment structures with EHR vendors, and low-cost financing from banks. Additional funding sources discussed included grants, incentives from CMS, and services from regional extension centers. Tax incentives and malpractice premium relief for EHR users were also reviewed. The webinar concluded with a discussion of the long-term benefits and cost savings of EHR use based on studies.
Consumer Driven Health A Path To Cost Effective Health Care SpendingShelly Winson
This document presents information on consumer driven health plans from Shelly Winson of True Choice Benefits. It discusses how consumer driven health plans can help reduce insurance and tax costs through options like HSAs, HRAs, and FSAs. Winson explains that these plans encourage consumers to be more cost-conscious healthcare consumers through higher deductibles and a financial stake in costs. Education of employees and families is key to successful implementation of these plans, which aim to lower costs over the long run through engaged consumers making smart healthcare choices. The document provides an example of premium savings and invites the reader to contact Winson for a consultation on consumer driven options.
Concierge Benefit Services provides telemedicine services as an affordable alternative to traditional doctor visits. Their services allow members to consult with licensed physicians via phone or video chat 24/7 for common medical issues. This saves members time and money compared to urgent care or emergency room visits. Telemedicine can address over 70% of common conditions and prescriptions are sent electronically to the member's pharmacy of choice. Concierge Benefit Services' telemedicine aims to make healthcare more convenient and accessible while reducing costs for individuals and employers.
Siddharth has over 5 years of experience working as an analyst at Broadridge Financial Solutions India Pvt Ltd. He has strong skills in accounting, finance, attention to detail, and using various databases. At his current role, he works on capital markets, bonds, investment banking, and corporate actions like mergers and stock splits. He maintains margin accounts, issues margin calls, and monitors accounts. Siddharth has an MBA in finance and marketing and a bachelor's degree in commerce. He has received awards for his job performance and participated in various academic projects and conferences.
The document discusses the history of a local rule for Hole #18 at Panther's Run golf course regarding balls hit into the water hazard. An ad hoc committee was formed to review the issue, researching USGA rules and consulting the local golf association. The committee determined the current local rule was not in compliance with USGA rules. Their recommendation is to modify the local rule to a two-stroke penalty if a ball goes in the water, allowing it to be dropped in the unofficial drop area with the penalty.
The document discusses the eReferral Pilot program launched by the Ontario Dental Association. The eReferral Pilot allows dentists to create and share patient referral cases electronically in a secure and confidential manner. It aims to improve communication between dentists and ensure patient privacy when referrals are made. The program streamlines the referral process for dentists and makes it more efficient while meeting Canadian privacy laws.
9) balik what makes positive pt experience pt safety monitor journal oct11ekha chosiah
This document discusses factors that contribute to positive patient experiences in the hospital setting. It summarizes a report by the Institute for Healthcare Improvement that identified five primary drivers of excellent patient care and experience: leadership, staff commitment, respectful partnerships with patients, reliable care processes, and evidence-based practices. The report found that improving patient experience requires an integrated, system-wide approach rather than isolated initiatives. It also emphasizes the importance of understanding the patient perspective by observing their journey through the healthcare system.
this dental administration incorporates routine dental examinations or registration, oral wellbeing guidance, scale and cleaning, extractions, fillings, X-beams, crevice sealants and root channel medicines and looks to address all ebb and flow dental concerns.
The document discusses private dental and medical insurance in Costa Rica. It covers the right to comprehensive healthcare, types of private insurance available including those with national and foreign capital, how insurance works through contributions and covering costs of services, and the advantages and disadvantages of insurance from the perspective of patients and healthcare professionals.
Top Challenges & Opportunities for Spine in 2011Nicola Hawkinson
The document discusses the top challenges and opportunities for spine care in 2011, as presented by Nicola Hawkinson. The biggest challenges are healthcare reform, declining reimbursement, decreasing overhead costs, staff retention, and increasing efficiencies. The biggest opportunities are new trends, minimally invasive procedures, education advancement, electronic technology, and growth in outpatient care. ASCs will need to adapt to healthcare reform by focusing on coordinated care, outcomes, and becoming centers for multidisciplinary outpatient services.
The Wisconsin Dental Association (WDA) held a networking and continuing education event for new dentists and dental students. Almost 100 attendees learned about fundamentals of running a successful dental practice from a panel of experienced dentist members. The panelists shared lessons on practice development, patient management, securing financing, and leadership. They emphasized the importance of continuing education and mentors for new dentists. The event aimed to address the unique needs of new dentists and bridge gaps in knowledge as they transition from clinical training to owning a business. The WDA hopes to continue providing resources and support for new dentists through such events and dialogue with successful members.
Care advocates evolent health presentationwendyking
The document discusses the need for healthcare advocacy and introduces Evolent Health's Care Advocates program. It outlines issues like insurance confusion, healthcare reform changes, an aging population, presenteeism, and lack of health education resources that advocates would address. Care Advocates would provide a comprehensive service bundle including assisting with benefits, claims, care coordination, and aging parents. This would take responsibility off of HR, brokers, and insurance call centers to devote more personalized help to employees' and their families' healthcare needs.
This document provides an overview of a presentation given to the Utah Dental Association about financial planning strategies for dental professionals. It discusses the firm Cambridge Wealth Counsel, including their services and credentials. It then outlines a three stage "Dental Financial Life-Cycle" model consisting of Professional Adolescence, Professional Maturity, and Full Financial Freedom. Each stage provides target ages, timelines, income and debt milestones, and strategies for dental practitioners to progress through each phase financially.
The document discusses various methods of funding health care systems and providers. It begins by defining key terms like funding, remuneration and payment. It then explains that funding methods create incentives around who provides services, what services are provided, and the quality and location of services. The document goes on to describe important trade-offs in funding around insuring risks versus moral hazard, and productive efficiency versus strategic selection. It also introduces the principal-agent framework used in health economics. The rest of the document provides details on common funding schemes like fee-for-service, capitation and case-based payment, and discusses concepts like prospective versus retrospective payments.
This document summarizes a case study about quality and performance at Robert Wood Johnson University Hospital. It discusses the hospital's background and national recognition for clinical quality. Customer satisfaction is important for quality healthcare and is measured through metrics like successful surgeries and how patients are treated by staff. In 2004, the hospital was cited for poor quality regarding a lack of effective patient feedback systems. However, it has since implemented solutions like an anonymous online patient feedback tool called Patient Voice and employee engagement programs to improve quality and patient satisfaction. The hospital has won several quality awards including the Malcolm Baldrige National Quality Award in 2004.
Robert Wood Johnson University Hospital in New Jersey has received several awards and national recognition for its clinical quality and patient safety. It was ranked #36 for heart surgery, #40 for cancer, and #50 for respiratory disorders by U.S. News & World Report in 2009. The hospital also strives to improve customer satisfaction and address any issues cited in surveys. It implemented a patient voice feedback system and employee engagement initiatives to better understand customer concerns. These efforts have helped improve satisfaction scores and the hospital has continued to receive quality awards such as the Malcolm Baldrige National Quality Award.
The document discusses several problematic practices hospitals have engaged in with regards to 501(r) regulations requiring financial screening and assistance. Specifically, it notes that some hospitals have failed to properly train all patient access employees on the new requirements. This can result in non-compliance issues like not providing financial policy information to patients or inconsistently applying financial assistance. The article provides examples of practices that do not meet 501(r) standards, such as only mentioning financial help as a last resort or pressuring uninsured patients to pay rather than informing them of assistance options. It emphasizes that compliance is only achieved through proper implementation of financial policies across all entry points.
Evolent case study: W2O Digital Health PracticeNextWorks
Evolent Health was formed to help health systems transition to value-based care, which aims to improve health outcomes while lowering costs. In 2013, Evolent secured $100 million in funding, highlighting investor support for value-based care. Evolent's media strategy was to define value-based care for non-experts, emphasize the benefits for patients and costs, and build long-term relationships with reporters rather than quick coverage. This resulted in 29 stories about the funding and coverage over a month that reached over 1 million people on social media.
Patient access departments are facing challenges dealing with the rise of narrow network health plans and increased authorization requirements from payers. This is resulting in lost revenue, denied claims, and unhappy patients who discover their care is out of network. To address these issues, departments are:
1) Revamping processes to better identify out-of-network coverage upfront through tools and direct communication with payers.
2) Working closely with clinical areas to obtain necessary authorizations and avoid denials by ensuring patient access is involved from the start.
3) Educating patients on narrow networks and the need to apply for exceptions to receive in-network rates when their providers are out of network.
This webinar discussed financing options for electronic health record (EHR) adoption. It began with introductions of the panelists and their experience in healthcare and EHRs. The webinar then covered considering the full range of EHR costs, different licensing models, payment structures with EHR vendors, and low-cost financing from banks. Additional funding sources discussed included grants, incentives from CMS, and services from regional extension centers. Tax incentives and malpractice premium relief for EHR users were also reviewed. The webinar concluded with a discussion of the long-term benefits and cost savings of EHR use based on studies.
Consumer Driven Health A Path To Cost Effective Health Care SpendingShelly Winson
This document presents information on consumer driven health plans from Shelly Winson of True Choice Benefits. It discusses how consumer driven health plans can help reduce insurance and tax costs through options like HSAs, HRAs, and FSAs. Winson explains that these plans encourage consumers to be more cost-conscious healthcare consumers through higher deductibles and a financial stake in costs. Education of employees and families is key to successful implementation of these plans, which aim to lower costs over the long run through engaged consumers making smart healthcare choices. The document provides an example of premium savings and invites the reader to contact Winson for a consultation on consumer driven options.
Concierge Benefit Services provides telemedicine services as an affordable alternative to traditional doctor visits. Their services allow members to consult with licensed physicians via phone or video chat 24/7 for common medical issues. This saves members time and money compared to urgent care or emergency room visits. Telemedicine can address over 70% of common conditions and prescriptions are sent electronically to the member's pharmacy of choice. Concierge Benefit Services' telemedicine aims to make healthcare more convenient and accessible while reducing costs for individuals and employers.
Siddharth has over 5 years of experience working as an analyst at Broadridge Financial Solutions India Pvt Ltd. He has strong skills in accounting, finance, attention to detail, and using various databases. At his current role, he works on capital markets, bonds, investment banking, and corporate actions like mergers and stock splits. He maintains margin accounts, issues margin calls, and monitors accounts. Siddharth has an MBA in finance and marketing and a bachelor's degree in commerce. He has received awards for his job performance and participated in various academic projects and conferences.
The document discusses the history of a local rule for Hole #18 at Panther's Run golf course regarding balls hit into the water hazard. An ad hoc committee was formed to review the issue, researching USGA rules and consulting the local golf association. The committee determined the current local rule was not in compliance with USGA rules. Their recommendation is to modify the local rule to a two-stroke penalty if a ball goes in the water, allowing it to be dropped in the unofficial drop area with the penalty.
The document discusses key trends driving the future of wearable technology. It identifies three macro trends: connected intimacy, tailored ecosystems, and co-evolved possibilities. Connected intimacy involves wearables deepening relationships by extending communication over distances. Tailored ecosystems involve wearables adapting form and function to uniquely match individuals' changing needs. Co-evolved possibilities involve technologies evolving alongside human behaviors to augment abilities through connections between people and devices. The trends are driving wearables integration into clothing, jewelry, glasses and more with an emphasis on health monitoring, personalized feedback and enhanced human experiences.
The Pulse of the Pacific is an authorized publication for members and beneficiaries of the Pacific Regional Medical Command, published under the authority of Army Regulation 360-1.
Contents of this publication are not necessarily the official views of, or endorsed by, the Department of
Defense, Department of the Army, U.S. Army Medical Command or the Pacific Regional Medical Command.
The Pulse of the Pacific is published monthly by the Strategic Communication and Public Affairs Office, Pacific Regional Medical Command, 1 Jarrett White Road, Honolulu, Hawaii 96859.
Comments or submissions for the Pulse of the Pacific should be directed to the editor at 808-433-5783 or by email at medcom.prmc.pao@us.army.mil.
Austerity Empowering Your Bottomline Shane Williams, M.S. CandidateShawill
The document discusses austerity measures and energy planning. It begins with an introduction to austerity and its relationship to budget cuts. It then discusses how the green movement has translated to business strategies focused on energy efficiency. The current economic environment of austerity and rising energy costs is explored. Trends in energy usage and potential for energy planning are reviewed. The document advocates for comprehensive energy planning as a solution to empower organizations facing austerity.
This document discusses demonstrative adjectives and pronouns in English. It explains that "this" and "these" refer to singular and plural nouns that are near the speaker or writer, while "that" and "those" refer to singular and plural nouns that are farther away or previously mentioned. Examples are provided to illustrate the differences between using "this/these" versus "that/those" based on whether the noun is near or far from the speaker.
Dental insurance is important because dental problems are common and expensive to treat. It encourages preventative care like cleanings and checkups, which helps catch issues early before they become serious and costly to address. Dental insurance plans typically cover a range of services from preventative care to more complex procedures. Choosing a plan requires researching options and comparing costs and coverage to find the best option for an individual or family's needs. Dental insurance emphasizes prevention over treatment because dental issues are often preventable through regular care.
Practice management1 /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This challenge presents an opportunity for dental practices to increase their patient base and boost revenue by billing qualifying dental procedures to medical policies instead. Doing so not only helps patients access care to resolve complex oral health issues but also does so cost-effectively while preserving what dental benefits they might have.
This document discusses various dental topics including dental transaction plans, dental specialties, gum disease examination and treatment, payment plans for children's dental work, dentures and other prosthetics, sedation dentistry, and payment plans through financing companies. It provides information on how dental transaction plans can help pay for dental work, what dental specialties exist and their certification requirements, how gum pockets are examined for disease, options for managing costs of children's dental treatment, what dentures and other prosthetics are, benefits of sedation dentistry, and how dental offices typically arrange payment plans through financing companies rather than handling collections themselves.
This document provides guidance on billing qualifying dental procedures to medical insurance policies to expand patient access to care and increase practice revenue. It outlines categories of medically necessary dental procedures that can be billed to medical insurance, including diagnostic procedures, traumatic dental injury treatments, surgical procedures, and non-surgical treatments. The document emphasizes the importance of using proper medical coding and clearly explaining the medical necessity of any dental procedures billed to medical insurance.
The Future of Dentistry Exploring the Impact of Dental Service Organizations.pdfRewondMassey
Dental Service Organizations (DSOs) have emerged as influential players in the field of dentistry,
reshaping the landscape of dental practice management and delivery of care.
Economics and Dynamics of Solo and Group Practice.pptxMaen Dawodi
Dentistry is a profession in transition; change is occurring in many aspects of the profession. We are currently experiencing one of the more significant changes in the dental practice environment – the growth of large, multisite, group practices. Historically, a group practice was held to be a practice comprised of three or more dentists.Kent Nash, Ph.D. wrote in the Journal of the American Dental Association in 1991, “Most dentists in private practice today own or share in the ownership of their practice. The dentist in most cases is a solo practitioner, a sole owner, and the only dentist in the practice treating patients. Dentists in ownership positions represent about 91.0 percent of all practicing dentists, and solo practitioners account for about two-thirds (67.0 percent) of all dentists.”
Solo practitioners must decide if they’re ready to share responsibility for decisions and, in many cases, select someone in the group to act as the final authority. This is one of the most difficult aspects of consolidation for many dentist-owners who built their business from the ground up and handled all decisions along the way.One of the most significant challenges for dentists who are acquiring other practices or adding new associates or locations is financing. Developing a business plan and necessary documentation is outside the scope of expertise for most dentists. They should be prepared to hire outside help with the initial expansion and financing, and be open to employing a practice administrator when the group reaches a certain size or level of complexity. Not only can an administrator handle day-to-day patient interactions, staff, and finances, but an administrator can help set long-term goals for the business to ensure success and growth.Out of five types of dental specialists (oral surgeons, endodontists, orthodontists, periodontists, and pediatric dentists), oral surgeons are consistently the highest earning dental specialists while periodontists are the lowest earning dental specialists.Among the five specialist types studied, orthodontists have the lowest self-reported busyness levels while oral surgeons have the highest self-reported busyness levels.Among the five specialist types studied, a greater percentage of pediatric dentists work in dental service organization (DSO) affiliated practices while a lower percentage of periodontists work in DSO affiliated practices.
One of the many perks of working as a top dentist Tampa FL is the diversity of the work. Dentists treat a diverse range of patients, all with different dental problems and goals.
For more details visit at - https://doctorsaylor.com/media/finding-the-best-cosmetic-dentist-in-tampa/
Quality Dental Plan: An Innovative Solution for Success in Today's Dental Pra...QualityDentalPlan
Quality Dental Plan is an in-office dental membership program that helps your practice provide care to the millions of people without traditional dental insurance benefits in your community. The QDP team has done all the homework and research so you don’t have to. From implementation to team training to marketing, we cover all bases to ensure QDP is a success for your office.
THE RISING COST OF ORAL HEALTH CARE: ANALYSIS OF DENTAL MARKETRuby Med Plus
In India for the last 25 years, increased oral health care expenditure has emerged as most important concern raising questions on the optimal level of expenditure devoted to oral health care irrespective of age, income, region, caste, culture and so on. Oral health care expenditure is at much higher level know than it was in the past because of rise in tendency to use oral heath care resources as income of individuals rise, newer technology expands the treatment possibilities available to the population, keeps oral health care output rising, partly by aging population and reimbursement facilities available to the public by government, public and private sector undertakings.
Oral health care industry structure drives competition and profitability and it is not based on fact whether this sector is emerging or maturing, high tech or low tech, regulated or unregulated. The relationship between expenditure and benefit across most dental interventions is not clearly known and in many cases we do not know whether further expenditure represents good value to the money. Expenditure is simply price time’s quantity or volume of consumption. Most of the growth in oral health care expenditure is related to the large volume of health care delivery rather than price increase in dental materials. The growth is in the identification of the cost-effectiveness of oral heath care interventions, which relies on defining the benefits from individual dental treatments. Defining benefits, despite all the optimism generated by such outcome measures as quality adjusted life years (QALYs) remain in early stages of development. QALY is also a measure of oral health status, combined with quality of life and survival duration into an index that is frequently used to evaluate and analyze clinical decisions and provide a common unit of measurement that allows valid comparisons across alternative oral health care programs designed on fixed budgets.
The document summarizes dental insurance programs available to member agencies of CCSNYS through Delta Dental, including a PPO plan and HMO-style DeltaCare plan. It provides details on eligibility, covered services and costs, finding participating dentists, and administrative support provided by CCSNYS.
The document summarizes dental insurance programs available to member agencies of CCSNYS through Delta Dental, including a PPO plan and HMO-style DeltaCare plan. It provides details on eligibility, covered services and costs, finding participating dentists, and administrative support provided by CCSNYS.
This document discusses healthcare systems and dental payment mechanisms in India and the United States. It provides details on:
1) The public and private healthcare sectors in India, including government insurance schemes like CGHS and ESIS.
2) Types of dental payment plans in the US, including private fee-for-service, insurance plans (HMOs, PPOs), and public programs like Medicaid and Medicare.
3) Reimbursement methods for dentists in the US, including UCR fees, fee schedules, and capitation. Major dental insurance plans like Delta Dental are also summarized.
Ensuring your practice has a solid grasp of this coding will minimize denials and delays in payment for the procedures you provide. This article provides a quick overview of important teledentistry coding and billing as well as some best practices for avoiding delayed and denied reimbursement requests.
The document discusses dental insurance in India. It provides an overview of different types of dental insurance plans available in India, including standalone dental insurance and dental coverage as part of general health insurance. It then focuses on Dentashakti, a unique dental insurance scheme launched by Janashakthi Insurance PLC and Dentavista Healthcare. Dentashakti offers affordable packages for routine treatments, orthodontics, implants and other dental work. The document outlines Dentashakti's monthly scheme and family dental schemes.
Dental insurance provides coverage to help pay for dental care costs. There are several common types of dental insurance plans, including preferred provider organizations (PPOs), dental health maintenance organizations (DHMOs), indemnity plans, and direct reimbursement plans. PPOs allow patients to receive care from a network of dentists who charge reduced fees. DHMOs provide comprehensive care through designated provider offices for a fixed monthly fee paid per enrolled patient. Dental insurance helps provide access to dental care and reduces costs for major dental procedures.
This document discusses various mechanisms for financing dental care, including:
- Private fee-for-service payments, where patients pay dentists directly.
- Third-party payment plans like insurance, which emerged to help cover rising healthcare costs. These include commercial insurance, nonprofit plans like Delta Dental, and public programs.
- Prepaid plans like HMOs, where dentists are salaried or contracted and patients pay fixed monthly fees for comprehensive care.
The history and types of third-party dental plans are described in detail. India primarily uses out-of-pocket fee-for-service payments due to low public spending on healthcare. Some early dental insurance plans in India are also mentioned.
The document discusses various mechanisms for paying for dental care, including:
1. Private fee-for-service, the traditional model where patients pay providers directly. This remains popular but limits access for many.
2. Prepayment plans like insurance, where a third party pays providers on behalf of subscribers. This includes commercial plans, non-profit Delta Dental plans, and prepaid group practices.
3. Public programs like Medicaid provide dental coverage for specific groups but have limitations in eligibility and coverage. Overall the document analyzes different payment systems and their ability to improve access to dental care.
This document provides an overview of dental insurance. It discusses what dental insurance covers, such as regular cleanings and fillings. It notes that dental insurance helps ensure people can afford dental care without becoming financially burdened. The document also outlines the different types of dental insurance plans like HMOs, PPOs, and indemnity plans. It discusses who the typical customers of dental insurance are and the benefits of having a dental plan.
1. How Dental is Different
Why Stand-Alone Carriers Can Provide Better Value
2. Medical doctors don’t often ask if you’d like
A Different Focus to schedule another check-up in six months.
That truth demonstrates one of the biggest differences
between medical and dental benefits as it applies to The preventive care, early
care: while medical care remains focused on treating detection and treatment that
disease and illness, regular dental care concentrates dental benefits encourage save
on prevention, usually through low-cost checkups and the U.S. $4 billion annually.*
regular cleanings.
By typically covering ı00 percent of the cost of preventive care without requiring a co-pay, dental plans
encourage enrollees to utilize their benefits, proactively promoting behaviors that improve oral health.
* Business Courier, “Health insurers open up, say Ah!, to getting in on dental market,” November 3, 2003.
www.deltadental.com
3. A Different
People rarely call 911 when their teeth hurt.
Level of Risk
While dental premiums have increased
Dental disease is rarely catastrophic or
4–8 percent annually over the past decade,
life-threatening – unlike medical care
double-digit medical premium increases
where hospitalization and major surgeries
have been common.* In total, medical
can contribute to skyrocketing medical
premiums have risen more than ıı4 percent
insurance costs for everyone.
in the past decade.**
Dental benefits work because most dental disease is preventable – and benefit plans are prevention-
oriented by design. By encouraging regular appointments and early intervention, dental benefits help
reduce overall treatment costs, keeping premiums more stable than medical.
* Aon Spring Trend Survey, 2009.
** Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2000-20ı0.
www.deltadental.com
4. A Different Approach
Nobody takes an ambulance to the dentist.
to Cost Management
It’s much easier for dental carriers to predict, anticipate
and manage dental costs because of the low-risk of The cost of providing
catastrophic claims, and the availability of lower cost preventive dental treatment
options to treat most dental conditions. Instead of is estimated to be ı0 times
controlling utilization (as in a medical plan), less costly than managing
a dental plan manages costs by covering and symptoms of dental disease in
encouraging low-cost preventive services. a hospital emergency room.*
Furthermore, dental benefit programs are designed to pay for restorative procedures that will do the job
properly without incurring unnecessary expenditures – consistent with a policy of encouraging the use
of the least expensive professionally accepted treatment, such as fillings, which serve as effective and
affordable substitutes for more costly approaches.
* Pettinato E, Webb M, Seale NS, A comparison of Medicaid reimbursement for non-definitive pediatric dental treatment in the
emergency room versus periodic preventive care, Pediatric Dentistry, 2000: 22(6), pp. 463-468.
www.deltadental.com
5. A Different
Dentists tend to work alone. (Relatively speaking.)
Type of Network
Few dentists work in group practices. That means Delta Dental manages the most
dental care networks are chiefly built and managed one extensive network of professional
dentist at a time – a labor-intensive activity requiring dentists in the country –
expertise in how to recruit and maintain dentist including more than ı35,000
participation. individual dentists – resulting
in greater access to care, more
A stand-alone carrier’s experience with – and choice for enrollees and higher
commitment to – this kind of one-to-one engagement in-network utilization rates.*
forges strong relationships, fosters loyalty and
encourages compliance among its network providers.
* 20ı0 Independent NetMinder Data.
www.deltadental.com
6. A Different Ability
When we say our network, we mean it.
to Negotiate
Here’s the bottom line: provider networks are Last year alone, Delta Dental saved
based on contractual relationships stating that groups more than $7.6 billion by
dentists have agreed to provide dental services for employing unique cost control measures
predetermined fees that fall below the dentist’s and aggressively negotiating reduced
regular fees. fees with network dentists.*
Stand-alone carriers who specialize in dental add value for enrollees by efficiently managing their
networks and aggressively negotiating contracts. On the other hand, medical carriers that offer a
dental plan often rent their networks through a third party – losing negotiating power with dentists,
relinquishing oversight, diminishing transparency and inflating administration costs.
* 20ı0 Independent NetMinder Data.
www.deltadental.com
7. A Different Turns out the best people to review
Expertise dental claims are dentists.
Stand-alone dental carriers tend to have a dental director
on staff (typically a former practicing dentist) to assist
with provider relations, review claims and protect against
fraud. While medical carriers would certainly employ
medical directors for similar reasons, they may or may
not have specialized expertise on the dental side.
Beyond having these experienced experts available,
stand-alone dental carriers also use sophisticated
computer and consultant-assisted auditing and review
systems evolved over many years to maximize the
effectiveness of group and individual plans.
www.deltadental.com
8. A Different
Experience sets stand-alone carriers apart.
Level of Care
Compared to the medical field, dentistry has less peer review and accountability. To ensure that enrollees
receive the highest quality dental care, dental carriers take on the responsibility of providing additional
oversight through their claims auditing systems and contractual provisions with dentists.
Because stand-alone dental carriers are more focused and heavily invested in this specialized line of
benefits, they are simply better suited to stay on the forefront of innovative dental care, provide access
to more cost-effective dental services and offer greater protections to your employees.
Additionally, their focus allows them to put more emphasis on helping clients get the most out of their
benefits, whereas a medical carrier may not have the tools – or the time – to educate enrollees on how
best to utilize their dental benefits for maximum value.
www.deltadental.com
9. Care, Coverage and Carriers
Dental vs. Medical
Focuses on prevention Focuses on treatment
Low-risk of catastrophic claims High-risk of catastrophic claims
Relative rate stability Frequent and substantial rate increases
Experience building dental network Experience building medical network
one dentist at a time through group practices (i.e., hospitals)
Manage own network of dentists Often rent network of dentists
On-staff dental experts review claims Lack of dental specialization
Focused and invested in this Focused on medical with minimal
specialized line of coverage investment in dental coverage
Fact is, having one card from one carrier might seem more
convenient on the surface, but bundling your dental coverage
Nearly all dental coverage – with your medical carrier might not be to your benefit.
97 percent – is written separately
from medical coverage.
Learn more about how dental plan designs work far differently
than medical plan designs by talking to your broker or a
Delta Dental representative today.
www.deltadental.com