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Dental Industry Trends - 2019 Mini Series (with recordings)Contains 2 Product(s)
$500 (members) and $750 (non members)
Mini Package includes 4 webinars:
- Risk Based Benefits Today & In the Future
- DSO Growth and Direction
- Trends in Employer & Consumer Perspectives on Dental Benefits
- Tele-orthodontics - The Future is Here - Implications for Dental Plans
Dates and Times TBD.
Tele-orthodontics - The Future is Here - Implications for Dental Plans (2019)Contains 1 Component(s) Recorded On: 05/21/2019
Members - $100 | Non members - $195
Telehealth and specifically teledentistry have been growing exponentially over the last 10 years. There are many ways teledentistry can be used to address the oral healthcare delivery system. Given the unequal distribution of healthcare resources in the US, the utilization of teledentistry platforms by dental providers has created a significant increase in access to care, is reducing oral healthcare costs, and has also been shown to potentially increase the quality of care.
Learn how providers are expanding their practices by utilizing teledentistry platforms in order to grow their patient base and reach patients beyond their geographic scope. Tele-orthodontics particularly has found a place within the teledentistry platforms that are available today.
The increase in access to care and the proliferation of teledentistry has raised several questions within the healthcare continuum. While providers are learning how to grow their practices using teledentistry platforms many insurers are learning how to address the new teledentistry phenomenon. This webinar will present details surrounding teledentistry and the issues concerning how the dental insurance industry is reacting to this exciting new healthcare delivery model within the US today.
Jeff Sulitzer, DMD
Jeffrey Sulitzer, DMD, is the Chief Clinical Officer at SmileDirectClub. From the start of his career, Dr. Sulitzer aimed to impact oral health on a large scale. After graduating from the Temple University School of Dentistry in 1985, Dr. Sulitzer spent more than a decade serving as Vice President of US Healthcare’s dental division and worked for several BlueCross BlueShield dental companies growing their businesses through 2012, offering dental insurance to millions of people in the US and increasing access to care. For the past 6 years, Dr Sulitzer has been working in the DSO space in roles from Chief Clinical Officer to Interim CEO.
During this time, he continued to see patients as well in the dental practices he owned from 1986 through 2014. Though his private practice afforded him the luxury of meeting patients in person throughout the years, Dr. Sulitzer was driven to provide dental access to more people utilizing different platforms. SmileDirectClub and the other companies he has worked for in the past have allowed him the unique opportunity to extend his services to tens of thousands of people through the revolutionary teledentistry platform.
Mary Lee Conicella, DMD, FAGD
Chief Dental Officer
Dr. Mary Lee Conicella is Aetna’s Chief Dental Officer. In her role, she creates programs that engage members and deliver superior health through integration. She was instrumental in launching Aetna's Dental-Medical Integration program and has published numerous abstracts and articles related to the impact dental care has on overall health. She is a member of Aetna’s Clinical Executive Leadership Council, a team that develops clinical thought leadership positions across Aetna. She also participates on the CVS/Aetna Enterprise-Wide Opioid Task Force; implementing innovative clinical initiatives that impact the opioid crisis. She has worked for Aetna since 1997.
Dr. Conicella received her DMD from Temple University School of Dentistry. She practiced general dentistry for more than 15 years and achieved Fellowship status in the Academy of General Dentistry. She spent many years on the clinical faculty at the University of Pittsburgh School of Dental Medicine and currently sits on the NYU College of Dentistry Dean’s Strategic Advisory Council.
Her affiliations include the American Dental Association, the Academy of General Dentistry and the National Dental Association’s Corporate Round Table. She is a member of the National Association of Dental Plans (NADP) Board of Directors and volunteers on the NADP Codes Workgroup.
As an Aetna/CVS Health leader, Dr. Conicella focuses on the following strategic imperatives:
- Be local - engage people with the care they need where they need it
- Lead the change - challenge the status quo with new technologies
- Improve health – help people achieve better health at a lower cost
2018 Network Administration and Network StatisticsContains 1 Component(s)
Full Voting Member: $0.00 | Non-Voting Member: $240.00 | Full Price: $500.00
In addition to the number of providers participating on a network (DHMO and DPPO) by specialty and by state and MSA, this report includes results from our survey on the operational aspects of managing and maintaining a provider network. Among the topics to be covered in the survey are Narrow Networks, Credentialing, Contracting, Directory Management, Staffing, and Provider Payments and Discount levels. Includes two files: a report of survey results and network statistics and a spreadsheet that includes the counts of dentists participating on networks.
2018 State of the Dental Benefits MarketContains 1 Component(s)
NADP Member: FREE | NON MEMBER: $295.00
This report serves as a primer for understanding the dental benefits market by highlighting key trends in enrollment, premiums, claims processing metrics, customer service metrics and employer and consumer opinion.
In addition to summarizing key trends in the industry, NADP offers its opinion on what to expect in the year to come from an economic and public policy perspectives.
The State of the Dental Benefits Market Report utilizes data from NADP's Statistical Reports and from other research conducted throughout the prior year.
Please contact Jerry Berggren, Director of Research, with any questions about this report: firstname.lastname@example.org
2018 NADP Financial Operations and Premium ReportContains 1 Component(s)
Full Voting Member: FREE | Non-Voting Member: $195.00 | Non Member: $395.00
The Financial Operations and Premium Report is a new report for NADP combining data from two prior reports.
This report includes
- national trends in In-force premium for DHMO, DPPO and Dental Indemnity products by group size and for individual products
- average in-force premium by state and by product type by group size and for individual products
- distribution of premium collected to several broad financial categories including administration, provider payments, taxes, commissions and profit/loss by product type and by group size.
Dental Plan Profile - 2019Contains 1 Component(s)
NADP Members - FREE | Non members - $1000
One of the most popular versions of the NADP membership directory is the Dental Plan Profile, featuring a list of dental plan members and:
- Enrollment by product as reported for membership dues
- Service Areas (States where products are sold)
2019 Dental Benefits Report: Provider NetworksContains 2 Component(s)
Members - FREE | Non members - $595
The NADP Dental Benefits Report: Provider Networks is part of a series of reports on the size and scope of provider networks, management practices, and the regulatory and legislative activities affecting provider networks. This report highlights the legislative activity around Non-Covered Services, Network Adequacy, Accessibility and Directories and Network Leasing at the state and federal level. It also reports the number of dentists listed in DHMO and DPPO directories by location (state and MSA) and by dental specialty. Includes two files: a report highlighting legislative activity, network statistics and listing of the counts of dentists listed in provider directories; and a spreadsheet that includes the counts of dentists participating on networks.
*FREE* Protection and Prevention of Dental Fraud Waste and Abuse (2019)Contains 1 Component(s) Recorded On: 09/26/2019
Free! Sponsored by Javelina from Mphasis
Payers across the spectrum of benefits administration are being charged with increasing quality of outcomes while at the same time reducing administrative cost. The ability to detect medical necessity and fraud waste and abuse in real time and through advanced analytics models becomes an ever-increasing necessity for most dental payers.
In this webinar, we will discuss the finding of an experienced team of dental clinicians and the impact Fraud Waste and Abuse has in the dental market. We will also focus on how you and your clients can benefit from this data combined with next-gen technology solutions. Discussion will focus on:
- Fraud Waste and Abuse
- Why It Matters
- What Types are Prevalent
- How to Build an effective FWA containment Plan
- How to leverage available technology
This Webinar is sponsored by:
VP, Product Strategy - Context 4 Healthcare
Mr. Danza leads the product strategy efforts for Context 4 Healthcare. With more than 30 years of experience within the healthcare industry, Mr. Danza’s focus is on analyzing the strategic direction of Context’s solutions and services, and identifying the ways in which Context can continue to meet the needs and expectations of its clients.
Mr. Danza has been a speaker at a number of healthcare industry events and has been published on the topic of methods for health plans to maximize revenue when offering products on the Health Insurance Exchanges.
Dr. Steve Nesnidal
Medical Director and Director, Medical Content and Compliance - Context 4 Healthcare
Dr. Nesnidal leads the Medical Content and Compliance department for Context 4 Healthcare. Dr. Nesnidal and his team are focused on identification of situations indicating potential FWA and compliance violations. He has both clinical care experience along with medical billing experience. He is an MD and an AAPC certified professional coder (CPC).
Dr. Nesnidal practiced Emergency Medicine clinically after completing his residency at Henry Ford Hospital’s Emergency Medicine Residency Program in Detroit, MI. He earned his MD at Rush Medical College in Chicago, IL after his BA in Biology from University of Chicago.
Senior Solution Manager, Mphasis
Tim Smith has more than 20 years of experience working to provide solutions to commercial clients and government agencies in the Healthcare market. Tim's experience brings in depth understanding of enterprise wide business processes across the payer spectrum from Claims automation, enrollment and billing to Care Management and constituent engagement. In addition, Tim has developed an in depth understanding of multiple payer types and the lines of business they support. Throughout his career, Tim has been on the front line working with clients to define solutions that drive future success and growth.
- Fraud Waste and Abuse
*FREE* Using Analytics and Value-Based Models to Give Teeth to Dental Plans (2019)Contains 1 Component(s) Recorded On: 10/03/2019
FREE. Sponsored by SKYGEN USA.
Dental is constantly changing and continually facing cost pressures. Understanding how to create efficiency and how to deliver greater value is a must for dental insurers to win in today’s competitive marketplace. To give teeth to dental programs, insurers have the opportunity to reduce costs and improve the quality of care with analytics and value-based payment models.
In this session, learn how:
- To use analytics to improve benefit design, identify high-performing providers and direct more members to those dentists
- To recognize high-performing providers, remediate under-performing providers
- To begin using value-based models to help drive providers toward delivering more appropriate preventive services
- To give dental providers who meet higher standards the opportunity to earn more revenue without committing to raising fee schedules across the board
This webinar was sponsored by:
Dr. Judy Greenlea Taylor
Dental Director, CareSource
Dr. Judy Greenlea Taylor, a native of Atlanta, GA has practiced dentistry in the public and private sectors for 28 years and currently operates a private practice in Union City, southwest of Atlanta. In addition to her ongoing role as practitioner and CEO of Greenlea Dental Center, PC, she serves as Dental Director for CareSource, a nationally recognized nonprofit managed care plan, serving Medicaid, Marketplace and Medicare beneficiaries in several state markets. With direct oversight and management of the Georgia Market dental operations, Dr. Greenlea Taylor provides strategic direction and development for dental policy and program design to ensure access to quality oral healthcare. She additionally, provides oversight of professional clinical review, quality management, utilization management and dental professional relations.
Dr. Greenlea Taylor’s extensive career includes key leadership positons and roles. These include serving as the 92ndPresident of the National Dental Association (NDA), a Consultant to the Department of Health and Human Services (HHS), a state board official appointed to the Georgia Department of Public Health by Governor Nathan Deal, where she served two terms and served as an Officer - Secretary. As the only dentist on the Board, she advised the Commissioner and department on issues related to oral health, policy and programs to improve oral and overall health in Georgia. She additionally serves on numerous other boards and committees at local, state and national levels. She is a nationally recognized public health educator, lecturer and consultant.
She has received numerous honors and awards for both her professional and community service accomplishments. Some honors include esteemed fellowship into both the American College of Dentists and International College of Dentists. Atlanta’s WXIA TV 11ALIVE Community Service Award; Outstanding Citizen Award from Secretary of State Brian Kemp (2015), affording her every courtesy as a Goodwill Ambassador from Georgia; proclamations and commendations from the State of Georgia, the City of Atlanta, City of Union City and the Georgia Department of Public Health. In addition, most recently, Hidden Figures Award recipient, honoring Women Leaders in STEM.
Dr. Greenlea Taylor earned her Bachelor of Science degree from Prairie View A&M University (Texas A&M University System) and historically was the first graduate of the Benjamin Banneker Honors College. She earned her D.D.S dental degree from University of Iowa, completed a General Practice/Oral Surgery Fellowship Residency at Emory University and a Master of Public Health Degree (MPH) from Emory University Rollins School of Public Health. She received course certification in health disparities research from Columbia University and a certificate in Cultural Competency with HHS, and serves as a facilitator trainer.
Vice President of Provider Experience and Benefits Management, SKYGEN USA
Marcel Tetzlaff leads SKYGEN USA’s continuing commitment to helping its clients provide superior program stewardship. He and his team are responsible for developing and executing the company’s Enhanced Benefit Management program that is designed to ensure delivery of the most appropriate and efficient care possible. By leveraging SKYGEN USA’s technology, along with its clinical, analytical and administrative expertise, the appropriate intervention can be initiated to achieve optimum performance, including recognizing and rewarding high performing providers.
Marcel has more than 20 years of experience in managing government and commercial medical and dental plans. During that time he has implemented best practices for Medicare Advantage programs and developed workflows, reports, education, training, and documentation for the Medicare Shared Savings Program (MSSP), Risk Adjustment Factor (RAF), Health Effectiveness Data Information Set (HEDIS), and other quality and efficiency measures. Marcel earned his MBA at the University of Wisconsin-Milwaukee with a major in healthcare management. He also holds a Bachelor of Business Administration Degree from the University of Wisconsin-Whitewater.