2017 Legislative and Regulatory Trends Impacting Provider Networks (2017)

Recorded On: 12/19/2017

Network regulation has been the primary area of legislative activity relating to dental benefits for more than a year. Starting with the revision of the National Association of Insurance Commissioners (NAIC) Model on Networks and spurred by medical plan narrow network issues, new legislative and regulatory issues dotted the U.S. in 2017. NADP contracted with Courtney Ransom to both track these developments and lead a Government Relation Workgroup Subgroup to address new developments. Join in for an overview of 2017, the status and trends in network development.

Richard Jones

Vice President, State Affairs

Richard Jones is a member of the Government Affairs team at The Guardian Life Insurance Company of America. As Vice President for State Affairs, he leads the company’s legislative and regulatory agenda in several strategically important states, primarily in the country’s western region.

Richard’s prior public affairs experience includes leading a payments industry coalition whose advocacy efforts led to implementation of the Bankruptcy Abuse Prevention and Consumer Protection Act. In an earlier role, he directed public affairs efforts on behalf of the private mortgage insurance industry to support passage of affordable housing legislation.
Richard also has spent more than a decade working in public relations and corporate communications. In addition to positions with several global public relations consultancies, he managed CEO and Executive Communications at Mastercard, and led the corporate communications functions at Guardian, GE Corporate Financial Services and the Americas region of GE Money.

Richard is a board member of the Association of California Life and Health Insurance Companies and serves on the Board of Trustees for Wooster School, a Connecticut independent school. He chairs the National Association of Dental Plans’ Government Relations Workgroup and co-chairs the California Association of Dental Plans’ Legislative and Regulatory Committee.

Richard is an alumnus of the Partnership for New York City’s David Rockefeller Fellows program, a civic leadership initiative. He holds a Master's degree in journalism and a Bachelor's degree in communications, both from Ohio University.

Kathy Larkin

Dentemax

Kathy has more than 30 years of legal and regulatory experience, including HMO, Medicare, Medicaid and dental network compliance.  In her current role, Kathy oversees regulatory compliance for the Dearborn National companies, including Dental Network of America and DenteMax.  She also serves as an Ethics Ambassador, Civil Rights Coordinator and Divisional Privacy Officer for the Dearborn National enterprise.  Kathy holds a Bachelor of Arts with a major in Communications and a minor in Religious Studies from Rochester College.  She also has a Master’s of Science and Administration with a concentration in Leadership from Central Michigan University.  Kathy’s avocational pursuits include volunteer work for veteran charities, mentoring young people at local youth homes, and home improvement projects.

Kate McCown

Second Vice President and Compliance Officer at Ameritas

Kate McCown is Second Vice President and Compliance Officer for the Ameritas and Ameritas of New York Group Dental and Eye Care Division in Lincoln, Nebraska. Ms. McCown began her career at Ameritas in 1999 and has served in a variety of capacities including business operations and underwriting. In 2012 she was appointed as Director of Health Care Reform and responsible for analysis, advocacy, strategy and implementation related to the Affordable Care Act on state and Federal levels; presenting on the Affordable Care Act and implications to dental benefits across the country. In 2014, Ms. McCown was elected as Second Vice President of Compliance for Ameritas. The same year she was elected to Board of Directors for the National Association of Dental Plans (NADP), and has served in various leadership roles with the organization relating to Government Relations and exchanges.

Eme Augustini

Director of Government Relations at NADP

Prior to joining the NADP Government Relations team in September 2012, Eme worked with a national trade association managing regulatory compliance and grassroots advocacy programs. She earned her bachelor’s in political science and philosophy from Texas A&M University. Eme oversees all federal and state legislative and regulatory affairs for NADP.

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2017 Legislative and Regulatory Trends Impacting Provider Networks (2017)