NADP Knowledge Center
Mini Package includes 4 webinars:
- Developments in Interdisciplinary Treatment
- Overcoming Impediments to Use of Electronic Transactions - An Industry Primer
- Challenges & Best Practices in Directory Validation
- Network Challenges (Credentialing/Leasing) -What's Next?
Dates and Times TBD.
It Takes Two to Tango – Directory and Claims Data (2019)Contains 1 Component(s) Recorded On: 11/14/2019
Members - $100 | Non members - $195
It’s not a secret that dental directories overstate access across the industry - network size is a key metric for consultants, employer groups, and other plan sponsors. However, customer and regulatory pressure to clean directory data up is increasing. The challenge to present an accurate directory view is complicated by the need to pay claims for services provided by in-network dentists at non-primary locations. It’s daunting to take the plunge and risk your market share. Join us to hear how to address this complicated initiative and learn ways to use data to right-size your provider directory while maintaining your market presence.
Topics to explore include:
How consumer complaints and studies have led to increased regulation around accuracy
Challenges in solving this issue including network growth trends
Differentiating between provider directory and claims data
Comprehensive approach to cost-efficient directory accuracy
Laura Kravet McMullen
Director, Client Engagement at Zelis Healthcare
Laura McMullen has significant experience in diverse aspects of the healthcare industry. She has provided marketing and communications expertise at Cigna Dental, National Healing Corporation, and the University of Miami Sylvester Comprehensive Cancer Center. As Director of Client Engagement for Zelis Network Analytics, she draws on her industry knowledge to help customers leverage network analytics to drive business results. Educated at Nova Southeastern University and the University of Florida, Laura currently serves on the Education Commission for the National Association of Dental Plans, keeping her ear to the industry’s trends and needs.
Sales Executive, Zelis Healthcare
Jimmy joined Zelis in 2014 and is part of the sales and business development team at Zelis Network Analytics. He is responsible for all sales efforts with new prospects and existing accounts. These efforts include the Network360 analytics suite, Provider Data Accuracy and Network Builder and Optimizer projects as well as client-customized deliverables.
Most recently before joining Zelis, Jimmy worked for Quest Diagnostics as a Senior Account Manager. Jimmy has over 10 years of sales experience as well as, operations, project management and consulting,
Jimmy graduated from the University of Kansas with a degree in Community Health.
Public Programs: Updates on the State of Medicare, Medicaid, and Marketplace Dental Coverage (2019)Contains 1 Component(s) Recorded On: 11/21/2019
Members - $100 | Non Members - $195
With the US House of Representatives’ recent consideration of adding a dental benefit to Medicare, oral health is once again in the policy spotlight. Millions of Americans receive their dental care through a public program or marketplace, and growing public knowledge of the link between oral and overall health is drawing the attention of policymakers. Join us to hear an update on the ongoing dental policy developments at the state and federal level, as well as the outlook for Medicaid expansions, public options, and more. Topics to explore include:
- A snapshot of dental plan enrollment in public programs and private plans
- Federal Policy Developments on Dental in Medicare and Medicaid
- State Policy Developments on Exchanges and Medicaid
Executive Director, National Association of Dental Plans
As of November 1, 2019, Eme has taken on the role of executive director at the National Association of Dental Plans (NADP). Eme joined the NADP Government Relations team in 2012 and quickly mastered the issues facing the industry at both the state and federal level. She was promoted to Associate Director of Government Relations and became Director of Government Relations in early 2017. In this role Eme was responsible for all federal and state legislative and regulatory affairs for NADP. Eme was instrumental in establishing NADP's Advocacy in Action day in Washington, D.C. which has raised NADP's profile in Congress. Prior to joining the NADP Government Relations team in 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 and is pursuing an MBA with business analytics emphasis from Texas Woman's University.
Jerry Berggren, MBA
Director of Research & Information, NADP
Jerry brings more than 20 years of experience in market research, strategy and analysis to his role at NADP. Prior to joining NADP in 2004, Jerry worked in market research and advertising in healthcare, financial services and electric utility industries. Jerry earned his BA in Political Science from Louisiana State University and his MBA from Tulane University.
Government Relations Analyst, National Association of Dental Plans
Owen joined NADP in April of 2019 after previously serving as a research intern with the Health Management Academy and Health Policy Coordinator for the Roosevelt Institute. During his time with Roosevelt, HMA, and several political campaigns Owen developed extensive experience crafting public policy and engaging activists. He graduated from American University in 2018 with a degree in political science specializing in American government.
Director of Compliance for The Guardian Life Insurance Company of America
Alisha Hightower is the director of compliance for The Guardian Life Insurance Company of America (Guardian) working primarily on government programs including Medicaid, CHIP, and Medicare Advantage under their subsidiaries Access Dental Plan, Premier Access Insurance Company and Avesis. Alisha joined Guardian’s subsidiaries in 2013 where she was the Director of Exchange Programs, later taking over Government Programs. Prior to joining Guardian she was with the Department of Health Care Services as the Chief of the Dental Managed Care Unit, overseeing the California Medicaid dental managed care contracts. She received her Bachelor’s in Criminal Justice and Economics in 2005 from CSUS.
DSO Membership Plans - An Emerging Industry Trend (2019)Contains 1 Component(s) Recorded On: 12/12/2019
Members - $100 | Non Members - $195
What are professionally administered membership plans and how are DSOs utilizing them to better service and retain patients? This webinar will answer the following questions:
- What are the features and advantages of professionally administered membership plans?
- How are these plans helping to improve access to dental care and oral health?
- Who benefits from membership plans?
- What is a discount medical program operator (DMPO) and why is it important?
- What do DMPO regulations generally cover?
- What are the regulatory challenges facing DMPOs?
- What does the future hold for membership plans?
Founder and CEO, Membersy
Eric Johnson is the founder and chief Executive officer of Membersy, an Austin-based digital health company that provides dental practices with thoughtfully designed membership programs to make dental care more approachable.
Driven by his entrepreneurial spirit and passion to help dentists better service and retain patients through membership-based dentistry, Membersy currently provides membership technology, marketing and administrative solutions to more than 4,000 dental practices across 42 states.
Prior to founding Membersy in May 2015, Eric was director of strategic partnership at The CDI Group, a Los Angeles-based knox keene licensed dental benefits company. Previously, Eric was the national sales manager for Careington International, a Dallas-based dental dental benefits company.
Eric holds a bachelor's degree in political science with an additional emphasis on history from The University of North Texas. He lives in Austin, Texas with his wife, their 3 children and 1 dog. In his free time, Eric likes to travel and play golf.
Executive Vice President and In-House Counsel, Membersy
Seth Bills joined Membersy in 2018 as executive vice president and in-house counsel, a multifaceted role combining corporate counsel, operations, and human resources functions. Seth has worked with Eric Johnson and Membersy virtually from the beginning, serving as outside counsel and assisting with contracts, state licensure, regulatory compliance, corporate governance and other legal matters.
Seth has focused on health law throughout his career, providing counsel to hospital groups and physicians on contract and licensure matters, state and federal regulatory schemes, and HIPAA compliance. Through his work with Membersy, Seth has developed extensive working knowledge of the discount medical program space in all fifty states.
Seth earned a B.A. from the University of Texas and a J.D. from Southern Methodist University Dedman School of Law, and is a licensed attorney in the State of Texas.
Interprofessional Practice (2019)Contains 1 Component(s) Recorded On: 12/17/2019
Members - $100 | Non Members - $195
Recognizing that many patients experience challenges with accessing traditional dental care, Delta Dental of Colorado Foundation funded the Colorado Medical Dental Integration (CO-MDI) Project in 2015. CO-MDI's goal is to expand access to dental care by integrating dental hygienists into medical settings. CO-MDI has integrated over 35 dental hygienists into medical care teams across Colorado. Integrated dental hygienists have provided over 70,000 full-scope dental hygiene visits at medical visits. Dr. Braun will discuss the CO-MDI model and lessons learned. Visit www.medicaldentalintegration.org to access the CO-MDI toolkit.
Patricia A. Braun MD, MPH, FAAP
Professor of Pediatrics, Family Medicine, Public Health and Dental Medicine, University of Colorado
Patty Braun is a Professor of Pediatrics, Family Medicine, Public Health and Dental Medicine at the University of Colorado. Dr. Braun conducts oral health disparity research and evaluation at the Adult and Child Consortium of Research and Dissemination Science. She is leading the evaluation of the Colorado Medical-Dental Integration Project and SMILES Dental Project. She is currently the Chair of the American Academy of Pediatrics Section of Oral Health Executive Committee. Dr. Braun has also been a practicing pediatrician at Denver Health, a large safety-net healthcare system, for 23 years. She can be reached at firstname.lastname@example.org.