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As the first quarter of 2021 ends, NADP has made significant progress on multiple initiatives that bring value to our industry and our members. As Board Chair I have a unique perspective regarding the work of our association and want to share some highlights with you.
On April 30, the Centers for Medicare and Medicaid Services (CMS) filed “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager…
Gain deeper understanding of key business trends affecting the dental benefits industry .
Just over a month ago we hosted CONVERGE 2019 – one of the most successful industry conferences I have ever attended. With session ratings ranging from 3.25 – 4.79 out of 5, CONVERGE delivered dental specific content addressing our challenges and equipping us to succeed in our industry. Each year CONVERGE also marks the beginning of key transitions for our organization. Following CONVERGE many volunteer groups and staff wrap-up current projects and lay the foundation for next year. At the same time, our advocacy volunteer groups continue to represent us on the current issues facing our members. In this column I will briefly highlight key activities in each of these areas.
In addition to tracking key legislative trends in 2020, the Government Relations WorkGroup (GRW) also addresses active state legislation and regulations impacting the dental benefits industry. The GRW is also engaged with the National Conference of Insurance Legislators (NCOIL) regarding development of a model act on network leasing proposed by the American Dental Association.
Last week, we saw a flurry of policy and technical guidance from the Centers for Medicare and Medicaid Services (CMS) and the Center for Consumer Information & Insurance Oversight (CCIIO) regarding carrier participation on Health Insurance Marketplaces in 2016. The following are short summaries and links to these resources. Look out for more detailed summaries in the Dental Interact (DI) Health Care Reform Open Forum.
As noted recently in the Health Care Reform Open Forum in Dental Interact (DI), the Maryland Health Benefit Exchange (MHBE) is currently planning for enhancements to the Exchange that would support the purchase of stand-alone dental plans.
The Massachusetts Connector has requested dental plans operating on the Exchange to submit a Quality Improvement Strategy (QIS), which was defined in the ACA as “rewarding quality through market-based incentives.
NADP submitted comments in response to proposed rules on Medicaid programs that have far-reaching impacts to states, carriers and the delivery of dental services via managed care. This is also critical to all dental insurance carriers, as regulators are known to apply public program requirements to the commercial market.
In a letter to Center for Consumer Information and Insurance Oversight (CCIIO) Director Kevin Counihan, NADP, Delta Dental Plans Association (DDPA) and America’s Health Insurance Plans (AHIP) request CCIIO discontinue a technical requirement related to adult dental benefits and fix an error in plan preview that is mislabeling these policies for consumers.