Bill to roll back ACA gains momentum in Senate | Dentist charged with felony insurance fraud | Rotary Club program helps Ky. children get dental care
September 21, 2017
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Bill to roll back ACA gains momentum in Senate
Bill to roll back ACA gains momentum in Senate
(Chip Somodevilla/Getty Images)
Senate Majority Leader Mitch McConnell, R-Ky., may allow the Senate to vote on legislation sponsored by Sens. Lindsey Graham, R-S.C., and Bill Cassidy, R-La., that would provide states with federal block grants, repeal the Affordable Care Act's individual mandate to buy health insurance and scale back Medicaid expansion in what is considered the final attempt to repeal portions of the ACA, sources say. McConnell reportedly will gauge support for the measure in private meetings this week and will hold a vote only if the bill is likely to pass.
Politico (9/17) 
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Industry News
CBO won't evaluate impact of Cassidy-Graham bill for several weeks
The Congressional Budget Office plans to release basic budgetary estimates early next week of the Cassidy-Graham bill to repeal and replace significant portions of the Affordable Care Act. The Senate must vote on the bill by Sept. 30 under reconciliation rules, but the CBO's analysis of the full effect of the bill, including implications for coverage loss and insurance premiums, will not be available for several weeks.
Politico (9/18) 
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Dentist charged with felony insurance fraud
Santa Clara County, Calif., authorities say a former dentist from San Jose, Calif., continued to practice dentistry after his license was revoked and billed Guardian and Delta Dental for the work. The former dentist was charged with four counts of felony insurance fraud.
San Jose Mercury News (Calif.)/Bay Area News Group (9/20) 
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Rotary Club program helps Ky. children get dental care
The Elizabethtown Rotary Club is coordinating pediatric dental screenings at every elementary school in Hardin County, Ky., along with Eliza­beth­town Community and Technical College, Western Kentucky University, Hardin Memorial Hospital and the Lincoln Trail Health Department. The Rotary Smiles program, schools and health department help children on Medicaid or the Passport Health Plan get dental care.
The News Enterprise (Hardin County, Ky.) (9/14) 
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Mich. college dental hygiene program to serve community
Michigan's Jackson College is introducing a dental hygiene training program that will be open to the public and help meet a growing need for dental hygienists, says program director Patricia Guenther. "Hopefully, we'll be able to appeal to people who maybe don't have dental insurance [and] will be able to take advantage of really reduced fees that we'll provide here at the college," Guenther said.
WLNS-TV (Lansing, Mich.) (9/18) 
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Oral Health
Dentists may be more afraid of babies than babies are of dentists
A pilot program in Alameda and San Francisco counties will train 70 dentists over the next three years to care for infants and young children. American Academy of Pediatric Dentistry guidelines say babies should receive a dental checkup before their first birthday, but parents may have a difficult time finding dental care for their babies because many dentists are not comfortable treating them, says dentist Pamela Alston, dental director of the Alameda Health System's Eastmont Wellness Center.
Kaiser Health News (9/21) 
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Company News
Wash. dental plan carrier fined, ordered to address consumer complaints
Dental Health Services was fined $300,000 by the Washington state insurance commissioner and ordered to hire a third-party auditor, rectify provider contract deficiencies and develop a corrective action plan to address consumer complaints. The company is the second-largest dental plan carrier in the state and the largest participating on the state's health insurance exchange.
SeattlePI (9/15) 
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Anthem adds plans in Va., filling bare counties
Anthem is stepping in to offer plans in 68 cities and counties in Virginia, including the last areas that were expected to have no Affordable Care Act plans available in 2018, the company said last week. The CMS said 63 US counties were expected to have no plans available and 1,472 counties would have just one insurer selling plans next year.
Reuters (9/15) 
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Discovery Zone exhibitors provide solutions to industry challenges
Looking for cutting-edge business solutions to tackle your company's challenges? Visit the Discovery Zone at CONVERGE 2017. Discovery Zone exhibitors offer a wide variety of products and services from web, technology and software solutions, to claims processing systems, fraud prevention, printing and fulfillment, credentialing, hearing health care, vision plans and more. Click here for Discovery Zone hours.
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CONVERGE session highlights provider directory validation project
The NADP Provider Directory Validation project is live. The NADP Operations WorkGroup identified and initiated this project at the 2017 Leadership Conference in response to the many directory update requests resulting from network legislation in multiple states. The objective is to streamline the process for both plans and DSO/large dental groups, saving them time and money. The WorkGroup agreed upon data elements and the standard attestation. Come hear the success stories from those live with the process and bring your questions to our expert panel! For a concise view of all educational opportunities, view the schedule options (overall, by day, etc.) on Log in to register and receive member pricing.
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Gail Devers,
track and field athlete
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