N.Y. dentist faces prison, fines in Conn. Medicaid fraud case | ACA raises prominence, accessibility of dental coverage, care | Private insurance exchanges poised for big growth, report predicts
 

April 16, 2015
NADP SmartBrief
News affecting dental benefits
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N.Y. dentist faces prison, fines in Conn. Medicaid fraud case
Mehran Zamani pleaded guilty to charges that he helped Gary Anusavice, a former dentist and felon barred from participating in Medicaid, obtain $21 million in Medicaid payments through dental practices in West Haven, Stamford and Trumbull, Conn. Zamani, a dentist from Pound Ridge, N.Y., allegedly allowed Anusavice to use his name and license for the practices. Zamani has been forbidden to participate in federal health care programs for 10 years, and he faces prison time and fines. Anusavice has already been sentenced to prison and financial penalties. New Haven Register (Conn.) (4/16)
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ACA raises prominence, accessibility of dental coverage, care
More health insurance plans sold through Affordable Care Act exchanges included dental benefits this year, presenting dentists with an opportunity to add patients, says Marcia Vannuccini, vice president and head of state exchanges and retail programs at Guardian Life. Although 33% of people lack dental coverage, according to NADP data, the market is expanding as retirees seek individual dental plans and parents add coverage for themselves when they enroll their children in a plan, Vannuccini says. DrBicuspid.com (free registration) (4/14)
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Private insurance exchanges poised for big growth, report predicts
The number of people who got health insurance via a private exchange doubled from 3 million last year to 6 million in 2015, according to Accenture. That number is expected to reach 40 million by 2018, outpacing the number of people getting insurance through publicly run exchanges, Accenture predicts. Bloomberg BNA (free content)/Health Care Blog (4/9), BenefitsPro.com (4/9)
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Few taxpayers taking advantage of special ACA enrollment option
HHS opened a special health insurance enrollment period for taxpayers who were unaware they would owe a penalty for remaining uninsured, but so far there has been no surge in enrollment. Nearly half the taxpayers responding to a Robert Wood Johnson Foundation poll said they were unaware they had to report their insurance status at tax time. USA Today (4/15)
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ACA advocacy group scales back
Enroll America, which was set up to promote the Affordable Care Act, is shrinking its organization and shifting its focus to training and equipping local organizations to continue ACA outreach and education efforts, said Anne Filipic, the group's president. Politico (4/9)
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Oral Health
Poorly maintained dental implants can lead to infection, bone loss
Dentists in the U.K. say many patients who have dental implants do not know how to maintain them. Improper maintenance can cause bacterial infections around the implants that can lead to bone loss and implant failure if not treated, says Aws Alani, a consultant in restorative dentistry at King's College Hospital in London. Smokers and people with poor oral hygiene are at highest risk of implant failure, Alani says. BBC (4/13)
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NADP News
State of dental benefits market report offers overview
Receive a high-level industry overview with the annual NADP 2014 State of the Dental Benefits Market report, available in the Knowledge Center. The report provides a summary of the research NADP conducted in 2014 and data from other recent research activities. In addition, the report includes commentary on expectations for the dental benefits market in 2015 and NADP expectations and initiatives related to advocacy and other initiatives relevant to member companies. The report is included with NADP membership and sold for $295 to nonmembers.
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CONVERGE early-bird registration ends April 30
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Courage is not the absence of fear or desire, but the strength to conquer them."
-- 14th Dalai Lama,
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