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    Home»NADP challenges Mass. Dental MLR

    NADP challenges Mass. Dental MLR

    By November 9, 2022No Comments3 Mins Read
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    DALLAS, Nov. 09, 2022 (GLOBE NEWSWIRE) — Following the Massachusetts election, the National Association of Dental Plans (NADP) is disappointed that Question 2 was passed. state. The NADP believes that 85% of Bay Staters receiving dental benefits and those seeking coverage may experience unintended consequences such as higher premiums and fewer dental insurance options.

    Since the initiative was first introduced last spring, NADP has been committed to providing the Commission with logistical support, staff time, policy expertise, legislative advocacy, research reports, and education on dental benefits and MLR. has actively represented the dental benefits industry and the enrollees they serve. Protect access to quality dental care and media.

    Additionally, a Milliman report commissioned by the NADP indicates that many dental plans could face losses to comply with the requirements of Question 2, significantly reducing dental plans on which Massachusetts citizens rely. have been forced to change to Additionally, Milliman’s report said some carriers may exit the market in response to his MLR.

    In contrast, over the past few years, the dental benefits market has experienced a sustained trend of very low premiums. During this same period, numerous research studies have shown the importance of oral health in maintaining overall health, as seen on WhyDental.org.

    Medical loss ratios (which set a percentage threshold for how much an insurance company must pay a health care provider in a claim) are common in health insurance. This practice does not easily cross over to dental insurance because dental plans are only a fraction of the cost of medical insurance and plan designs vary widely. Applying the medical loss rate to dental insurance plans creates new costs for Massachusetts citizens by discouraging them from negotiating lower rates with dentists on their behalf.

    NADP’s mission is to improve consumer access to affordable, quality dental care through advocacy, research, and promotion of the benefits of dental care. NADP works with policymakers and stakeholders throughout Massachusetts and across the country to protect access to dental care and maintain affordable dental insurance.

    About NADP
    A Texas non-profit organization headquartered in Dallas, Texas, the National Association of Dental Plans (NADP) is a leading and recognized resource for the dental benefits industry. NADP is the only national trading organization that includes the full range of dental benefit companies operating in the United States. NADP member provides Dental HMO, Dental PPO, Dental Indemnity and Discount Dental products to more than 200 million Americans.



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