outcomesbased Archives - BeneCare Dental Plans

REIMBURSEMENT STRATEGIES – HOW THEY CAN AFFECT COST & DELIVERY OF CARE

September 9, 2024 by Mark Engleman

Photo of mother playing with her infant child.

OVERVIEW Healthcare payers have been trying to find the Goldilocks zone in a provider reimbursement model that helps improve access and lower cost while delivering high-quality care. The trick is paying providers fairly for their services without creating an incentive to over- or under-treat based on a payer’s reimbursement methodology. This article is a broad, … Read more

BENECARE IS AWARDED MASSACHUSETTS STATE CONTRACT

May 8, 2024May 8, 2024 by Mark Engleman

Nighttime view of Boston's skyline, signifying where MassHealth Dental Program is headquartered.

BeneCare is awarded the Massachusetts state contract to administer the MassHealth Dental Program.

HOW UTILIZATION CAN STABILIZE COSTS

January 9, 2024March 6, 2023 by Mark Engleman

Young Asian girl smiling positive doing ok sign with hand and fingers. Successful expression symbolizes good oral health, a key to rate stabilization.

Summary BeneCare’s outcomes-based dental plans are designed to help remove the barriers to care that can suppress utilization. This encourages members to address accumulated need and consistently maintain preventive care. This creates a shift in the service distribution from treatment towards prevention, helping to lower cost trends and stabilizing premium rates over the long term. … Read more

BENECARE ANNOUNCES STRATEGIC RELATIONSHIP WITH CHAMBER OF COMMERCE SOUTHERN NEW JERSEY

January 9, 2024October 3, 2022 by Mark Engleman

People with interlocking hands to illustrate strategic relationship.

BeneCare announces strategic relationship with Chamber of Commerce Southern New Jersey (CCSNJ) to offer an exclusive suite of dental plans to CCSNJ members.

PLAN DESIGN – BALANCING COST AND ACCESS

January 9, 2024April 5, 2022 by Mark Engleman

Feet of woman gymnast on balance beam competition metaphorically representing balance.

SUMMARY. Selecting the proper dental plan design is key to striking a balance between cost and access. The proper plan design can help mitigate costs while still providing access to care that is usable and offers the best value. DHMOs MAY NOT BE THE BEST VALUE. Dental Health Maintenance Organization (DHMO) plans may offer the … Read more

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