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News from the week of december 4, 2023
- KFF HEALTH TRACKING POLL (KFF) – A recent KFF Health Tracking Poll finds inflation, healthcare affordability and the future of Medicare and Medicaid remain leading issues for voters. The survey also looks at public awareness of and concerns about Medicaid unwinding.
- CMS SAYS STATES COULD LOSE FUNDING OVER MEDICAID REDETERMINATIONS ISSUES (Healthcare Dive) – CMS will be cracking down on procedural disenrollments; promising fines and loss of federal funding as 11.8 million people have been dropped from Medicaid.
- HOW STATES CAN REDUCE COVERAGE LOSS AMONG CHILDREN DURING THE MEDICAID UNWINDING (Health Affairs) – To minimize Medicaid/CHIP coverage losses among children the authors recommend improvements in data collection, member communication and staff training and streamlined administrative procedures.
- RECENT CHANGES TO MEDICARE COVERAGE OF DENTAL SERVICES FROM THE RECENT CHANGES TO MEDICARE COVERAGE OF DENTAL SERVICES FROM THE 2023 AND 2024 MEDICARE PHYSICIAN FEE SCHEDULE FINAL RULES (KFF) – KFF takes a deeper dive into recent changes in Medicare coverage of medically necessary dental procedures.
- DENTISTS PROJECTED TO LOSE $14/HOUR IN NEXT DECADE
- HOW AI AND AUTOMATION WILL SIMPLIFY THE BENEFITS LANDSCAPE (BenefitsPro) – BenefitsPro looks at how AI and automation are changing the benefits and insurance landscape helping improve consumer education and payer efficiencies.
- THE CFPB’S CONTINUED SPOTLIGHT ON MEDICAL DEBT EMPHASIZES THE IMPORTANCE OF PROPER PROVIDER BILLING (JD Supra) – The Consumer Finance Protection Bureau new report on medical debt highlights a few key issues including the collection of medical bills that are inaccurate or not owed at all.
- ECONOMIC OUTLOOK AND EMERGING ISSUES IN DENTISTRY (ADA HPI) – The ADA’s HPI is out with their latest monthly economic outlook survey. Overall there has not been much change in utilization levels or hiring issues.
News from the week of november 27, 2023
- NATIONAL TRENDS IN DENTAL CARE USE, DENTAL INSURANCE COVERAGE, AND COST BARRIERS (ADA HPI) – A new report finds that roughly 43% of the population visited a dentist in 2021, with higher rates among seniors and children. In addition, the percentage of children without dental insurance dropped to 9% while 22% of adults lack coverage and 38% of children are covered by Medicaid/CHIP. Finally, cost barriers for dental care are much higher than other health care services.
- HEALTHSCAPE ADVISORS MA DENTAL BENEFIT INSIGHTS 2024 (HealthScape Advisors) – The Medicare Advantage dental benefits market is analyzed in this annual report including trends in preventive and comprehensive coverage and annual maximums.
- U.S. PROPOSAL WOULD MAKE ADULT DENTAL COVERAGE AVAILABLE UNDER ACA (Dr. Bicuspid) – The Biden Administration has proposed adding adult dental coverage under the ACA.
- A LOOK AT NAVIGATING THE HEALTH CARE SYSTEM: MEDICAID CONSUMER PERSPECTIVES (KFF) – A KFF survey finds Medicaid members report generally positive experiences with Medicaid however, they are more likely to express issues with health and access to care than respondents with Medicare, employer-sponsored or ACA coverage.
- 1 IN 3 PEOPLE DROPPED BY UTAH MEDICAID LEFT UNINSURED, A CONCERNING SIGN FOR NATION (Fierce Healthcare) – A study finds that 1 in 3 people dropped by Utah Medicaid remain uninsured, another recent study showed a large increase in insured emergency room visits this summer.
- PREVENTIVE CARE VISITS AMONG MEDICARE BENEFICIARIES GREW, STUDY FINDS (HealthPayerIntelligence) – There was a sharp increase in preventive care visits between 2001 and 2019 with the greatest increase among people 65 and older.
- AVERAGE PER-WORKER COST OF HEALTH BENEFITS ROSE BY 5.2% IN 2023: SURVEY (Healthcare Dive) – A Mercer study finds increases in employer-sponsored health insurance primarily due to inflation and prescription drug increases.
News from the week of NOVEMBER 13, 2023
- PRACTICE OWNERSHIP CONTINUES TO DECLINE (ADA HPI) – Practice ownership among private practice dentists has dropped from 84.7% in 2005 to 72.5% in 2023.
- NAVIGATING THE UNWINDING OF MEDICAID CONTINUOUS ENROLLMENT: A LOOK AT ENROLLEE EXPERIENCES
- AMID UNWINDING OF PANDEMIC-ERA POLICIES, MEDICAID PROGRAMS CONTINUE TO FOCUS ON DELIVERY SYSTEMS, BENEFITS, AND REIMBURSEMENT RATES: RESULTS FROM AN ANNUAL MEDICAID BUDGET SURVEY FOR STATE FISCAL YEARS 2023 AND 2024
- MEDICAID ENROLLMENT AND SPENDING GROWTH AMID THE UNWINDING OF THE CONTINUOUS ENROLLMENT PROVISION: FY 2023 & 2024 (KFF) – KFF has published a series of reports on the status of Medicaid unwinding, enrollee experiences and state-level policy plans. They reveal that states are forecasting a steep 8.6% decline in national enrollment in the 2024 fiscal year.
- HOW ARE KENTUCKY'S KIDS FARING? NEW REPORT OFFERS EDUCATION, HEALTH INSIGHTS (LINK nky) – The latest Kentucky Kids Count report recommends lawmakers increase reimbursement rates for dental providers to expand the Medicaid network for dental care. Children with Medicaid who had fewer dental care options ended up getting emergency department care for “non-traumatic dental conditions”, costing the state more than $44M annually.
- BEYOND THE WAITING ROOM: THE STATE OF DENTAL CARE ACCESS IN WEST VIRGINIA (West Virginia Oral Health Coalition) – The West Virginia Oral Health Coalition has a new report on access to dental care in the state. They found an “urgent need for policy interventions to address the prolonged wait times and limited access to dental care services."
- AT LEAST FIVE ALABAMA COUNTIES LACK DENTISTS, SAYS DENTAL ASSOCIATION DIRECTOR (Chattanooga Times Free Press) – The head of the Alabama Dental Association told the legislative Healthcare Workforce Task Force that at least five counties in Alabama do not have a dentist serving the area. A dental school loan forgiveness plan is starting to show some success in attracting dentists to rural area after funding was increased.
- NEW LAWS IMPACTING DENTAL OFFICES IN 2024 (Illinois State Dental Society) – New rules on network leasing and virtual credit cards are among new laws impacting dental offices in Illinois.
- WITH MISSOURI APPROVAL, 40 STATES NOW OFFER FULL YEAR MEDICAID COVERAGE AFTER PREGNANCY (HHS.gov) – Missouri is the 40th state to extend post-partum coverage to 12 months impacting an estimated 641,000 people annually.
- THE SHARE OF AMERICANS WITHOUT HEALTH INSURANCE IN 2022 MATCHED A RECORD LOW (Peterson Foundation) – The Peterson Foundation issued a report on changes in health insurance coverage levels and types over the past few years.
News from the week of november 6, 2023
- ADVANCING ORAL HEALTH EQUITY IN THE DIGITAL AGE (Dental Economics) – SKYGEN's Chief Dental Officier Dr. Larry Paul has an article featured in Dental Economics on advancing oral health equity through digital tools.
- MEDICAID DISENROLLMENTS PASS 10M AS STATES CONTINUE ELIGIBILITY CHECKS (Healthcare Dive) – Nationwide 35% of Medicaid members that have had their eligibility reassessed have lost coverage although rates vary widely by state. Disenrollments now top 10 million since the Public Health Emergency ended in April.
- CMS FINALIZES 2024 MEDICARE FEE SCHEDULE: WHAT DENTISTS NEED TO KNOW (Becker’s Dental) – CMS has issued a new fee schedule that includes payments for expanded dental care tied to medically necessary cancer treatments. They will also begin soliciting public input on additional scenarios where dental services should be covered.
- MEDICARE ADVANTAGE 2024 SPOTLIGHT: FIRST LOOK (KFF) – KFF looks at the Medicare Advantage market for 2024.
- 2024 STAR RATING ANALYSIS THE STORY LIES BEYOND THE OUTLIERS
- HOW DENTAL INSURANCE COVERAGE IS EVOLVING: NADP EXEC (Becker’s Dental) – Michael Adelberg, Executive Director of NADP spoke about trends in dental coverage including changing annual maximums, expanded benefits for chronic conditions and challenges faced by dentists in managing their business.
- INTEGRATING ORAL HEALTH INTO PRIMARY CARE IS 'CRITICAL,' BUT 'THERE IS A LONG WAY TO GO' (Healio) – The U.S. Preventive Services Task Force said that there was not yet enough evidence to officially recommend oral health screening and preventive interventions for adults and children aged 5 years and older. They had previously called for more research.
- WHY PREVENTATIVE CARE IS SUCH A TOUGH SELL IN THE U.S., ACCORDING TO CHRONIC DISEASE EXPERTS (STAT News) – Barriers to preventative care for chronic diseases include lack of effective data sharing among different health systems, the fee for service model and workforce issues.
- 1 IN 5 NEW MOTHERS DELAY OR SKIP NEEDED CARE IN YEAR AFTER GIVING BIRTH, STUDY FINDS (Morningstar) – A new study from Columbia’s Mailman School of Public Health finds childcare problems and cost concerns keep women from seeking postpartum care. “About 33 women died of maternal causes for every 100,000 live births in the U.S. in 2021, up from about 20 per 100,000 in 2019, according to the Centers for Disease Control and Prevention.”
News from the week of october 30, 2023
- ECONOMIC OUTLOOK AND EMERGING ISSUES IN DENTISTRY (ADA HPI) – The ADA’s Health Policy Institute’s reports that practice schedules have continued to hover a little lower due to cancellations and no-shows. Dentists say recruitment of staff remains challenging and 35% of dentists report the workload division between dentists and staff has changed post COVID. “Dentists are now performing more tasks normally performed by hygienists, assistants, and administrative staff.”
- PRACTICE SETTING TRANSITIONS AND CAREER SATISFACTION AMONG NEW DENTISTS (ADA HPI) – A second HPI report looks at where new dentists are choosing to practice.
- PENNSYLVANIA LOOKS TO ADD EXTENSIVE DENTAL CARE TO MEDICAID AGAIN (WITF) – Pennsylvania lawmakers propose reinstating Medicaid dental benefits which were stripped out in 2011.
- THE FUTURE OF TELEHEALTH IN PRIMARY EYE CARE (Optometry Times) – Author discusses how telehealth and smart phones can help improve access to vision care and have a positive impact on patient health.
- INSURANCE AND HEALTH CARE STUDY 2022-2023 (ACSI®) – In a new survey, health insurance customer satisfaction hits record high. Quality and reliability of mobile apps were the highest rated categories for customer experience.
- OVERALL SATISFACTION WITH MEDICARE IS HIGH, BUT BENEFICIARIES UNDER AGE 65 WITH DISABILITIES EXPERIENCE MORE INSURANCE PROBLEMS THAN OLDER BENEFICIARIES (KFF) – A new KFF Medicare brief finds people over 65 give high rating to their Medicare coverage. However, disabled Medicare members under 65 report problems with prior authorizations and payments, access to care and enrollment issues. Cost concerns are a much bigger issue for members under 65. In one example, 42% of those under 65 reported delaying or forgoing dental care due to cost.
- PAYING FOR IT: HOW HEALTH CARE COSTS AND MEDICAL DEBT ARE MAKING AMERICANS SICKER AND POORER (The Commonwealth Fund) – The Commonwealth Fund’s 2023 Health Care Affordability Survey finds that 51% of Americans struggle to afford their healthcare and high medical expenses caused people to delay or skip necessary healthcare, including among the insured.
- WHAT TO WATCH IN THE 2024 ACA OPEN ENROLLMENT (KFF) – KFF outlines some of the changes in ACA plans and predicts record setting enrollment in part due to millions getting dropped from Medicaid.
- THE AHEAD MODEL AND THE POTENTIAL TO ADVANCE EQUITY THROUGH THE POTENTIAL TO ADVANCE EQUITY THROUGH POPULATION-BASED CARE (Health Affairs) – Health Affairs takes a deep dive into CMS’s recently announced CMS Advancing All-Payer Health Equity Approaches and Development Model (AHEAD) program. AHEAD focuses on payment model policy to positively impact health outcomes, equity and spending.
- NEW SURVEY DEMONSTRATES HEALTH CARE’S CONTINUED COMMITMENT TO VALUE-BASED CARE MODELS (AHIP) – An AHIP-sponsored survey documents adoption of alternative payment models across various states and coverage types.
- BIDEN'S EXECUTIVE ORDER ON AI: WHAT IT MEANS FOR HEALTHCARE (Chief Healthcare Executive) – The Biden administration’s executive order on AI includes a directive for HHS to develop a safety program for AI in healthcare, includes funding for research on AI in healthcare and requests information sharing among parties.
- APPLE'S PLAN TO RESHAPE THE HEALTHCARE INDUSTRY (Becker's Hospital Review) – Apple’s health strategy includes integrating health monitoring features into its products while partnering with large payers with a goal of profiting off of this transition from specialized medical devices to common tech tools like Apple watches and iPhones.
News from the week of october 23, 2023
- COVERAGE GAINS IF 10 STATES WERE TO EXPAND MEDICAID ELIGIBILITY (Robert Wood Johnson Foundation) – A recent Robert Wood Johnson Foundation report looks at the potential impacts of Medicaid expansion among the 10 remaining holdout states. In addition to reducing the uninsured rate, RWJF predicts states would see health and economic benefits.
- AAP LAUNCHES EFFORT TO REFORM CHILDREN’S HEALTH CARE (Healio) – The America Academy of Pediatrics has proposed automatically enrolling newborns at birth in a single program that combines Medicaid and the Children’s Health Insurance Program.
- THE 2023 STATE OF AMERICA’S ORAL HEALTH AND WELLNESS REPORT (Delta Dental Plan Association) – The Delta Dental Plan Association’s annual consumer survey finds varying levels of knowledge of oral health issues between different generations. While a quarter of parents reported that their children aged 3-12 experienced an oral health problem in the past 12 months.
- NEW WORK-REQUIREMENT MEDICAID PLAN SEES LOW ENROLLMENT AS 300,000 GEORGIANS LOSE COVERAGE (Dalton Daily Citizen) – Georgia has seen large drops from the Medicaid rolls through the redetermination process, while fewer than 1500 have enrolled in the state’s new stricter Medicaid program which includes work requirements.
- MORE WORKERS ‘TERRIFIED’ THEY CANNOT AFFORD HEALTH CARE IN RETIREMENT (Plan Sponsor) – A Nationwide Institute survey finds great concern about health care costs in retirement causing people to run out of money. The survey also found workers are making trade-offs to better manage their health care expenses including postponing care and downgrading their health coverage.
- THE BETTER MEDICARE ALLIANCE'S VISION FOR MA: 10 THINGS TO KNOW (Becker's Payer Issues) – The industry-backed Better Medicare Alliance has provided recommendations to the federal government to improve prior authorization, behavioral health access, equity and more in the Medicare Advantage program.
- THE BEST MEDICARE ADVANTAGE INSURER IN EVERY STATE, PER US NEWS (Becker's Payer Issues ) – US News has published a list of the top Medicare Advantage insurers in each states.
News from the week of october 16, 2023
- ADA TO CONGRESS: CLARIFY HIPAA, HELP FUND COMPLIANCE STAFF (Becker’s Dental) – The ADA recently provided recommendations to the Senate on methods to secure dental data that is not protected by HIPAA. They warned about the administrative burden for smaller practices and asked for funding for training staff.
- 79% OF ORAL HEALTH PROVIDERS REPORT BURNOUT (Becker’s Dental) – A recent report from the Oral Health Workforce Research Center finds four-fifths of oral health providers reported experiencing burnout.
- SIX MONTHS INTO THE MEDICAID UNWINDING: WHAT DO THE DATA SHOW AND WHAT QUESTIONS REMAIN? (KFF) – KFF reports that states have provided redetermination outcomes for roughly 1/3 of Medicaid enrollees and while 16 million have had their coverage renewed, nearly 9 million have lost coverage.
- FAMILY PREMIUMS IN EMPLOYER PLANS SET TO RISE 7%: KFF SURVEY (Fierce Healthcare) – A recent KFF survey found that employer plans are set to raise family premiums by 7%. The survey also tracked significant growth in dental and vision coverage. “Most (91%) offer separate dental coverage and 82% offer vision. By comparison, 46% offered dental coverage and 17% offered vision coverage in 2010.”
- AS THEY AWAIT CONGRESSIONAL ACTION, COMMUNITY HEALTH CENTERS FACING PERFECT STORM (Health Affairs) – Community Health Centers are waiting for congressional action on the Community Health Center Fund which many depend on for survival. In addition, the centers are expecting an increase in demand due to coverage losses based on Medicaid redeterminations and a reduction in pandemic funding.
- ADULTS WITH DISABILITIES FACE UNFAIR TREATMENT IN HEALTH CARE AND WHEN APPLYING FOR BENEFITS (Medical Economics) – An Urban Institute study found a high degree of unfair treatment for adults with disabilities when receiving healthcare or applying for public benefits. The consequences of this treatment included disruptions or lack of care and issues with adherence to provider recommendations.
- SKYGEN’S PULSE 2023 REPORT - Consumer insights on vision and dental benefits.
News from the week of october 9, 2023
- ADULT DENTAL MEDICAID COVERAGE CHECKER (CareQuest) – This resource provides state-level details on adult dental coverage.
- NADP: AMERITAS, PRINCIPAL TO LEAVE MASSACHUSETTS SMALL-PLAN DENTAL MARKET (Insurance News Net) – Two more plans are leaving the small group market in Massachusetts due to the new dental loss ratio rules.
- NCOIL PONDERS DENTAL MLR MODEL TO FORCE SET SPENDING ON PATIENT CARE (Insurance News Net) – Colorado plans to take a slightly different approach to dental loss ratios by calculating an average DLR among all payers and investigating the causes of any deviations from that average.
- CALIFORNIA TO ENACT LAW TO BOOST DENTAL PLAN COVERAGE REQUIREMENTS (Becker’s Dental) – A new California law will impact dental plans in the state including barring pre-existing condition exclusions and arbitrary coverage waiting periods and requiring premium reviews by the state.
- LEVERAGING TECHNOLOGY TO COMPETE AND THRIVE IN THE MEDICARE ADVANTAGE DENTAL AND VISION MARKETS (Healthcare Business Today) – SKYGEN’s Kyle Koltz has an article about leveraging technology to excel in Medicare Advantage.
- THE 8 COOLEST THINGS IN HEALTHCARE (Becker's Hospital Review) – Several health system digital and innovation chiefs chime in with their picks for the coolest things in healthcare.
- MANAGED CARE PLANS TAKE NOTE: OIG’S MANAGED CARE STRATEGIC PLAN (JD Supra) – A deep dive into HHS’s Office of the Inspector General plan for managed care oversight. The new framework includes three goals related to managed care including promoting access to care, providing financial oversight and prioritizing data-driven solutions and understanding these will help MCOs prepare for future compliance requirements.
- ORAL HEALTH DISPARITIES HIGH AMONG MEDICARE BENEFICIARIES (Dr. Bicuspid) – A recent study in JAMA Open Network found significant differences in the prevalence of dental issues among nursing home residents.
- THAT ESCALATED QUICKLY: NON-TRADITIONAL HEALTH CARE COMPETITION HAS ALREADY TAKEN HOLD (Medical Economics) – Non-traditional health care companies are rapidly entering the market. Providers (and payers) need to develop new approaches to compete.
News from the week of october 2, 2023
- ECONOMIC OUTLOOK AND EMERGING ISSUES IN DENTISTRY, SEPT 2023 (ADA HPI) – The ADA’s monthly economic outlook survey for September shows stability in practice schedules, staff recruitment and confidence levels. The survey also found that only 1 in 5 dentists report billing for dental procedures through medical insurance. A companion report includes responses from public health providers which vary somewhat from general and pediatric dentists.
- DENTIST MIGRATION ACROSS STATE LINES DASHBOARD (ADA HPI) – The ADA has created a dashboard that shows where dentists with less than 10 years’ experience are moving to and from.
- CAREQUEST STUDY HIGHLIGHTS CHALLENGES WITH MEDICAL-DENTAL INTEGRATION: 11 NOTES (Becker's Dental) – A recent study highlighted the a range of challenges including electronic data exchange between dental and medical providers.
- THE US COULD BE SHORT MORE THAN 36,000 DENTAL WORKERS BY 2031 (Becker’s Dental) – A recent report from McKinsey finds that the US could have a shortfall of more than 36,000 dental workers by 2031.
- MORE THAN HALF OF CONSUMERS SAY DENTAL INSURANCE IS NOT AFFORDABLE (Becker’s Dental) – A recent study finds 92% of Americans say they would skip dental treatments due to cost.
- 10 STATES HAVEN'T EXPANDED MEDICAID—HERE ARE THE HEALTH CARE CHALLENGES THEY FACE (Bristol Herald Courier) – This report takes a closer look at the status of health care and the barriers to passing legislation to address this issue in non Medicaid expansion states.
- TOTAL ADOPTION OF CONTINUOUS ELIGIBILITY MAY IMPROVE COVERAGE RATES (Health Payer Intelligence) – Expanding continuous Medicaid eligibility to adults could result in lower uninsurance, some cost savings, and better patient outcomes, according to a Commonwealth Fund brief.
- THE TOP-RATED MEDICAID PLAN IN EVERY STATE (Becker’s Payer Issues) – The top Medicaid plans in each state are listed by NCQA. No plans received 5 stars.
News from the week of september 18, 2023
- LEGISLATION TO EXPAND DENTAL INSURANCE OPTIONS IN 32 STATES INTRODUCED (Becker’s Dental) –Two senators have introduced legislation that would allow consumers in states without a state-run marketplace to purchase standalone dental plans. The federal health insurance marketplace only offers bundled health and dental plans.
- ORAL HEALTH AND MENOPAUSE: 84% OF WOMEN UNAWARE OF CONNECTION (Dentistry IQ) – A recent study showed that the vast majority of women weren’t aware of the impact menopause can have on oral health. In addition, although 70% of women 50 and older have noted changes in their oral health that can be linked to menopause only 2% reported bringing up these concerns with their dentist.
- HOW HEALTH INSURERS AND BROKERS ARE MARKETING MEDICARE (KFF) – Medicare’s Open Enrollment period opens soon and KFF has released three reports on how Medicare Advantage is marketed and what current coverage options look like. While nearly all plans offer dental and vision the scope of coverage varies widely. For instance 59% of Medicare Advantage enrollees had a plan with a maximum dental benefit of $1000 and about 30% had a limit between $2000 and $5000.
- MEDICARE’S AFFORDABILITY PROBLEM: A LOOK AT THE COST BURDENS FACED BY OLDER ENROLLEES (Commonwealth Fund) – The Commonwealth Fund has looked at the impact of high costs of care for people on Medicare and Medicare Advantage. In addition to other findings, the study found “a similar share of those in Medicare Advantage plans (30%) as those in traditional Medicare (24%) reported delaying or skipping dental care because of the cost.”
- WHAT'S UNIQUE ABOUT THE MEDICARE ADVANTAGE PLANS TOP-RATED BY MEMBERS (Becker's Payer Issues) – Becker’s interviewed 5 executives to find out why they believe their Medicare Advantage plans were rated highly for member satisfaction. Key points are the importance of dental and vision coverage, being service-oriented and offering digital access, listening to members and getting back to basics.
- MEDICARE ADVANTAGE ENROLLMENT BY IMMIGRATION AND ENGLISH PROFICIENCY STATUS (AJMC.com Managed Markets Network) – A new report finds Medicare Advantage enrollment was higher among immigrants (especially those with limited English proficiency) than among US-born residents. This trend could impact MA enrollment as these groups are aging faster than the US-born population.
- VA. REINSTATES ALMOST 45,000 PEOPLE TO MEDICAID PROGRAMS TO FIX ELIGIBILITY GLITCH (Richmond Times Dispatch) – New Hampshire and Virginia are among a number of states that have reinstated Medicaid coverage that was terminated due to eligibility glitches including being evaluated at the household and not the individual level.
- MEDICAID EXPANSION’S FINAL FRONTIER: BREAKING STATE-LEVEL PARTISAN OPPOSITION (JAMA Network) – JAMA Network outlines the barriers that exist in getting the remaining ten states to expand Medicaid as well as some potential solutions.
- NEW BALLOT MEASURE WOULD EXPAND CALIFORNIA'S MEDICAID FUNDING: SEE HOW DENTISTRY BENEFITS (Becker’s Dental) – A new ballot measure in California seeks to increase Medicaid funding and would specifically raise dental reimbursement rates by 10-15% and would focus on restorative and specialty adult services beginning in 2026.