With the new regulatory environment bringing significant changes to the national healthcare landscape, providers and payors alike need to position and manage their dental programs in a way that sustains them through the changes. QualDent offers a number of services that allow our clients to excel under the Affordable Care Act.
SERVICES
QualDent is committed to supportive partnerships that result in improvements in government-funded dental programs. We provide expert consulting and support services to community health centers, key community providers, managed care organizations, state agencies and federal regulators. We don’t use cookie-cutter approaches, but instead will consider best practices with local resources to fit the local market. The results we produce are measurable improvements in local Medicaid, CHIP and Medicare Advantage dental programs.
Our integrated dental delivery model aligns payor goals with provider care management methodologies to maintain a quality-based program.
Solutions for Providers
With special expertise in working with FQHCs and key community dental practices, we are very successful in developing and managing all aspects of dental practices. Because of our skill in population healthcare management, we understand the key components for integrating medical and dental care within the each practice type, to address the needs of the local community. Supported by QualDent’s keen quantitative and qualitative management tools, our practices frequently exceed our clients’ expectations.
Some of our provider programs include:
Project KIDDS
Patient-Centers Medical Home models
Dual encounter program for FQHC's
Medical/Dental provider collaboration for ACOs
Effective patient care marketing programs
Community-based outreach programs
An Ideal Oral Health Care System
After many years of development, QualDent has developed program components that fit the Attributes of an Ideal Oral Health Care System, as defined in the Journal of Public Health Dentistry. As a result, our programs meet the goals of most FQHCs, key providers and MCO payors committed to managing access to comprehensive and coordinated care, patient satisfaction and better managed costs.
Attributes of an ideal oral health care system include*:
integration with the rest of the health care system
emphasis on health promotion and disease prevention
monitoring of population oral health status and needs
evidence-based
effective
cost-effective
sustainable
equitable
universal
comprehensive
ethical
includes continuous quality assessment and assurance
culturally competent
empowers communities and individuals to create conditions conducive to health
*Source: Journal of Public Health Dentistry: 2 JUN 2010
Solutions for Payors
Entering a new era in oral healthcare management, QualDent is partnering with established, high quality, community-based dental and medical systems to provide improved access to high quality oral health care. Incorporating technological innovations, QualDent manages community-based dental delivery systems in a manner that aligns the providers’ quality-based treatment patterns with both the local medical system and the payors’ goals. The result of our integrated oral healthcare management system is improved access, sustained quality and the ultimate reduction in cost of care.
Some of our payor programs include:
Children’s Oral Health Access for EPSDT Support
Facility Risk Reduction
FQHC Engagement
Community Oral Health Fairs
Medical / Dental Disease Management