Although the new law aims to keep patients updated about their providers’ participation in health insurance plans, the California Dental Association has raised concerns that the rule might bury practices under a burden of correspondence.
In an interview with one of its member dentists, who is also a regional director for Aetna, the CDA questioned whether the requirements create a burden on dentists.
“The most onerous thing about (the new law) is addressing the volume of mail sent by plans,” Dr. Charles Stewart said. “I find that it is important to address every piece of mail, otherwise the plan may delay payment to me, as well as drop me from their list of contracted providers.”
Stewart said Aetna has planned to be proactive about contacting providers to ensure information and contracts are updated.
“The plans are faced with the requirement of communicating with every provider in California (both PPO and DHMO), and then following up on the responses to this communication,” he said. “This work plan also requires a double-digit number of additional full-time employees to adequately comply with the law’s requirements.”
Find more information about the new requirement by visiting the CDA home page or by contacting the association’s public policy department at 916-554-4984.