2017 NADP Annual Report

National Association of Dental Plans nadp.org

2017 nadp annual report

17

table of c ontents

2017 Board of Directors EXECUTIVE COMMITTEE Theresa McConeghey, Chair Principal Ron Bolden, Vice Chair Cigna

Kate McCown, Secretary Ameritas

Research 4-5

Stacia Almquist, Treasurer SunLife Financial

Education 6-7 Advocacy 8-9

Chris Swanker, FSA, MAAA Immediate Past Chair Guardian Life Insurance BOARD MEMBERS

Standards & Transactions Initiative

10-11

Financial Reports

12-13

Jeff Album Delta Dental of CA, NY, PA & Affiliates

Volunteer Excellence 14-15

Dr. Mary Lee Conicella Aetna

Gabryl Award 14

Don Mayes Award

Jeremy Hedrick Careington International Josh Nace Dental Health Services of America

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Star Awards 15 Contact Information

back cover

Sue Wright Lincoln Financial Group Evelyn F. Ireland, CAE Executive Director, NADP

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Questions, uncertainties and new opportunities were common 2017 themes. To help members overcome these challenges, NADP delivered much needed representation and resources through its core services of advocacy, education and research. In addition, the association promoted the value of employer-sponsored benefits and added new members to our ranks. Following are some key highlights of 2017: Leadership Conference: The year began with a very productive Leadership Conference featuring updates from our lobby team and speaker Brian Fanzo on “Being Yourself.”

Letter to HHS: NADP wasted no time in getting our positions in front of the new Administration in Washington, D.C. In a letter dated Jan. 31 to Tom Price, the new secretary of the U.S. Department of Health Human Services (HHS), NADP presented the following five recommendations on behalf of our industry: •

Recommendation 1: Ensure tax incentives remain for employers and individuals to purchase dental coverage.

•

Recommendation 2: Provide choice in purchasing dental benefits for employers, employees and families in group markets.

•

Recommendation 3: Ensure continuity of coverage for Marketplace enrollees who purchased private dental coverage.

•

Recommendation 4: Assure oral health coverage for children and pass clean legislation to renew funding for the Children’s Health Insurance program (CHIP).

•

Recommendation 5: Protect the oral and overall health of vulnerable populations by preserving Medicaid coverage for children and adult dental services.

Throughout the year, NADP focused on these priorities with HHS and members of Congress. We ended the year with tax deductibility of premiums intact for employers and employees and with a temporary patch to Children’s Health Insurance Program (CHIP) funding. NADP also completed work on industry feedback to the Congressional Budget Office on estimating the impact of allowing standalone dental to meet Affordable Care Act pediatric dental requirements in conjunction with a medical carrier. And we continued to work with the Center for Consumer Information and Insurance Oversight (CCIIO) on improving technical operations of the federal Marketplace, including separation of medical and dental purchases.

Advocacy in Action: In April, NADP hosted our second Congressional fly-in, Advocacy in Action, where advocates from multiple member companies represented these industry priorities to key legislators in Washington, D.C.

Medicare Advantage Win: NADP successfully led an advocacy effort resulting in the Centers for Medicare and Medicaid Services proposing elimination of prescriber and provider enrollment requirements in Medicare parts C and D. New Network Tracking Resource: In response to the numerous network bills and regulations, a sub-group of the Government Relations WorkGroup introduced a members’ only, detailed tracking resource with summaries of state requirements regarding provider networks and accessibility.

Provider Directory Validation Form: The Operations WorkGroup produced a uniform provider directory validation form, a members’ only benefit, to streamline this process for carriers and DSOs. The form is available in the Members’ Only Resources section of the website.

Networks Report: Because of the numerous network legislation and regulations introduced over the last few years, NADP enhanced its research report on networks to include both a census of providers and key metrics regarding network administration. In addition, this report also includes Metropolitan Statistical Area data – a feature added last year. Thus, the “new and improved” Networks Report provides insights into individual markets as well as network operations.

CONVERGE: The 2017 conference was one of the highest attended in NADP history and the content was superb! CONVERGE covered a wide range of topics from teledentistry and senior markets to provider directory validation and cybersecurity. Discovery Zone exhibitors offered cutting edge solutions for industry challenges and informative demonstrations. In addition, the conference offered ample time to connect with colleagues and friends.

Promoting Dental Benefits: Because of NADP’s reputation as the voice of the dental benefits industry, many organizations continually reached out to us on common issues. The American Benefits Council asked NADP to join in its video campaign to protect the tax break on employer-sponsored health benefits. The Communications WorkGroup led this initiative and produced a video featuring NADP Board members on the value of employer sponsored benefits. NADP posted this video in social media and used it in our own advocacy efforts.

The brief list above are only highlights of a very productive year. The remainder of this report provides details on our core services and programs.

Theresa McConeghey NADP Chair Principal nadp.org

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In addition to Shared Research studies about employer and consumer trends affecting the industry, the Research Commission provided valuable market intelligence by publishing six annual Statistical Reports, 51 State Fact Sheets and four Sales Reports.

ANNUAL STATISTICAL REPORTS NADP State of the Market Report: The State of the Market Report is an executive summary of the prior year research conducted by NADP. In addition, the report explored potential economic and legislative trends and their impact on the dental benefits market. NADP published this report in March of 2017. The State of the Market Report remained the most popular report published by NADP. NADP Enrollment Report: Published in August, the cornerstone Enrollment Report documented 250 million Americans with dental benefits. Enrollment jumped from 66% to 77% of the population due largely to Medicaid expansion and enhanced reporting of Medicaid by the Center for Medicare and Medicaid Services (CMS). Commercial benefits also expanded in 2016.

NADP/LIMRA Metric Reports: In partnership with LIMRA, NADP published the Claims Processing Metrics Report and the Customer Contact Center Metrics Report in September. The Administrative Metrics Report was discontinued in 2017, but much of the information in that report is included in a new offering from NADP, the Network Administration and Network Statistics Report.

NADP Network Administration and Network Statistics Report: In December NADP published the Network Administration and Network Statistics Report. This was a new report for NADP, and it combined elements from the Administrative Metrics Report, previously a partnership project with LIMRA, and the Network Statistics Report, which was comprised of data provided by the Ignition Group. In addition to the number of providers listed in provider directories by specialty, by state and

by Metropolitan Statistical Area (MSA), additional topics covered by the report include: • • • • • • •

Narrow Networks Credentialing Contracting Directory Management Staffing Provider Payments and Discounts Network Utilization

NADP State Fact Sheets: State reports were produced through the Research Commission and published in March; they are available for purchase to non-members.

SALES REPORTS Annual Sales Reports: NADP partnered with LIMRA to publish sales reports from 4Q 2016, Annual 2016, and 1Q, 2Q and 3Q 2017. The quarterly and annual surveys were revised for 2017 to include vision benefits and to clarify other items.

SHARED RESEARCH Employer Behavior: The Shared Research Program fielded a study on Employer Behaviors and Expectations. This study was designed to build on previous surveys of employers. The report was delivered to participants at the end of September 2017. The results of this survey were only made available to companies that funded the project.

Consumer Behavior: NADP conducted another wave of the Consumer study, building on the study conducted in 2016, including new ground on measuring consumer appetite for new product features and designs. The third wave of this survey was conducted in the fourth quarter of 2017 and a draft report was delivered to sponsors. A final version of this report was delivered in January to sponsors.

The report was available only to companies that sponsored the study.

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Enrollment Trends - Overall 36,236,734

36,577,471

155,217,653

155,895,646

157,483,210

164,206,251

2011

2012

2013

2014

2015

2016

% of Pop with Dental Benefits

33,269,617 153,992,123

2010

28,857,294 147,409,085

54,213,639

61%

2009

32,443,586

2008

60%

57%

143,183,182

2007

25,052,804

23,530,896 154,128,981

2006

55%

57%

66%

142,796,485

21,602,064

58%

152,694,923

57%

21,403,778

57%

149,131,145

Population with Dental Benefits

64%

83,906,342

77%

Publicly Funded Subtotal Commercial Dental Subtotal Penetration of Dental Benefits

NOTE: Due to the availability of complete federal data on Medicaid and CHIP enrollment, the total for 2016 uses a different methodology than prior years. Using a similar methodology as prior years the “Publicly Funded Subtotal� would be 51,185,234, with the resulting “Penetration of Dental Benefits� to be 70% Dental benefits enrollment grew dramatically in 2017 reaching a new high as a percentage of the population, i.e. 77 percent. The increase in enrollment was largely due to three factors: The commercial benefit segment grew by more than four percent; More people— largely adults—gained access to dental benefits through Medicaid; The Centers for Medicare and Medicaid (CMS) provided more comprehensive reporting of dental enrollment in Medicaid and the Children’s Health Insurance Program (CHIP).

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CONVERGE 2017 and the Webinar Series offered timely, stellar and diverse professional development content designed to help members overcome industry challenges and succeed in the dental benefits market.

CONVERGE 2017 delivered the highest caliber professional development and networking opportunities available to the dental benefits industry featuring insightful educational sessions and informative exhibits in the Discovery Zone.

The following general sessions set the tone for the conference: • Keynote Steve Rizzo on how to be happy and successful no matter the circumstances.

• West Monroe’s Will Hinde and Kristin Irving presented “Future of Standalone Dental.”

• Derrek Kayongo closed the conference with “Harnessing Your Power to Create Change.”

CONVERGE also offered multiple concurrent breakouts sessions in three tracks: Business Development, Government Relations and Professional Relations, including: • • • • • • • • •

Expansive, not expensive ways to build a more productive network ERA and EFT – a provider’s view Senior Markets DQA Measures Current Trends in Dentistry as Illuminated by Claims Data Provider Directory Validation Teledentistry Putting Teeth into Medicare – Is the U.S. Ready for a Dental Benefit in Medicare?

Cybersecurity: Recent Developments at the NAIC & Compliance Implications for Carriers • 2017 Legislative & Regulatory Trends Impacting Provider Networks • Challenges in the Political Landscape To enhance attendees’ experience, CONVERGE 2017 also offered an online app featuring details about the sessions, speakers, handouts, sponsors, exhibitors, attendees and awards.

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WEBINARS knowledge.nadp.org

NADP offered both educational and sponsored webinars on a wide array of topics, appealing to multiple industry disciplines, including: • • • • • • • • • •

Public and Private Exchanges - Where are they going?

Building Standout Experiences in the Age of Empowerment 2021: The Dental Plan Consumer Experience of the Future Working with DSOs to Achieve Strategic Initiatives Prospects for Medicare Advantage Linking Oral and Overall Health Coverage Legal Issues and Narrow Networks Teledentistry: Improving Oral Health Oral Health Innovations in Medicaid 2017 Legislative and Regulatory Trends Impacting Provider Networks

Sponsored Webinars included: • Complement Your Accessibility Reporting with NetMinder • Streamline Dental Provider Data Collection and Reduce Cost Annually with CAQH • Multimodal Digital Dental Outreach • Digital Outreach for the Real World • Compete Effectively in the Era of Consumerism

To purchase and view these webinar recordings, please visit:

KNOWLEDGE.NADP.ORG nadp.org

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The Affordable Care Act (ACA, aka Obamacare) was seven years-old and continued to dominate the headlines well into 2017. While NADP continued work with the Centers for Medicare and Medicaid Services (CMS) on implementation of the Marketplaces, the Association provided a strong, representative voice for the dental benefits industry through several attempts in Congress to repeal and replace the ACA. Led by the Commission on Advocacy Policy (CAP), NADP provided key feedback to legislators on several approaches to repeal or amend the ACA including the Better Care Reconciliation Act (BCRA), the Graham-Cassidy proposal and stabilization legislation offered by Senators Alexander and Murray.

CORE PRINCIPLES NADP’s responses to the various proposals were guided by five core principles or goals that should be achieved in any healthcare reform legislation. These were the result of brainstorming and strategic planning at the Leadership Conference in January 2017: 1. Ensure tax incentives for employers and individuals to purchase dental coverage.

a. Preserve the tax exclusion for employer-sponsored dental benefits. b. Allow employees to purchase dental benefits pre-tax when employers don’t fully fund coverage. c. Provide tax incentives for families and individuals that purchase dental coverage on their own. This includes ensuring continued availability of premium tax credits for dental benefits and providing tax deductibility of dental benefits, if extended to individual market coverage. d. Eliminate the Health Insurance Tax (HIT) and Exchange related fees so that government imposed taxes and fees do not make dental benefits unaffordable.

2. Provide choice in purchasing dental benefits for employers, employees and families in the group markets.

3. Ensure continuity of coverage for Marketplace enrollees who purchased private dental coverage.

Provide direct access to dental benefits by allowing the independent purchase of dental coverage through the Marketplaces.

4. Assure oral health coverage for children and pass clean legislation to renew funding for the Children’s Health Insurance Program (CHIP).

5. Protect the oral and overall health of vulnerable populations by preserving Medicaid coverage for children’s dental services and assuring Medicaid coverage for adult dental services. In any block grant programs, a specific allocation for dental treatment—for both children and adults—should be specified.

These principles also formed recommendations NADP delivered to the Administration and Congress in meetings through our lobbyists and during Advocacy in Action (AIA), NADP’s advocacy fly-in to DC. On April 6, 2017, more than 40 dental benefits industry leaders visited the Capitol to participate in over 50 meetings with Congressional staff and policymakers as part of AIA. As Congress shifted attention to tax reform legislation, NADP maintained a long-standing position that the Health Insurance Tax (HIT) should be delayed and ultimately repealed. After the introduction of legislation regarding HIT in mid-December, NADP developed and submitted technical questions and potential alternative approaches to the sponsor Representative Noem and House Ways and Means Committee staff.

MEDICARE ADVANTAGE In addition to NADP’s strong voice on the Hill, the Association led an advocacy response to CMS regulation that would require dental providers in Medicare Advantage to register with CMS, which would have significantly disrupted dental plan networks and consequently increased out-of-pocket costs for beneficiaries. After the year-long effort, CMS issued proposed regulations in November to eliminate prescriber and provider enrollment requirements, which represented a huge win for NADP members and a testament to the industry’s collective efforts over the past year.

NEW RESOURCES As enrollment in dental benefits through public and government programs continues to grow, NADP provided more resources and education with a focus on Medicare Advantage, Medicaid, CHIP and public insurance Marketplaces. The Government Funded Programs Members Interest Group (MIG) assisted the

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Commission on Advocacy Policy (CAP) on several projects and discussed a myriad of regulatory areas, including: the CMS requirement that dentists providing services to MA enrollees register with CMS, tracking State responses to ACA ‘repeal and replace’ proposals and the impact to Medicaid programs, analyzing the CMS Medicaid Mega-rule and discussing State responses, advocacy around reauthorization of funding for CHIP, CMS quality programs for Medicaid, and gathering research on the cost savings to the overall health system from dental treatment. In 2018, the MIG and the Exchange Workgroup will be merged to continue work on volunteer projects and development of advocacy policy related to public programs.

STATE TRENDS Network Adequacy: As public health and insurance topics continued to command public attention and discussion, government relations volunteers saw several State policy trends and areas of focus on the horizon. NADP anticipated more state legislative activity to implement the National Association of Insurance Commissioners” (NAIC) updated Network Adequacy Model Act. The Government Relations WorkGroup (GRW) formed a subgroup dedicated to monitoring these developments, responding to policy proposals and developing advocacy resources for member plans in their states. The subgroup also oversaw the development of an extensive new tracking resource, which summarizes state requirements related to provider networks and accessibility. For each state, the resource provides network accessibility requirements and provider directory standards.

Dental Loss Ratios: Government Relations volunteers also see the potential and growing push for legislative discussion about dental loss ratios (DLR), which NADP opposed in Massachusetts this year. In addition to monitoring critical legislation with volunteers and aligned organizations, NADP responded to legislative and regulatory developments in several other states, including: opposition of NonCovered Services (NCS) legislation in Maine; responding to Network Adequacy regulation in Maryland; providing critical feedback to the Oregon Health Authority regarding its Common Credentialing Program; support for Dental Support Organization (DSO) legislation in Washington State; and discussing filing requirements with regulators in Washington State.

Additional Issues: The following trends that continued to garner attention on the state level included cybersecurity, mid-level providers, provider contracts, dental service organizations, external appeals, taxes, electronic data, coordination of benefits and more. NADP monitored and participated in developments on state health policy through involvement in the NAIC, the National Council of Insurance Legislators (NCOIL), the National Academy for State Health Policy (NASHP), the National Conference of State Legislatures (NCSL) and others. And new in 2017, NADP bolstered industry representation at the NAIC by retaining Chris Petersen

nadp.org

of Arbor Strategies, a government relations and strategic consulting firm, specializing in health care and insurance regulatory consulting. In addition to representation at NAIC, Chris helped organize discussions with Washington regulators and led a subgroup of Commission on Advocacy Policy (CAP) to analyze impacts of various federal proposals to allow the sale of insurance across state lines.

NADP tracked and responded to a full range of topics outlined in the above paragraphs. There is a wealth of information on these and other topics that is available for members, easily accessible online: •

•

•

•

The Legislative Online Tracking System (LOTS) monitors all federal and state legislation impacting the dental industry, which NADP places into an array of subject folders and are prioritized by the GRW. For those professionals interested in politics, regulations and compliance, NADP provides real-time updates in Dental Interact and the Advocacy Open Forum where anyone can sign up, read and participate in online discussions.

For members who only want highlights of Advocacy changes impacting the dental benefits industry, the Advocacy Insider portion of NADP members’ only e-newsletters, the Monthlybyte and Soundbytes are emailed monthly to all members.

NADP has internal and external advocacy pages on nadp.org. Several public Advocacy pages list all of NADP’s comment letters, issue briefs, white papers and infographics. On the members-only Advocacy resources webpage, NADP posts internal memos, briefings and talking points, such as a summary of the Network Adequacy laws and regulations as applied to dental plans and a summary of laws enacted on Non-Covered Services (NCS).

2,200+

100+

bills tracked in LOTS

GRW-Identified Priority Bills

30+

comment letters submitted

by NADP on behalf of the industry.

Top Bill Issue Tags in LOTS:

Government Health Programs

Provider Contracts

Provider Network Issues

Contact Us Today to get Involved!

Eme Augustini • eaugustini@nadp.org Artur Bagyants • abagyants@nadp.org

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The Standards and Transaction Initiative (STI) included four volunteer groups: Codes WorkGroup, Clinical WorkGroup, EDI WorkGroup and Operations WorkGroups. In third quarter 2018, STI was reorganized into the Terminology, Standards and Transactions (TST) department. Following are workgroup summaries under the STI organization.

Codes WG: The Codes WG submitted 28 proposals to the American Dental Association Code Maintenance Committee (CMC) for substantive changes during the March 9-10 CMC meeting in Chicago. Of the 28 proposals submitted, NADP’s position prevailed on 17 with unanimous support. Seven submissions were withdrawn with the intention of additional input from the American Association of Periodontists for re-consideration for CDT-2019. Three submissions were rejected, but the Codes WG developed similar proposals for submission for CDT-2019. NADP’s approved submissions created six new codes, revised eight and deleted three codes for CDT-2018.

Once again, NADP was the ONLY payer organization on the CMC to receive the CDT-2017 ASCII file in midApril 2017 before the July 1 release to other organizations. Thus, NADP members received additional time for analysis and implementation. The Codes WG was once again given the opportunity to edit the DRAFT CMC report and the ASCII file of CDT-2018. Codes WG members found and corrected minor errors in these documents prior to release or printing.

Clinical WG: Members continued to monitor the actions of the Dental Quality Alliance (DQA) formed in 2010 with representation on the Executive, Measures Development and Maintenance, and pediatric measures development committee. NADP also attended both the June and November DQA meetings.

In addition, the Clinical WG continued oversight and review of the activities of SNOMED International (formerly known as the International Health Terminology Standards Development Organisation or IHTSDO).

Publication of the General Dentistry Reference Set neared completion and the Clinical WG reviewed and commented during the development process throughout 2017, using Dental Interact, NADP’s online community. An orthodontic reference set, for use in an odontogram, was under development. After an initial review by the Dental CRG during the October 2017 meeting, the WG was asked to provide additional input and comments.

The Clinical WG considered a request from the American Association of Orthodontists (AAO) regarding the criteria used by NADP members for medical necessary orthodontic care. After careful review and consultation with NADP’s legal advisors, the WG determined that meeting the request could have anti-trust implications and would violate NADP’s policy regarding the disclosure of company specific data or research.

AAO was respectfully informed NADP could not meet the request for these reasons.

Electronic Data Interchange (EDI) WG: The EDI Workgroup reviewed and commented on mandated EDI transactions for claims processing, eligibility, claims status, explanation of benefits, electronic funds transfer and electronic health records. The members support NADP voting seats on Dental Content Committee (DeCC), Health Level 7 (HL7), Standards Committee on Dental Informatics (SCDI), Code Maintenance Committee (CMC/CARC), Workgroup for Electronic Data Interchange (WEDI) and American National Standards Institute X12 (X12) including the NADP staff lead chairing the X12 Dental Caucus.

The WG also contributed to the NADP/LIMRA Claims Metric Industry Survey by reviewing the questions, making recommendations and adding to the survey. The results are analyzed and discussed during the EDI meetings and used to set future agenda items.

Operations WG: The Operations Workgroup began the year by reviewing priorities and developed a plan for 2017 that includes continued focus on enhanced relationships with Dental Service Organizations (DSOs).

A major topic revolved around Provider Directory Validation and the state regulations. A SWG was formed and completed the project to have a standard spreadsheet of data elements that can be used by payers and DSO’s/large dental groups to verify provider information. This is available on the NADP website.

The WG has formed a recredentialing SWG to monitor and keep current with various organizations in the credentialing space. This group watched state regulations and attempted to quantify costs associated with the recredentialing process. This work will continue into 2018.

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NEW STRUCTURE In third quarter 2017, the Codes and Clinical WorkGroups reviewed their structure and proposed reorganization under a Terminology, Standards and Transactions (TST) group with a single workgroup for Terminology. Three (3) sub-workgroups (SWG) were established as Codes SWG, Dental Quality Alliance (DQA) SWG and SNOMED SWG. Th EDI and Operations WorkGroups retained their current structure under the new TST. The volunteer developed proposal was supported and approved by the NADP Board and Codes and Clinical volunteers. The new SWGs and Terminology WG met under the new structure during volunteer meetings at CONVERGE. The volunteer group structure is outlined in the following flow chart. The SWGs developed plans and goals prior to the 2018 NADP Leadership Conference.

Terminology, Standards & Transactions (TST) TST

Operations

EDI

Terminology

Lead: Amy Marko

Lead: Chris Williams

Lead: SWG Leads

Provider Directory SWG

Codes SWG

DQA SWG

SNOMED SWG

Lead: Dr. Charles Stewart

Lead: Dr. Craig Amundson

Lead: Dr. Roger Adms

Lead: Corinne Hanson

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National Association of Dental Plans Statements of Financial Position December 31, 2017 and 2016

2017

2016

Assets

Current assets: Cash and cash equivalents Restricted cash Investments Accounts receivable Prepaid expenses

$

Total current assets Furniture and equipment, net Total assets

$

874,480 26,580 1,593,837 1,136,561 94,567

$

1,557,318 26,458 1,004,866 556,267 69,044

3,726,025

3,213,953

89,880

80,748

3,815,905

$

3,294,701

57,600 138,923 1,833,673

$

134,524 1,669,182

Liabilities and Net Assets Current liabilities: Accounts payable Accrued expenses Deferred revenue

$

Total current liabilities Net assets: Unrestricted Temporarily restricted Total net assets Total liabilities and net assets

12

$

See notes to financial statements.

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2,030,196

1,803,706

1,757,687 28,022

1,462,890 28,105

1,785,709

1,490,995

3,815,905

$

3,294,701

nadp.org

National Association of Dental Plans

Statements of Activities Years Ended December 31, 2017 and 2016 2017

2016

$ 1,758,221 671,210 99,824 132,150

$ 1,723,518 634,858 106,260 112,897

2,661,405

2,577,533

17,000

7,050

2,678,405

2,584,583

Operating expenses: Member services Education and meetings Research and information Government relations General and administrative

351,745 526,278 381,619 792,561 450,180

342,266 527,748 347,829 709,575 410,838

Total operating expenses

2,502,383

2,338,256

176,022

246,327

16,946 27,082 74,747

13,972 16,595 (5,386)

Total other income (expense)

118,775

25,181

Increase in unrestricted net assets

294,797

271,508

16,917

11,525

(17,000)

(7,050)

(83)

4,475

294,714

275,983

1,490,995

1,215,012

$ 1,785,709

$ 1,490,995

Unrestricted net assets: Revenues: Membership dues Education and meetings Research and information Management fees Total unrestricted revenues Net assets released from restrictions satisfaction of program restrictions Total unrestricted revenue and reclassifications

Excess of revenues over operating expenses Other income (expense): Other income Dividend income Realized and unrealized gains (losses) on investments

Temporarily restricted net assets: Contributions: Political action committee Net assets released from restrictions: Political action committee Increase (decrease) in temporarily restricted net assets Increase in net assets Net assets at beginning of year Net assets at end of year

See notes to financial statements.

4

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At CONVERGE 2017, NADP honored outstanding volunteer leadership with the following award presentations.

Fostering communication, education and collaboration between dental plans and providers earned Amy Marko of Starmount Life Insurance Company, Unum Group’s dental and vision center of expertise, the 2017 NADP Gabryl Award, the dental benefits industry’s highest honor.

In her acceptance speech Marko thanked the NADP Board of Directors, staff, and fellow volunteers for their work to advance the industry. She noted, “As I reflect on those early years, I recall our goal was simply to change the reputation of managed care plans, trying to meet with anyone who would listen, and there weren’t many. Today, we stand before senators, CEOs and others, and they are not just listening to us; they are seeking us out. We are no longer changing a product but changing an industry.”

The Gabryl Award honors long-term volunteer achievements that help NADP fulfill its mission to promote and advance the dental benefits industry as well as improve consumer access to affordable dental care. NADP Gabryl Award recipients are nominated by volunteer groups and selected by the Board of Directors. Both the NADP Membership WorkGroup and Education Commission recommended Marko’s Gabryl Award nomination.

Since its development and inception in 2009, Dr. Craig Amundson has been the sole representative of the dental benefits industry on the Executive Committee of the Dental Quality Alliance, formed to develop dental quality measures for the Centers of Medicare and Medicaid. He also served as the Chair of the DQA Measure Development and Maintenance Committee (MDMC). Since 2012, he served as the vice chair of the NADP Clinical WorkGroup under multiple structures, including the Professional Relations Commission and Standards & Transaction Initiative. Dr. Amundson was instrumental in the development and adoption of DQA Measures for both Medicaid and Medicare.

The Don Mayes Award recognizes volunteer leadership spanning at least three years. Nominees are recommended by NADP staff.

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Star Award Recipients (Left to right): Donna Hunter, Stephanie Berry, Dustin Smith, Corinne Hanson, Linda Neyhard, Ignacio Quiaro, Bethany Dougherty, Lisa Bandelli-Virgona. Not pictured: Jon Renfew and Deana Wright.

Stephanie Berry, Delta Dental of California Government Relations and Exchange WorkGroups Star For ongoing support of the Government Relations and Exchange WorkGroups, her leadership of the Advocacy in Action Host Committee and ensuring the industry’s continued voice on the Hill.

Bethany Dougherty, Life & Specialty Ventures Exchange WorkGroup Star For outstanding participation and insights on the group and her key role in developing consensus on industry advocacy positions.

Corinne Hanson, Sun Life Operations WorkGroup Star For leading the Provider Directory Validation project.

She kept the group organized and on schedule.

Donna Hunter, United Concordia Membership WorkGroup Star For going the extra mile to research dues structure and calculations of similar organizations.

Linda Neyhard, United Concordia Codes WorkGroup Star Neyhard received the NADP Galaxy Award from the Codes WorkGroup for her expertise in reviewing CDT Codes quickly and efficiently resulting in an accurate file for industry use. The Galaxy Award is presented to individuals who have received four or more Star Awards in the past. Neyhard is one of only three individuals to receive this award.

Ignacio Quiaro, DenteMax Research Commission Star For his contributions in the development of new Network Administration Survey.

Jon Renfrew, Guardian Commission on Advocacy Policy Star For his quick and extensive follow-up with members of the US Senate on inclusion of pediatric dental in tax credits under the Better Care Reconciliation Act.

Dustin Smith, Axa Research Commission Star For his contributions in the development of new Network Administration Survey.

Lisa Bandelli-Virgona, Guardian Government Relations WorkGroup Star For outstanding participation and open discourse within the GRW and her key role in the Network Subgroup’s development of a 50-state tracking tool.

Deana Wright, Principal Government Relations WorkGroup Star For significant contributions to GRW initiatives, including the Networks Subgroup and advocacy on Louisiana legislation impacting ID cards.

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NADP STAFF INFORMATION Evelyn F. Ireland, CAE Executive Director 972-458-6998 x 101 eireland@nadp.org

Timothy L. Brown Deputy Executive Director 972-458-6998 x 104 tbrown@nadp.org

Eme Augustini Director of Government Relations 972-458-6998 x 111 eaugustini@nadp.org

Artur Bagyants State Affairs Manager 972-458-6998 x 106 abagyants@nadp.org

Jerry Berggren Director of Research & Information 972-458-6998 x 113 jberggren@nadp.org

Rene Chapin Director of Membership & Communications 972-458-6998 x 110 rchapin@nadp.org

Brian Flynn Dental Informatics Manager 972-458-6998 x 109 bflynn@nadp.org

Shayne Leatherwood Administrative Director 972-458-6998 x 102 sleatherwood@nadp.org

Jeremy May, CMP Director of Meetings & Events 972-458-6998 x 123 jmay@nadp.org

Lauren Oakley Associate Director of Communications & Technology 972-458-6998 x 105 loakley@nadp.org

Sharon Thomas Administrative Assistant 972-458-6998 x 103 sthomas@nadp.org

NADP - National Association of Dental Plans 12700 Park Central Drive, Ste. 400 Dallas, TX 75251 Phone: 972.458.6998 Email: info@nadp.org Web:nadp.org

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2017 nadp annual report

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