The Latest From MCNA
Below is the latest news and information from MCNA, as well as news from our partners in the dental health care industry. You may also subscribe to our RSS News Feed, or follow us on our Social Media Sites for quick access to our latest news and events.
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MCNA is proud to announce the unveiling of its Stellar Treatment And Recognition Reward (STARR) Program, a leading-edge program that identifies and rewards our network providers for excellence in the provision of quality preventive care services to our Texas Medicaid and CHIP members. The STARR Program is the first of its kind among the nation's managed dental health care organizations. With its development and release, MCNA is at the forefront of cost-effective care, increasing the prevention of dental disease among the most vulnerable children across Texas.
The STARR Program is designed to recognize MCNA's network providers who render stellar preventive treatment to our members. It rewards Main Dental Home Providers (MDH Providers) who perform a high volume of five select preventive care services at the highest levels of quality. These services were chosen based on the guidelines for preventive dental care adopted by the American Academy of Pediatric Dentistry (AAPD) and the emerging quality of care indicators from the Dental Quality Alliance. The five preventive services selected for the program are listed below:
- Prophylaxis Treatments - The professional removal of microbial plaque is necessary to the long-term inhibition of the development of tooth decay and gingival disease.
- Fluoride Application - Fluoride applied to teeth fights dental decay by strengthening enamel, the outer hard covering of teeth. It is a safe and highly effective measure to reduce the risk of decay.
- Sealant Application - Sealants are plastic coatings applied to molars, preventing bacteria from settling into the deep grooves on the teeth. They physically protect teeth from risk of decay.
- Recall Visits - Regular professional dental care every six months for children through adolescence and beyond is necessary to the maintenance of good oral health.
- First Dental Home Visit - Texas recognizes the establishment of the First Dental Home as the basis for the important ongoing relationship between the dentist and patient.
"MCNA recognizes the importance of our network providers and the role they play in our focus on increasing the utilization of preventive care services," said Shannon Turner, Vice President of Operations. "The STARR Program rewards the efforts of those dentists who place a priority on prevention of dental disease in the children we serve."
MCNA is pleased to announce its new relationship with the Dental Quality Alliance (DQA), a national organization established by the American Dental Association focused on improving all aspects of oral health care through measurement.
MCNA supports the mission of the DQA to advance performance measurement as a means to improve oral health, patient care and safety through a consensus-building process. MCNA is pleased to be part of this national effort to enhance the quality of dental care and promote a high level of professional accountability and transparency in its provision.
Our membership in the Dental Quality Alliance allows us to contribute our expertise to the development of these performance measures," said Dr. Philip Hunke, President of MCNA Insurance Company. "We look forward to working closely with the other member organizations to find innovative ways to improve oral health care and strengthen the professional dental community."
MCNA volunteers joined over 5,000 walkers in donating their time and supporting the 2013 Broward County Walk Now for Autism Speaks by fundraising for and walking in the event. Volunteers from across the company were able to fundraise just over $1,500 to donate to the Autism Speaks organization as it pursues vital research into overcoming the challenges of autism, a serious developmental disorder. The event was held on the campus of Nova Southeastern University on October 26.
Annual events just like this one held across the country raise funds for autism research and promote awareness about autism and its associated health issues, including oral health care. MCNA's Case Management Department provides care coordination services for members with special health care needs to help ensure they receive the dental care necessary and appropriate for their unique needs. This year's Broward County event provided educational resources for participants and inspirational advocacy delivered in an energizing atmosphere. Cheerleaders and mascots kept the attendees upbeat while they learned more about all aspects of autism from the participating organizations.
"MCNA volunteers showed their support of the work carried out daily by the Autism Speaks organization to make a lasting positive impact in the lives of families dealing with the disorder," said Denise Kissane, Director of Utilization Management. "MCNA works with the families of our members with special health care needs, sometimes the result of autism or other developmental disorders, to coordinate the quality dental care they need and provide them with access to the appropriate services necessary to their good oral health."
MCNA's collaboration with its Tarrant County area community partners culminated Thursday, October 10, 2013, with a successful day of connection at the 2013 Children of Migrant Farmworkers Summit. The summit, hosted by the Texas Health Steps Coalition and Tarrant County Area school districts, was held at the Tarrant County Public Health Dr. Marion J. Brooks Building. MCNA Member Advocates were involved from the initial planning meeting through the day of the event to aid in its organization and ultimate success.
The Children of Migrant Farmworkers Summit brought together all levels of community partners, from dental and health care providers and staff to case managers and case workers, who help individuals access the care they need. MCNA's representatives were present at an event booth to answer questions about MCNA and how it utilizes its resources to provide important dental care services to migrant farmworker families across the state. Several key speakers representing the Health and Human Services Commission as well as other organizations involved the Texas Medicaid and CHIP programs delivered presentations about developing and maintaining relationships with migrant farmworker families and about important changes coming to the Medicaid program.
Attendees were also able to view a special presentation of the documentary The Harvest: La Cosecha. The film affords a firsthand look at the struggles inherent in the daily lives of migrant farmworker children. MCNA serves this vulnerable population by providing them with assistance in accessing necessary dental services and by ensuring they receive accelerated services when work requires their families to move out of their home area. MCNA's involvement in the planning and presentation of events like this summit ensures that the company continues to build strong ties with community partners who are similarly invested in the health and well-being of migrant farmworker children and their families.
MCNA is proud to announce its successful completion of a NCQA-Certified HEDIS® Compliance Audit™. With this achievement, MCNA establishes a higher level of integrity for its Healthcare Effectiveness Data and Information Set (HEDIS) reporting measure. HEDIS is the measurement tool used by national dental and health plans to evaluate their performance in terms of clinical quality and customer service. The National Committee for Quality Assurance (NCQA) accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, which is used by more than 90 percent of the nation's dental and health plans.
MCNA collaborated with Attest Health Care Advisors to complete the HEDIS Compliance Audit. Attest is the largest HEDIS audit firm licensed by the NCQA. MCNA's Quality Management representatives worked closely with the NCQA-certified HEDIS Compliance Auditor to analyze reporting data.
"We have taken a significant step with the award of this NCQA audit seal," said Oteasa Townsend-Hardy, Director of Quality Management. "MCNA and its partners are assured that the data we report to state and federal agencies is of the highest accuracy."
NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).
MCNA's Texas Dental Director, Carlos Garcia, DDS, will address members of the Houston Asian American Dental Society on September 13, 2013, joining them for an evening of in-depth discussion illuminating the most recent updates to the Texas Medicaid program and how MCNA has implemented them operationally. This presentation is part of the larger program of outreach to dental providers across Texas that MCNA has committed time and resources to over the past year.
MCNA works to maintain excellent relationships with the Texas professional dental community by seeking personal connections and by offering its network providers open lines of communication. Dr. Garcia takes every opportunity available to connect with providers across the state. In May 2013 he provided insight into MCNA's Utilization Management program to a gathering of 185 Rio Grande Valley providers. He continued MCNA's outreach about that topic to providers by hosting a webinar for providers in Tyler, TX, that featured live chat with several of MCNA's clinical dental reviewers.
"Dr. Garcia's efforts to connect with providers across the state have demonstrated MCNA's commitments to the provider community," said Shannon Turner, Vice President of Operations. "MCNA continues to engage dental providers in a meaningful exchange of ideas and to provide the direct support necessary to the achievement of a future in which more children in Texas enjoy the benefits of responsible oral health care."