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News

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.

For press inquiries, contact our Office of Media Relations at: mediainquiries@mcna.net

We post news regularly so be sure to check back often!

Nov
12
2014
URAC Dental Plan Accreditation Logo

MCNA Dental (MCNA) has been awarded full Dental Plan Accreditation from URAC, a leading Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. MCNA is the first dental plan to receive this accreditation from URAC.

"Being the first to achieve Dental Plan Accreditation from URAC is a hallmark of excellence for MCNA," noted Dr. Jeffrey P. Feingold, Founder, President and CEO of MCNA. "The URAC seal of approval validates our approach to operations and clinical management."

Dental Plan Accreditation requires compliance with industry standard best practices in all areas of dental plan management including member and provider services, utilization management, grievances and appeals, provider contracting, credentialing, human resources, quality improvement, and regulatory and HIPAA/HITECH compliance. This accreditation includes both the Medicaid and CHIP lines of business for MCNA Insurance Company and Managed Care of North America, Inc.

"This accreditation is a testament to our unwavering commitment to providing quality dental services to our stakeholders," said Mayre Thompson, Chief Compliance and Privacy Officer. "Preparing for this process required significant teamwork and dedication. MCNA has proven over time that we are an organization committed to continuous quality improvement, and URAC standards provide a firm foundation for our efforts."

Executive Director and Market President of MCNA Insurance Company, Dr. Philip Hunke, commented on the clinical aspects of accreditation: "URAC's standards ensure processes that are clinically sound, address the use of evidence-based guidelines, and outline specific reviewer requirements for each level of clinical review. This approach benefits both our members and our network of providers."

URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of quality benchmarking programs and services that model the rapid changes in the healthcare system and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire healthcare industry. For more information, visit www.urac.org.

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Oct
20
2014
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MCNA's Texas Dental Director Dr. Carlos Garcia was honored with a fellowship by the International College of Dentists (ICD) at the organization's 2014 Annual Meeting and Convocation that took place on October 7 - 10, 2014, in San Antonio, Texas. The ICD is a highly respected honorary dental organization that supports oral health initiatives across the world and fosters collaboration through respectful peer connections between dental professionals.

Dr. Garcia's fellowship in the ICD is a career achievement that spotlights his passion for service to his peers and quality oral health care for the children enrolled in the Medicaid and CHIP programs in Texas. In his role as Dental Director for MCNA, Dr. Garcia eagerly engages in every opportunity he can to provide meaningful leadership to his peers and build an atmosphere of shared values that promotes improved oral health outcomes.

The ICD awards its prestigious fellowships by invitation only to those dentists who pass an intensive peer review process. Dr. Garcia joins other dentists who have earned the title of Fellow in the International College of Dentists for recognition of their lifelong dedication to the progress of dentistry and outstanding professional achievement. His close association with this international organization further supports MCNA's commitment to being an industry leading dental managed care organization focused on improving oral health for all through the prevention of oral disease.

"MCNA is proud of Dr. Garcia's accomplishment," said Shannon Boggs-Turner, Vice President of Operations. "This nomination and induction into the ICD is based upon community service, ethics, and quality. These are three concepts that are core to MCNA as a company, and central to the lives of our employees."

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Sep
29
2014
URAC Claims Processing Accreditation Logo

MCNA Dental (MCNA) has been awarded Claims Processing Accreditation from URAC, a leading Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. MCNA is the first dental plan to receive this accreditation from URAC. It will serve as an important framework by which the company can pursue the continuous improvement of its claims administration business processes through benchmarking against nationally recognized standards.

"Becoming accredited illustrates our commitment to meeting the exacting standards and industry best practices set forth by URAC. We are very proud of this milestone," said Shannon Turner, Vice President of Operations.

MCNA's claims administration processes are supported by DentalTrac™, the company's proprietary, enterprise-wide management information system (MIS). Recognizing that claims processing is central to the success of the Medicaid, Medicare, and CHIP programs that MCNA serves, the company's experienced leaders and staff ensure accuracy and efficiency throughout the business process while maintaining strict adherence to the requirements and rules established by the Health Insurance Portability and Accountability Act (HIPAA). With this achievement, MCNA has taken steps to further develop its core value of continuous quality improvement and protect the interests of all stakeholders, including plan members, network providers, and partner agencies across the country.

"By applying for and receiving URAC accreditation, MCNA has demonstrated a commitment to quality healthcare," said URAC President and CEO Kylanne Green. "Quality healthcare is crucial to our nation's welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body."

URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of quality benchmarking programs and services that model the rapid changes in the healthcare system and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire healthcare industry. For more information, visit www.urac.org.

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Sep
19
2014
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MCNA joined community partners across Florida and Texas at 24 back-to-school community events and health fairs in July and August to provide oral health and hygiene education that helped to prepare children as they head back to school. Increasing awareness of the importance of good oral health habits and encouraging these habits as a part of our members' daily school routines is one of MCNA's annual community outreach goals. Good oral hygiene helps to prevent the development of oral disease that can cause children pain, make it difficult for them to eat, and cause them to miss school, according to the American Dental Association.

The seasonal back-to-school community events in which MCNA took part provided children and adults the opportunity to learn about valuable dental and health services available in their communities and to benefit from on-site health screenings and immunizations. They also received valuable giveaways like book bags filled with school supplies and items like safety kits. At each event, MCNA provided educational flyers and encouragement to seek preventive dental care through regularly scheduled six-month checkups with the dentist. Children who visited MCNA's booth also received free giveaways like toothbrush kits, backpacks, water bottles, hand sanitizers, and wristbands.

"We exceeded our expectations this year by partnering up with multiple community organizations for back-to-school events. We have dedicated our time, knowledge, and resources in both Florida and Texas to many parents and children to encourage good oral health habits," said Oteasa Townsend-Hardy, Director of Quality Improvement. "Our presence in the community reflects our commitment to improve oral health outcomes and we are proud to continue to build upon what we have already achieved."

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Sep
10
2014
NCQA Logo

MCNA is proud to announce the successful completion of its annual NCQA-Certified HEDIS® Compliance Audit™1. MCNA is committed to upholding high standards for quality and accuracy in order to provide the most effective managed care services possible. The achievement of this audit indicates that MCNA has established 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.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

1 NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).

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Sep
2
2014

MCNA is continuing its annual support of the Autism Speaks organization by taking on an active role in the planning of the Broward Walk Now for Autism Speaks event to be held September 28, 2014, on the campus of Nova Southeastern University. MCNA representatives are currently working on the planning committee for the event, and the company is building a team of volunteers to participate in the walk. Teams like MCNA's are instrumental in raising funds for Autism Speaks that support vital research to overcome the challenges of autism spectrum disorder (ASD).

MCNA works as a proud community partner of the Autism Speaks organization in order to promote awareness about autism and its associated health issues, including oral health care. MCNA's Case Management Unit provides care coordination services for members with special health care needs, some of who have been diagnosed with autism or other developmental disorders. Case Management Coordinators help to ensure these members receive the dental care necessary and appropriate for their unique needs.

MCNA cordially invites all community members within the Fort Lauderdale area to join us in our support of this important organization. To learn how you can help us make a difference, please visit our team webpage at: http://www.walknowforautismspeaks.org/faf/search/searchTeamPart.asp?ievent=1103497&team=5992651. You can also contact Meghan Henkel at 1-800-494-6262, ext. 125, if you have questions about joining MCNA's Walk Now for Autism Speaks team or to learn more about donating to the cause.

Autism Speaks is the world's leading autism science and advocacy organization dedicated to promoting awareness of all aspects of ASD. Each year, the organization works tirelessly to fund research into preventing and curing autism as well as advocating for the needs of people of all ages living with autism and their families. More information about Autism Speaks and the fundraising events it organizes across the country can be found at its website: http://www.autismspeaks.org.

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