The Latest From MCNA
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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.
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."
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).
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.
Jeffrey P. Feingold, D.D.S., M.S.D., founder, chairman, and CEO of MCNA Insurance Company, has accepted an invitation to serve on the Development Board of The University of Texas Health Science Center at San Antonio. Dr. Feingold will join other distinguished leaders who help advise UT Health Science Center President William L. Henrich, M.D., MACP, on matters pertaining to the Health Science Center.
Dr. Feingold has had a profound interest in the UT Health Science Center since its inception and particularly in its School of Dentistry. A licensed Florida periodontist since 1971, Dr. Feingold is a Diplomate of the American Board of Periodontology. He is a board member of the Florida Atlantic University Board of Trustees, serving as the Vice Chair of the Community and Governmental Relations Committee. Dr. Feingold also serves as an ex-officio member of the FAU Foundation Board, furthering his commitment to increasing the quality of and access to significant educational opportunities for all.
While a resident at the Eastman Institute for Oral Health in Rochester, NY, Dr. Feingold was involved with developing clinical protocols for dental sealants. This focus on the prevention of tooth loss and early detection of tooth decay is credited with developing MCNA into one of the country's leading dental health maintenance organizations. MCNA, a leading administrator of dental benefits for Medicaid, Children's Health Insurance Plan (CHIP), and Medicare programs, serves nearly 4 million members across the United States. The company's regional office in San Antonio has more than 300 employees who serve Medicaid and CHIP enrollees throughout Texas.
"I am proud to take on the responsibility that has been bestowed upon me as a board member and do my part to ignite science in South Texas through the development of UT's Health Science Center," Dr. Feingold said. "What we accomplish will work in tandem with MCNA's mission toward increasing access to the highest quality of dental care for underserved and vulnerable populations of children across the state. My goal is to help ensure that future generations of dentists and other health care professionals in Texas have access to comprehensive and competitive educational opportunities in the state and to further important scientific research in the health care field."
The UT Health Science Center Development Board is composed of community leader volunteers who play an essential role in the philanthropy of the university. They support the mission of the Health Science Center to make lives better for patients, faculty, researchers, and students through advancing education, biomedical research, clinical care, and community services. The board oversees the university's expansion through careful planning to maintain it as a world-class research institution invested in lifesaving discoveries.
This year, a $250,000 gift from Dr. Feingold and his wife, Barbara, will benefit the School of Dentistry and the construction of the Center for Oral Health Care & Research, scheduled to open in July 2015.
The center's primary public entrance, more than 1,500 square feet of the building's first floor, will be named the Dr. Jeffrey P. Feingold Atrium. A plaque and portrait of the couple will be displayed in the UT Health Science Center San Antonio building.
"We are exceptionally honored by Dr. Feingold's interest in the university and the School of Dentistry. The association of his name will add prestige to our school and the Center for Oral Health Care & Research," President Henrich said.
On July 1, 2014, MCNA began administering the dental benefits for 1.2 million Medicaid and LaCHIP enrollees in the state of Louisiana. Our company was selected by the Louisiana Department of Health and Hospitals (DHH) to become the state's new dental benefits program manager. MCNA is proud to join the dental community in Louisiana to provide high quality dental care and services across the state.
MCNA's many years of experience with Medicaid and CHIP programs in several states combined with its powerful, state-of-the-art technology platform, DentalTrac™, provided for a timely transition from Louisiana's former fee-for-service Medicaid program to managed care. MCNA has already forged strong bonds with the Louisiana provider community and the Louisiana State University School of Dentistry to build a culturally diverse provider network.
"MCNA is honored to be the new dental benefits program manager for Louisiana's Medicaid and LaCHIP programs," said Executive Vice President and Chief Operating Officer for MCNA, Glen Feingold. "We are committed to improving oral health outcomes for all of our members, and we look forward to serving the children and adults of Louisiana."