dental insurance benefits Archives

Dental Business Radio

Trends in Dental Insurance Benefits, with Josh Roland, Centro Benefits Research

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Trends in Dental Insurance Benefits, with Josh Roland, Centro Benefits Research (Dental Business Radio, Episode 53)

In this episode of Dental Business Radio, host Patrick O’Rourke introduces guest Josh Roland, a market leader for Centro Benefits Research. The discussion focuses on dental insurance, including employer-provided plans, PPO analysis, negotiations, and strategic guidance. They delve into the importance of ancillary benefits like dental, vision, life, and disability insurance for recruitment and retention, touching on trends, employer decisions, and the impact of AI on the insurance and dental provider industries. A humorous yet insightful conversation that interweaves professional advice with engaging anecdotes.

Dental Business Radio is underwritten and presented by Practice Quotient: PPO Negotiations & Analysis and produced by John Ray and the North Fulton affiliate of Business RadioX®.

Centro Benefits Research

Centro is a wholesale employee benefits firm representing many of the top consulting firms in the United States.

With over 11,000 groups and managed premium exceeding $1.6 Billion, Centro delivers unparalleled value to the industry stakeholders and the clients they serve.

Because of the volume of business, depth of data, and research analytics provided by Centro, carrier partners are better able to assess risk and make business decisions on behalf of the clients that utilize Centro’s platform.

Leveraging Centro can mean a significant difference for brokers in creating differentiation and competitive advantage in a rapidly changing and increasingly consolidated industry.

Company website | LinkedIn

Josh Roland, Ancillary Consultant Market Leader, Centro Benefits Research

Josh Roland is Ancillary Consultant Market Leader for Centro Benefits Research.

Josh has over 20 years of experience in the insurance industry. He was previously a partner and ancillary benefits practice leader of a regional insurance brokerage, in addition to having a wealth of expertise and experience in sales and account management.

Josh received a bachelor’s degree in business administration and finance from the University of Georgia. He is licensed to sell all group life and health in Alabama, Florida, Georgia, North Carolina, South Carolina, and Tennessee.

Topics Discussed in this Episode

00:00 Introduction
02:17 Guest Introduction: Josh Roland
03:41 Understanding Employer-Sponsored Benefits
04:37 Importance of Dental and Vision Insurance
05:32 Health Savings Accounts (HSAs) Explained
11:14 Critical Illness and Disability Insurance
13:10 Employer’s Role in Benefit Decisions
19:39 Designing Dental Plans
24:21 Navigating One-One Season
25:31 Understanding Insurance Profitability
25:47 Post-COVID Utilization Trends
27:08 Future of Dental Plan Designs
35:36 The Role of AI in Dental Insurance
42:01 Medicare and Employer Group Benefits
47:17 Conclusion and Contact Information

Dental Business Radio covers the business side of dentistry. Host Patrick O’Rourke and his guests cover industry trends, insights, success stories, and more in this wide-ranging show. The show’s guests include successful doctors across the spectrum of dental practice providers, as well as trusted advisors and noted industry participants. Dental Business Radio is underwritten and presented by Practice Quotient and produced by the North Fulton studio of Business RadioX®. The show can be found on all the major podcast apps and a complete show archive is here.

Practice Quotient

Practice Quotient is the sponsor of Dental Business Radio. Practice Quotient, Inc. serves as a bridge between the payor and provider communities. Their clients include general dentist and dental specialty practices across the nation of all sizes, from completely fee-for-service-only to active network participation with every dental plan possible. They work with independent practices, emerging multi-practice entities, and various large ownership entities in the dental space. Their PPO negotiations and analysis projects evaluate the merits of the various in-network participation contract options specific to your Practice’s patient acquisition strategy. There is no one-size-fits-all solution.

Connect with Practice Quotient

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Dental Business Radio

Tom Limoli, Limoli & Associates

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Tom Limoli, Limoli & Associates (Dental Business Radio, Episode 26)

If you’re a dental practice which accepts dental insurance, then, like it or not, you have financial partners in your business: the insurance companies. Tom Limoli joined host Patrick O’Rourke on this episode to detail the mistakes he sees practices making in handling dental insurance, mistakes which result in administrative burdens and costs which undermine the entire practice. Dental Business Radio is underwritten and presented by Practice Quotient: PPO Negotiations & Analysis and produced by the North Fulton studio of Business RadioX®.

Limoli & Associates

For almost half a century, Limoli and Associates / Atlanta Dental Consultants has served all facets of the dental benefits industry by streamlining and simplifying the global reimbursement process. The overall mission being to make the delivery of dentistry more affordable through information, education, consultation and service.

Their time proven, simplified, no-nonsense approach to the execution, management delivery of third-party reimbursement benefits has been implemented in thousands of both clinical and administrative operations across the country.

Website | Facebook

Tom Limoli, Limoli & Associates

Tom Limoli, Jr. is the prevailing expert on proper coding and administration of dental insurance benefit claims. He serves as president of Limoli and Associates/Atlanta Dental Consultants, Inc., a company that over the past quarter century has assisted dental offices in streamlining the insurance reimbursement process. Mr. Limoli’s no-nonsense approach to the management of third-party reimbursement has been implemented in thousands of dental practices across the country.

Mr. Limoli received his Bachelor of Science in Criminal Justice from Valdosta State University. Following his work with the U.S. Treasury Department’s Federal Law Enforcement Training Center, Mr. Limoli has actively investigated fraudulent claims for the insurance industry, as well as numerous other third-party fiduciaries. He is a licensed private investigator and a member of the American Association of Dental Consultants, the National Association of Dental Plans, the National Speakers Association, the National Health Care Anti-Fraud Association, and is a past president of the Academy of Dental Management Consultants.

Mr. Limoli is the editor of Dental Insurance Today, a monthly publication that addresses third-party reimbursement in the dental office. He is the author of Dental Insurance and Reimbursement Coding and Claim Submission, and co-author of Fee-for-Service Dentistry with a Managed-Care Component.

About Dental Business Radio

Practice Quotient

Dental Business Radio is sponsored by Practice Quotient. Practice Quotient, Inc. serves as a bridge between the payor and provider communities. Their clients include general dentist and dental specialty practices across the nation of all sizes, from completely fee-for-service-only to active network participation with every dental plan possible. They work with independent practices, emerging multi-practice entities, and various large ownership entities in the dental space. Their PPO negotiations and analysis projects evaluate the merits of the various in-network participation contract options specific to your Practice’s patient acquisition strategy. There is no one-size-fits-all solution.