YOU Support Patients, WE Support You. FEATURES: Georgia Dental Insurance Services: New Rates. New Carrier. | PG. 12 GDA Foundation: Year-End Giving | PG. 24 Nov . 2024 Journal of the Georgia Dental Association SM
Welcome to “Cool Tools,” a new Action magazine feature dedicated to introducing the latest tech tools that redefine how we work and play. In each issue, we’ll introduce a new tech tool that can make your day a little smoother and help you get more done. Plus, members can enter our drawing to win the featured “cool tool” by answering a few questions at www.gadental.link/CoolTools24. This month, we’re excited to present the RocketBook Pro, a smart reusable notebook which lets you scan your personal notes and ideas to a JPG, PDF or GIF. It features reusable pages made from a durable polyester composite for use with any pen from Pilot’s FriXion range (included in our giveaway!) How It Works Write just like you would on traditional paper, and when you’re ready to save your notes, simply tap the NFC (Near Field Communication chip that opens the Rocketbook app) with your smartphone. Then scan and upload your notes to your favorite cloud service— Google Drive, Evernote, Dropbox, or another platform. You can organize your notes into designated folders, saving them as PDFs or JPEGs. Some features even allow for the transcription of your handwriting into digital text. Once you fill up your pages, just grab a moist cloth, wipe them clean, and start fresh—eliminating the need for countless paper notebooks. The RocketBook app is compatible with both iOS and Android, making it a versatile choice for anyone. Streamline Your Personal Notes with the RocketBook Pro! RocketBook Pro Specs • Letter (8.5 in. x 11 in.) or Executive (7 in. x 9 in.) • Embedded NFC chip (opens the Rocketbook App) • Includes a 40pg lined/dot grid reusable Page Pack with smart features (20 sheets front/back) • Scratch-resistant hard cover • Lay-flat design (180º or 360º) • Microfiber cleaning cloth included Learn more at GetRocketBook.com Scan and submit your entry for a chance toWIN! 2 | Nov 2024
GDACONTENTS November 2024 Volume 43 • No. 5 12 GEORGIA DENTAL INSURANCE SERVICES (GDIS): New Rates. New Carrier. 24 GDA FOUNDATION: Year-End Giving 28 A FAREWELL FROM THE PRESIDENT 34 2025 LEGISLATIVE AGENDA 38 DENTAL COLLEGE OF GEORGIA SPOTLIGHT features in every issue 2 COOL TOOLS 6 FROM THE GDA EDITOR 17 SEEN & HEARD 40 MEMBER PROFILE: Meet Dr. Kara C. Kramer 52 ADVERTISERS INDEX 54 CLASSIFIEDS additional articles 8 WHEN YOU CAN’T WALK AWAY: Identifying Human Trafficking 22 GDA DENTAL SUPPLY COMPANY REBRAND 30 GEORGIA’S EVER-SHIFTING DENTAL MEDICAID LANDSCAPE 46 PHLEBOTOMY IN THE DENTAL OFFICE 48 INCLUDE A SHADOW EXPERIENCE IN YOUR HIRING PROCESS! | 3 Nov 2024
Volume 43. No. 5 GDA Action (2735989) is published five times per year by the Georgia Dental Association, 1850 Parkway Place, Suite 420, Marietta, GA 30067. Periodicals postage paid at Marietta, GA and at additional mailing offices. POSTMASTER: Send address changes to GDA Action, 1850 Parkway Pl, Suite 420, Marietta, GA, 30067 Dr. Erik H. Wells GDA Editor 1850 Parkway Pl, Suite 420 Marietta, GA 30067 [email protected] Dr. Jamie Mitchell GDA President 458 W. Washington Street P.O. Box 229 Monticello, GA 31064 [email protected] GDA ACTION seeks to be an issuesdriven journal focusing on current matters affecting Georgia dentists and patients accomplished by disseminating information and providing a forum for commentary. Closing date for all editorial and advertising materials: Six weeks prior to publication. Subscriptions: $17 of GDA membership dues is for the Journal; all others, $75 per year. Periodicals postage paid at Marietta, GA and additional mailing offices. © Copyright 2024 by the Georgia Dental Association. All rights reserved. No part of this publication may be reproduced without written permission. Publication of any article or advertisement should not be deemed an endorsement of the opinions expressed or products advertised. The GDA expressly reserves the right to refuse publication of any article, photograph, or advertisement, and illustrate, reduce, or revise any article submitted. 4 | Nov 2024
REACHUS@ GEORGIA DENTAL ASSOCIATION 1850 Parkway Pl, Suite 420 Marietta, GA 30067 Toll Free Phone: 800.432.4357 Phone: 404.636.7553 Fax: 404.633.3943 GDIS Phone: 770.395.0224 Kristen Morgan Executive Director/CEO 404.636.7553, x-189 [email protected] Jeannie Watson Senior Executive Assistant 404.636.7553, x-108 [email protected] Accounting Michelle Lightcap, x-192 [email protected] Classified Advertising jobs.gadental.org Education Emily Jackson, x-128 [email protected] Sheila Watson, x-131 [email protected] Government Affairs Jon Hoin, x-105 [email protected] Membership Mary Busby, x-114 [email protected] Kaitlyn McKenzie, x-152 [email protected] Marketing & Communications Maddie Shaw, x-127 [email protected] Addie Meredith, x-103 [email protected] Public Relations/ GDA Foundation for Oral Health Carol Galbreath, x-119 [email protected] Paula Gibson, x-116 [email protected] GDA Convention & Expo Chelsea Skalski, x-100 [email protected] Indigo Cox, x-106 [email protected] GDA Plus+ Supplies Michele Amatulli 770.395.0224, x-111 [email protected] Insurance Services Michele Amatulli 770.395.0224, x-111 [email protected] Professional Insurance Needs Kelly Fillingim 770.395.0224, x-129 [email protected] Health/Medicare Supplements Christy Biddy 770.395.0224, x-113 [email protected] Renewal Account Manager Veronica Ross 770.395.0224, x-193 [email protected] GDA Dental Supply Company Michele Amatulli 770.395.0224, x-111 [email protected] | 5 Nov 2024
Folks, it’s that time of year again. I’m sure many of you are putting together your meal plans for Thanksgiving or making reservations for that staff Christmas dinner. It’s also time for those GDA dues statements to go out. I know when I get mine, I always think of the value I get from my membership, and I would assume that you all do the same. With prices for everyday items going up at a breakneck pace, staff salaries increasing due to workforce shortages, and the holidays just around the corner, that value proposition really becomes a primary determining factor in whether you decide to pay those dues. I’d like to present a few areas of the GDA that provide you with value and keep your dues at a reasonable rate. One of the main benefits of GDA membership is our legislative efforts. Over the years the GDA has shown itself to be an exceptionally effective advocate under the Gold Dome. This past session was, overall, a successful session. The government affairs team, along with your help, succeeded at protecting water fluoridation, enhancing Georgia Medicaid’s dental benefits, and expanding loan repayment opportunities for dentists and dental students in rural locations. Even though it was ultimately vetoed, our teledentistry bill made it further than ever before. The team has already formulated a plan for the next session and is working on a strategy. They will need your help again next year. One way you can make a difference is by joining us at LAW Day, scheduled for January 30, 2025. Please make every effort to attend. We are doing LAW Day the same way we did last year. It will be a single event, and we hope for a great turnout. LAW Day is a great opportunity to meet some of your legislators, learn about the pending legislation, gain some CE credit, and see lots of old friends. In the competitive world of insurance, standout customer service and claims experience can truly set GDIS apart. Georgia Dental Insurance Services not only offers competitive rates but also provides our membership with exceptional customer service. Filing a claim with an insurance company is always a trying experience. Most companies will drag their feet which makes the entire process much more cumbersome. Let me share my personal experience. My office filed a claim with our insurance company and spent weeks working with our claims adjuster, with minimal response. Finally, we reached out to our GDIS agent, and within a few days we had a check in hand and our claim was settled. The agency you are with does matter. Are they just a number with a large company or are they a true partner? Relationships are important and Georgia Dental Insurance Services prides itself on having strong carrier relationships. This is truly a member benefit. GDIS offers a full array of insurance products, from our health insurance program to business, malpractice, home, auto, life, and disability insurance. As a board member, I see and watch how our team continuously looks to improve and bring on products to best help our membership. The changes that have been made to our health insurance program are a perfect Value Proposition DR. ERIK WELLS GDA Editor From the GDA Editor 6 | Nov 2024
example of this. We have watched our health insurance premiums increase every single year. The GDIS team worked diligently with several insurance carriers to bring our membership age banding rates. This means premiums will be based on the age of the member or primary insured. Monthly premiums will be attractive to our younger members while older members may see an increase in their monthly premiums. For a member who sees an increase, the GDIS team will now be able to offer individual plans through Aetna, Anthem, United Health Care, and Kaiser. If you haven't reached out to your GDIS representative recently you need to. Let your GDIS team show you, as they have shown me, what a relationship with an insurance agency should be like. The GDA has a robust Continuing Education (CE) program. They are a reliable source for our mandatory CE requirements, providing CE in numerous formats to allow members to tailor their consumption to their needs. Every year at the annual convention, the GDA provides access to nearly a year’s worth of CE through some very accomplished and entertaining speakers. Each fall, they also offer a CE conference to again, gain inperson CE credits. If you prefer live and recorded webinars, you’ve got free Friday offerings in addition to affordable options to fulfill many required topics. The GDA’s CE offerings don’t stop with you. They also offer training for your dental teams, including the well-respected Expanded Duties courses, Radiation Safety, and Phlebotomy training. The GDA is only one of three Phlebotomy training providers recommended by the Georgia Board of Dentistry. If you haven’t taken advantage of CE with the GDA, I encourage you to do so. During COVID, the GDA took the unprecedented act of providing CE for free to all dentists in Georgia regardless of membership. I don’t know about you, but when COVID first started causing disruptions in our practices, I felt anxious and alone. The education provided by the GDA about treatment protocols, infection control, and numerous other novel issues we had to deal with allowed me to calm down and get back to treating patients. This is a great example of the value GDA CE provides. Rebranding Integrity Dental Buyers Group (IDBG) to GDA Dental Supply Company is a strategic move designed to clarify the mission and enhance the value proposition of the supply service. The new name, GDA Supply Company, reflects a focused commitment to providing top-quality dental products at competitive prices. This rebranding builds on the benefits previously established by IDBG, including price reductions that have led to competitive pricing from major suppliers and a track record of reliable supply, particularly during the COVID pandemic when steady inventory was crucial. Members are now encouraged to select six products each month from a curated list, which includes popular items like Lidocaine, Carbocaine, Septocaine, saliva ejectors, sterilization pouches, and patient bibs. This approach aims to enhance clarity about the company’s role, maintain competitive pricing, boost member engagement, and strengthen the reputation by showcasing the reliability demonstrated during challenging times. Overall, the rebranding should streamline messaging, reinforce the supply program’s value, and continue to offer cost-effective solutions for dental professionals. This is by no means a comprehensive list of where value can be found when you choose to become a member of the GDA. The value proposition has always landed on the side of maintaining my membership. In addition to all of the financial value that I receive, I have gained significantly more through my participation. I can’t really put a price on the many friendships I’ve made through service to the association. I hope when the time comes, and you’re making that decision for yourself, that this has helped you to remember some of the services that give back to you and it makes that decision just a bit easier. Wishing everyone a safe and enjoyable holiday season, with a bright year ahead! for the 2025 GDA Convention & Expo Amelia Island, FL SAVE the DATE June 19-22 2025 | 7 Nov 2024
CONTINUING EDUCATION When You Can’t Walk Away: Identifying Human Trafficking Targeting the victim or recruiting: As mentioned traffickers focus on vulnerable individuals. Areas of opportunity that have been identified include bus stations or truck stops, youth centers, homeless shelters, schools, and malls. Peer recruiters are often used to lure individuals into the business. With the increase in the use of social media, doors have opened for ease of access, especially to younger individuals. At any given time, there are 750,000 predators online, and in 2020, Polaris Project reports trafficking recruitment increased 125% on Facebook and 98% on Instagram.4,5 Gaining trust: This is a critical step in the process. Traffickers excel at listening and use opportunities to form bonds over common interests. If the victim is suffering from low self-esteem or has no place to live or food, the additional attention is welcomed. Interestingly, information gained through these initial conversations may later be used against to victim to control their behaviors.4 Meeting needs: Good things to come are promised by the trafficker. Money, food, housing, love, protection. The trafficker represents a protector, a rescuer, and a hero.4 Isolation: Once the relationship is established, the trafficker will begin to isolate the victim, becoming the center of their life. It is important to eliminate any voice of reason or dependence on other people so that the trafficker can control the victims’ behaviors and activities. This isolation also makes it more difficult for victims to reach out for help as the abuse grows more intense.4 Exploitation: Treating people unfairly to benefit from their work is a key part of the trafficking cycle. Victims may be pushed to participate in activities they are uncomfortable with, such as asking them to have sex with a friend of the trafficker. Over time victims are conditioned to believe these behaviors are normal. They may even feel Human trafficking is defined as the use of force, fraud, or coercion to compel a person into commercial sex acts or labor against their will. There is a much higher level of awareness of the sex trafficking trade in the United States, but labor trafficking is also very prevalent. Often referred to as Modern Day Slavery, this industry generates 150 billion dollars each year in revenue, second only to the drug trafficking industry. In the United States alone, it is estimated that $45 million is spent on online sex trafficking, with 300,000 children at risk. These encounters generate approximately $200,000 each year, per victim.1 Many believe that trafficking begins when the white van pulls into a neighborhood and heads to a street corner where children are waiting for the school bus. A child is then snatched and whisked away. While this scenario may happen, it is not the typical model used by traffickers. In fact, most trafficking victims know, may trust, and love their trafficker. Data on sex trafficking from the National Human Trafficking Hotline, from January 2020 – August 2022, provides the following statistics where the relationship to the trafficker was disclosed: 44% of sex trafficking victims were trafficked by a family member. 39% of sex trafficking victims were trafficked by an intimate partner.2 You may be surprised to learn that traffickers come from all walks of life. They may work as the CEO of a large corporation, be the neighbor next door, church leader, soccer coach, drug dealer or pimp. They are brilliant at their craft and prey on vulnerable individuals. These individuals may be looking for financial security, housing, food, drugs, love, or acceptance. Several populations of individuals are considered “at-risk”. Foreign nationals (documented/ undocumented) People with addictions Financial stress, lack of transportation People of color, indigenous communities History of childhood sexual abuse Part of foster care, juvenile justice systems High crime neighborhoods Sexual orientation, gender identity Runaways Migrant workers Limited English proficiency Traffickers are experts at identifying at-risk individuals, developing relationships, and offering to provide solutions that will meet every need. While adults are victims of human trafficking, children and adolescents are at high risk of being targeted. Historically females are trafficked more frequently, but boys are now the fastest growing segment. Between the years 2004 – 2020, the number of boys identified as being trafficked more than quintupled.3 Make no mistake, this is an industry based on power, profit, and vulnerability. The trafficker utilizes a grooming process to gain full control over their victim and to manipulate them into cooperating in their own exploitation. Grooming occurs in several stages which are outlined below: KAREN GREGORY RN, CDIPC 8 | Nov 2024
that they owe their trafficker for all that has been done for them.4 Maintaining control: This is important so that the victim will continue to complete tasks or activities for the trafficker. Strategies utilized to maintain this control, include continued isolation, physical or sexual abuse, and drug addiction.4 Many victims of human trafficking do not realize they have been trafficked until they have escaped the situation. The trafficker has spun such a web of deceit that the victim may feel their life is “normal” or that they are underserving of any other type of existence, which creates a complicated bond between the two. It is often not possible for them to just walk away. This is important to realize if you suspect your patient is being trafficked. Dental healthcare providers typically have very keen assessment skills which should be used with every patient. While there are consistent life circumstances that place people at risk for trafficking, regardless of the patient’s socio-economic status or ethnicity, ANYONE can be ensnared in trafficking. The Substance Abuse and Mental Health Services Administration (SAMHSA) describes trauma as an event or circumstance resulting in physical harm, emotional harm, and/or life-threatening harm.6 Traumatic events can impact the brain and ultimately how a person responds to certain situations. As a result of past and ongoing trauma, many trafficking victims, who may be the patient in your chair, live in a constant state of fight or flight. Traumatic events live on in the brain’s emotional center as images, feelings, and sounds. An event, such as being laid back in a dental chair and sensing the loss of control may trigger emotions causing the patient to become defensive, anxious, difficult, and/or uncooperative. Other indications of trafficking include: Tattoos or branding. Age reported may seem inconsistent. Resistant to answering questions. Over apologetic, nervous, fearful, may startle easily. Not sure of day, dates, location. Submissive, emotionally withdrawn. Overbearing/hovering person present and may speak for the patient. If there is a suspicion of trafficking, this could be a dangerous situation for everyone involved, therefore, it is important to move forward carefully. Any suspicion of or known trafficking of anyone under the age of 18 must be reported to the proper authorities. When a patient presents as difficult or uncooperative, step back and take the time to consider why. Has something occurred during the visit that triggered emotions from previous or current life events? Instead of asking “What is wrong with you?”, shift the focus to “What happened to you?” This may open the door to further conversation and allow treatment to continue. There are other actions that can create a higher level of safety, trust, and respect between the patient and dental healthcare worker. These include introducing yourself and your role, ensuring you are explaining everything that will be done during the visit, asking permission to touch the patient, and as often as possible positioning yourself at the same level as the patient.7 As a reminder, many individuals who are being trafficked are not aware they are in that situation. The role of the dental healthcare provider for individuals 18 and older is to assess the situation and provide emotional and physical support, along with helpful resources when indicated. Do not force anyone to report this situation if they are not ready to do so. Human trafficking is a very complex business model. Lives are destroyed every day by individuals who exploit vulnerable children, women, and men. If they are seen as a patient in your practice, you just can’t walk away. Take the time now to collect resources that can be used with these patients. You may be the one person who makes a difference and opens the door for escape! Resources Polaris Project: Largest movement to end human trafficking. The National Human Trafficking Hotline: This confidential hotline provides an outlet for reporting trafficking situations. Thistle Farms: Residential programs for women seeking to escape trafficking and prostitution. 1 Titchen, K. (2016, May). How to spot human trafficking. TEDxGeorgeSchool. [Video]. TED Conferences. https://www.youtube.com/watch?v=hrxhptvEOTs 2 Polaris Project. (n.d.). Love and trafficking. https://polarisproject.org/love-andtrafficking/ 3 U.S. Department of State. (2023). Overlooked for too long: Boys and human trafficking. https://www.state.gov/wp-content/uploads/2023/12/Overlooked-forToo-Long-Boys-and-Human-Trafficking.pdf 4 Polaris Project. (2021, February 10). Love and trafficking: How traffickers groom & control their victims. https://polarisproject.org/blog/2021/02/love-andtrafficking-how-traffickers-groom-control-their-victims/ 5 Polaris Project. (2020). 2020 U.S. National Human Trafficking Hotline statistics. https://polarisproject.org/2020-us-national-human-trafficking-hotline-statistics/ 6 Substance Abuse and Mental Health Services Administration. (n.d.). Trauma and violence. U.S. Department of Health and Human Services. https://www. samhsa.gov/trauma-violence 7 Clark, C., Classen, C. C., Fourt, A., & Shetty, M. (2019). Trauma-informed nursing practice. Online Journal of Issues in Nursing, 24(2). https://ojin.nursingworld. org/table-of-contents/volume-24-2019/number-2-may-2019/trauma-informednursing-practice/ “88% of trafficking victims access health care during their trafficking situation.” Polaris Project, Human Trafficking and the Health Care Industry - Polaris (polarisproject.org) | 9 Nov 2024
MEMBERSHIP While you’re supporting patients, WE’RE SUPPORTING YOU. As a GDA member, you have access to these exclusive benefits: Insurance: Discover new, lower rates on health insurance in 2025, plus customized plans for personal, home and auto insurance for you and your family. Expert Support: Access answers to your specific questions from the GDA staff. Valuable Information: Stay informed with resources like GDA’s Action Magazine, E-News and website GADental.org. Member Exclusive Savings: Save with discounts on products and services you buy and use every day, including dental supplies, equipment, insurance, and practice resources. Community: Find new ways to connect with colleagues throughout Georgia and learn what’s working for them. Find your next employer, your next associate or maybe your next best friend. Affordable CE: Explore leading-edge topics, expert speakers and affordable in-person and online CE courses that meet Georgia Board of Dentistry licensing requirements. Regulatory Compliance: Answer questions and stay compliant with GDA’s insights on regulatory requirements. Advocating for the Dental Profession: Legislative advocacy and access at the state and federal level on issues that impact your career, your patients and oral health in our community. Your membership helps strengthen the GDA’s advocacy efforts in the issues including: Protecting Dentists: GDA fights against unnecessary government interference, unfair insurance practices, and frivolous lawsuits, while advocating for better access to comprehensive dental care. Workforce Development: GDA is working to address Georgia’s dental workforce shortage through campaigns that promote careers in dental hygiene and assisting. Building Relationships: GDA actively collaborates with legislators, regulatory agencies and other key stakeholders to protect and promote the interests of Georgia dentists. DISCOVER ALL THE BENEFITS of GDA membership at www.gadental.org/member-center or contact your GDA membership team at [email protected]. Your membership in the Georgia Dental Association connects you to benefits designed to help you thrive. From expert support and valuable resources to discounts on essential products and services, the GDA is committed to your success. 10 | Nov 2024
New Rates. New Carrier. SAME GREAT COVERAGE! GDIS is strategically moving to address the shifting dynamics of health insurance costs and member needs. Implementing age banding is a well-considered approach to provide more equitable pricing and improve affordability for all members. Additionally, we will be moving from Anthem to United Healthcare (UHC). UHC is a leader in healthcare innovation and technology to ensure you receive the best coverage available. Together we are committed to ensuring a smooth transition while delivering high-quality health care coverage to GDA members at affordable rates. New Health Insurance Benefits! Affordability for Young Members: By lowering premiums for younger individuals and families, GDIS aims to make health insurance more accessible and appealing to this demographic. Balanced Risk Pool: Attracting younger members helps create a more balanced risk pool, which can lead to more stable overall costs and potentially lower premiums for all members in the long run. Enhanced Member Support: The availability of various alternatives and personalized guidance ensures that members can find a plan that best suits their needs and circumstances. 12 | Sept 2024
Case Study 1: A 35-year-old enrolled in our POS 1000 plan is currently paying $1,286.52 for employee-only coverage. In 2025, with the introduction of age-banded rates, that same plan will cost just $913.82. This GDA member will secure the same comprehensive coverage at a significantly reduced cost. These savings have allowed them to invest more in their staff’s professional development, upgrade dental equipment, and make a substantial donation to the GDA Foundation. As a result, this GDA member not only enhances their practice’s operational capabilities but also contributes to the broader dental community. Case Study 2: A 35-year-old currently enrolled in our POS 3000 family plan is paying $3,466.71 per month for coverage. In 2025, with the implementation of age-banded rates, that same family coverage will be reduced to $2,434.57. This substantial decrease means that the member can now secure the same comprehensive family coverage at a significantly lower cost. These savings have empowered the member to redirect funds toward essential family needs, including educational opportunities for their children and enhanced family wellness programs. Additionally, this financial relief allows them to invest in their practice by upgrading technology and improving patient care services. As a result, this GDA member not only strengthens their family’s financial well-being but also elevates the overall quality of their practice, ultimately benefiting the community they serve. Unlocking Savings & Opportunities CASE STUDIES: | 13 Nov 2024
How to Make the Most of Our New Rates! SIMPLIFY THE SWITCH: What’s Next? Current health insurance members who do not make any changes will automatically be transferred to UHC. Members making changes to their existing plan must complete a new enrollment form. New health insurance members are required to complete an enrollment form. You can access the form by scanning the QR code or visiting gdaplus.com/health. To our valued long-time members, please rest assured that you are not forgotten. While our new pricing structure offers exciting benefits for younger members, we’re committed to providing continued value for our loyal clients. Explore our customized options that ensure you still receive excellent coverage with competitive rates. We understand that these changes might raise questions or concerns. We are available and eager to discuss alternative options that could better suit your needs. Please contact us at your earliest convenience to explore the best solutions for you. Options for Older Members whose rates may be affected: Current Plan: Members can choose to stay with their existing plan. Medicare: At age 65, members can transition to Medicare with a Supplement plan, reducing costs and improving coverage. Individual Policies: Quotes can be provided for alternative plans. 14 | Nov 2024
Frequently Asked Questions: Ready to Join? Who is GDA’s group plan healthcare provider? United Healthcare What type of plans are being offered? All plans are Open Access Point of Service plans. This means you have in-network and out-of-network coverage and a referral from your Primary Care Provider (PCP) is not required to visit a specialist. Is this a broad provider network plan? All of our GDA group health plans have broad networks. This means you have thousands more choices of providers over a narrow network and are much more likely to work with providers, labs, and specialists within your network – reducing the likelihood of surprise charges. Where can I check to see if my provider is in network? Visit United Healthcare’s website at www.myuhc.com Is there a limit on the doctor visit copays per year? No, you may visit your doctor as many times as you need. Other plans could limit your visits to a certain number per year and then require you to pay your deductible and coinsurance for visits beyond that limit. On our plan, you are only responsible for your copay for doctor office visits. Can dental practice employees enroll in health insurance? Yes, as long as the dentist offers it to employees and the dentist is eligible by membership in Georgia Dental Association. However, the dentist does not have to be enrolled in the plan to offer it to employees. Visit our website at gdaplus.com/health to complete your enrollment form, or scan the QR code! Our team is eager to assist you and answer any questions you may have. We can’t wait to partner with you on your health insurance journey! | 15 Nov 2024
CELEBRATING MEMBERSHIP– Welcome New Members July – September 2024 Dr. Tiffanie Renee Brown - EDDS Dr. Ian Christopher Davis - NDDS Dr. Jakara Thomas - NDDS Dr. Joshua Kaliher - NDDS Dr. Katelyn Marie Conley - NDDS Dr. Lewis Dillard - NDDS Dr. Lisa Andrea Rodgers - NDDS Dr. Luke Benjamin Robert - NDDS Dr. Lusine Sedrakyan - NDDS Dr. Ah Chong - NWDDS Dr. Arpeet Patel - NWDDS Dr. Kylee N Rider - NWDDS Dr. Alyssa Kristina Monica Elezye - SEDDS Dr. Benjamin H Greer - SEDDS Dr. Vikram Ravoory - SWDDS 16 | Nov 2024
SEEN&HEARD Members making news and news for GDA members. In an exciting new initiative, local Atlanta dentist Dr. Zerita C. Buchanan has teamed up with Listerine, Grammy-winning artist Common, and acclaimed Black artists Frank Morrison and Hebru Brantley to tackle the diversity gap in dentistry. Dr. Buchanan, a fourth-generation dentist, and Spelman College alumna has partnered with Listerine to create two limited-edition bottles aimed at raising awareness and support for increasing Black representation in oral healthcare. These special bottles are now available at Target. The initiative supports Dr. Buchanan’s nonprofit, the Increasing Diversity in Dentistry (IDID) Pipeline Program. IDID, a 501(c)(3) organization, addresses racial disparities in the dental workforce by mentoring and nurturing underrepresented minority predental students. This year, Listerine’s partnership will provide crucial support for students through test preparation, application assistance, scholarships, and practice grants. More information about the campaign can be found here: https://www.listerine.com/whoacollection GDA Member Dr. Zerita C. Buchanan Takes Bold Steps to Advance Diversity in Dentistry Dr. Hansford completed residencies and is board-certified in both pediatric dentistry and dental anesthesiology. He provides anesthesia services for pediatric and special needs patients in Newnan, Atlanta, and Athens. His private practice, Athens Area Pediatric Dentistry, in Watkinsville hosts quarterly community outreach days for patients who cannot afford treatment and are not candidates for treatment at Mercy Health Center due to their young age. Athens Area Pediatric Dentistry is proud to partner with UGA’s Dental Minority Dawgs who have been essential in coordinating volunteer efforts for the practice during outreach events, and routine workdays, and have shared Dr. John Timothy Hansford DMD, a proud GDA member, works to increase access for those facing barriers to dental care. the work opportunities with other students interested in a career involving anesthesiology. “We make a living by what we get. We make a life by what we give.“ — Winston Churchill | 17 Nov 2024
SEEN&HEARD Members making news and news for GDA members. BY LESLEY GAMWELL — Atlantabased Georgia School of Orthodontics (GSO), established in 2016, celebrated its sixth and largest graduating class of 40 residents from its 36-month Advanced Specialty Education Program in Orthodontics and Dentofacial Orthopedics. The graduation ceremony was held at the InterContinentalBuckhead in Atlanta. “With this latest group of graduates, GSO is fulfilling its mission to educate talented dentists to become highly qualified specialists in orthodontics and dentofacial orthopedics,” said Randy Kluender, D.D.S., M.S., President & Chairman, Board of Trustees. “GSO’s extensive curriculum provides residents with the opportunity to assist in providing orthodontic treatment to patients in the school’s two patient clinics in Atlanta and Duluth,” he adds. The recent graduates underwent intensive didactic, clinical and research components taught in GSO’s state-ofthe-art facilities with technologically advanced equipment, research and materials. GSO also collaborates with the renowned oral surgery program at Emory University, which exposes the resident doctors to the most unique and uncommon cases in their field. And to increase their level of success, they were Georgia School of Orthodontics Honors Graduates of World’s Largest Orthodontics Residency Program Curriculum stresses community impact and business operations instructed in the business aspects of operating an orthodontic practice. “Our curriculum also encourages our graduates to promote diversity and offer affordable orthodontic care to underserved communities. We have treated over 12,000 patients and have saved the Atlanta communities over $35 million* in orthodontic treatment costs,” said Cintia Mendes, B.D.S., M.Sc., Ph.D., GSO’s Interim Program Director, Associate Professor, and a Diplomate of the American Board of Orthodontics. To date, GSO has bestowed more than $4.3 million in scholarships to its residents. According to Dr. Mendes, the School has also provided over $250,000 in complimentary care to children, adults and members of the military through three programs: Gift of a Smile, Gift of a Smile Heroes, and Purple Heart Smiles. Two special awards were presented during the ceremony. The Doctor John W. Stockstill Outstanding Research Award recipient was Dr. Mason Childers. The President’s Award was presented to threeterm Georgia Senator and nationally renowned healthcare provider Lester G. Jackson III, D.D.S. Dr. Jackson previously served as Chairman of the Georgia Senate Urban Affairs Committee and represented Georgia’s 2nd District, delivered the ceremony’s keynote address. Prior to being elected state senator Dr. Jackson served in the Georgia General Assembly’s House of Representatives for 10 years. Before entering politics, Dr. Jackson was commissioned as a dental officer for the United States Navy. He obtained the rank of Lieutenant Commander and then served as Detachment Commander of the Beaufort Marine Corp. Air Station Dental Clinic in Beaufort, S.C., where he provided dental services to military personnel and their families. He later established the Jackson Dental Center in Savannah, GA. Dr. Jackson is an active member of the American Dental Association, the National Dental Association, and the Georgia Dental Association. Dr. Jackson currently serves as the Sr. Vice President of External Affairs at GSO. For more info about Georgia School of Orthodontics Residency Program, visit GAorthodontics.org. To schedule a complimentary consultation, visit bracestoday.com or call 770.351.7737. * Based on estimated median treatment costs as reported in the 2023 Journal of Clinical Orthodontics Practice Study (Oct-Dec 2023 JCO issue). 18 | Nov 2024
NDDS hosted the Greater Atlanta Dental Foundation Gala on August 17th, 2024. GDA has been named one of the TOP 30 trade and business associations in Georgia for lobbying by James Magazine. | 19 Nov 2024
EXCLUSIVEPARTNER PERKS for GDA Members: Did you know GDA members enjoy exclusive benefits from all endorsed partners? Below is a selection of these partners along with their related savings and offerings. Make sure to bookmark this page for easy reference! In the upcoming issues of Action, each endorsed partner will be featured in the spotlight, highlighting the unique advantages they provide. Don’t miss the opportunity to maximize membership benefits! If not a GDA member and interested in learning more about membership benefits, please reach out to our membership team at [email protected]. Join over 100,000 dental teams and save $165 by offering CareCredit for patient financing! CareCredit’s dedicated Practice Development Team is available to help you enhance patient communication, boost loyalty, and attract new referrals. Scan QR code to access member benefit. >>> Scan QR code to access member benefit. >>> Discover the future of credit card processing with TSYS! Their advanced payment stack delivers scalable solutions for origination, processing, and risk management. TSYS can help you create the ideal payment solution! RECOGNIZING Our Endorsed Partners 20 | Nov 2024
Take control of your student loan debt with Panacea Student Loan Refinancing, tailored for physicians, dentists, and veterinarians. Enjoy discounted interest rates for GDA members and save thousands with transparent, fixed rates. Maximize your rewards with U.S. Bank’s ADA Visa business and personal cards, offering up to 5x points on eligible purchases! Whether you’re managing practice expenses or personal spending, these cards are designed to help you earn more while you spend. Scan QR code to access member benefit. >>> Scan QR code to access member benefit. >>> Ready to discover more member benefits? Explore the many ways to save on top-quality products and services for your practice, home, and life—just scan the QR code now! Choose with confidence, knowing these resources have been carefully researched and endorsed for members of the American Dental Association and/or the Georgia Dental Association. | 21 Nov 2024
Introducing GDA Dental Supply Company: Your Trusted Source for Essential Dental Supplies At GDA Dental Supply Company, we are proud to announce our rebranding from IDBG—Integrity Dental Buyers Group—to a name that truly reflects our commitment to serving the dental community. Our new identity embodies our dedication to integrity, quality, and affordability in dental supplies. While many dentists prefer name-brand materials, we know that disposables are essential for your practice. These items are critical for daily operations and need to be ordered regularly. We invite you to order your disposables and anesthetics from us at competitive prices, making it easier to stock up. Count on us as your trusted source for essential items that help your practice run smoothly while saving you money. Join us on this exciting journey! Scan the QR code to order your essentials today and elevate your practice with our trusted products! Try out our new One-Click Ordering Form! 22 | Nov 2024
The Must-Have List: Top 6 Essentials at Unbeatable Prices— Lower Than Anywhere Else! Thank you, for your continued support and trust in our company. We are thrilled to embark on this new chapter as GDA Dental Supply Company, and we remain committed to providing you with exceptional service and highquality products. Together, we can make a significant impact on dental care in our community. Disposables: Saliva Ejectors Medicine Cups Patient Bibs Anesthetics: Lidocaine Carbocaine Septocaine Ours prices cannot be beat! | 23 Nov 2024
Thank you GDA members for your support of the GDA Foundation. It has been an exciting year. Looking back, here are a few things your support and volunteerism have made possible: Launch of a donated care program serving patients in your community Dental screenings and preventive treatment for 200 special needs patients The purchase of 10,000 oral health kits for school education programs We have set ambitious goals to make an even greater impact in the coming year. Through our new Share a Smile donated care program, we aim to expand our capacity and extend our reach, providing essential dental services to disadvantaged Georgians. As a GDA member, we invite you to consider contributing a tax-deductible year-end gift to support the growth of our oral health initiatives. Your donation, no matter the size, will positively impact countless lives. To contribute, please visit our website at gadental.org/foundation or scan the QR code on the adjacent page. THANK YOU for being a valued member of our foundation. Together, we can give many more Georgians the gift of a healthy smile. A SEASON OF GIVING: Make an Impact 24 | Nov 2024
$25 can pay for 10 oral care kits, including a toothbrush, toothpaste, and floss, for a child or adult in need. $50 could fund dental supplies for several people to receive screenings at a community outreach event. $100 can provide fluoride treatments and sealants to protect the teeth of multiple special needs patients from cavities. $500 could provide basic restorative dental work (such as fillings and extractions) for multiple patients in need. $1,000 can cover the cost of restoring a smile through our Share a Smile program. LOOKING FOR A 2024 tax deduction? DONATE NOW to your GDA Foundation. How YOUR GIFT Makes a Difference Mission: The GDA Foundation for Oral Health is a registered 501(c)3 organization dedicated to promoting oral health in Georgia. Visit us at gadental.org/foundation. | 25 Nov 2024
THANK YOU to our 2024 Pull For Smiles Participants and Sponsors! The Georgia Dental Association Foundation hosted its second annual Pull for Smiles Clay Shoot this September at Meadows Clay Sports in Forsyth. Attendees, including GDA members, partners, friends, and family, came together for a fun-filled day of shooting, friendly competition, and building connections. The event raised funds to support the GDA Foundation for Oral Health, a registered 501(c)(3) organization dedicated to promoting and improving oral health care across Georgia. Best Overall Male Wyatt West Best Overall Female Tayli Estes Second Place Team First Place Team Third Place Team 26 | Nov 2024
THANK YOU to our 2024 Pull for Smiles Sponsors: | 27 Nov 2024
When I wrote my first Swan Song article a couple of years back as I was completing my stint as GDA Editor, I didn’t expect to be writing a second one. As I reflect over the past year as your GDA President, the first word that comes to mind is gratitude. I am grateful to everyone who encouraged me to step up into the presidential chair, as the Good Lord knows it was not something I had a desire to do, and to those who have made this journey one of the most treasured years in my life. It’s been an amazing journey that has forever impacted me beyond words. As I reflect on the travels around the state with my favorite traveling companions, Suzy and Pip, it warms my heart and puts a smile on my face. The kindness and hospitality we felt at every event made me realize what true Southern hospitality is all about. We were blessed to connect with old friends and make tons of new ones. The GDA had an amazing year. As Kristen Morgan took the helm, together we had a vision to make what was already good even better. She came to us with fresh ideas and a willingness to serve that helped promote the initiatives that I had set coming into this year. Strengthening the relationships between DCG, Hinman, and the GDA was a top priority for me. We have opened up lines of communication that will allow us to have a stronger voice for dentistry in the state. I believe what Pink Floyd said in their hit song Hey You, “Together we stand, divided we fall,” is one of the most important ideals we should hold to. We are definitely stronger together for the future of our profession. Another thing that I was adamant about was the promotion of our for-profit companies, GDIS and GDA Dental Supply Company. The officers and GDA staff have worked hard to revamp both of these vitally important programs. GDIS has rolled out a brand new health insurance plan that uses age banding in order to reduce rates and become more competitive for young families. This is something that has been needed for a long time. With countless hours and negotiating prowess, Kristen and her insurance team were able to accomplish this monumental task. As for the supply company, restructuring and promotion of the top 6 items we can sell for less than our competitors, has brought new life to this company. I continue to encourage your use in our companies to not only ensure we keep our dues as low as possible but to allow us to bring the best products at the best prices to our members. A BIG THANK YOU to Dr. Mitchell: Dr. Jamie Mitchell Retiring GDA President Swan Song 2.0 28 | Nov 2024
Advocacy is always at the forefront of what we do, and this past year was no exception. The GDA is diligent regarding the political affairs that affect our profession. We do everything in our power to protect our profession. This past year we had a few wins and a few setbacks, but that’s the nature of the beast. That being said, our resolve has to be stronger than ever before. We are in the heart of legislative receptions and we need to strengthen our position with government officials to have a strong voice when the 2025 session begins in January. In order to do this, we need your participation as well as your donations. Please make it a priority to attend these vitally important functions as well as LAW day at the Capital on Thursday, January 30th. Now is the time to be proactive so we can avoid being reactive. As I draw this and my presidency to a close, I can’t thank each of you enough for the confidence you have afforded me and the overwhelming support that I have received over the past years. So many have been instrumental throughout my time as the GDA APPRECIATES YOU! president, but none more supportive than my family and close friends, especially my wife, Suzy! Thank you all from the bottom of my heart! I can assure you that the GDA is in a great position and that things will only get better as Dr. Amber Lawson takes the reins as your next GDA President. She, along with the rest of leadership, will lead us into a fantastic 2025. I truly believe that the best is yet to come. I will leave you with the words of the famous actor and DJ, Casey Kasem, as I believe it sums up where we are and where we are going, “Keep your feet on the ground and keep reaching for the stars”. Cheers — Dr. Jamie Mitchell Thank You! | 29 Nov 2024
Georgia Medicaid’s coverage of dental services has a storied history, and Georgia Dental Association (GDA) has been heavily involved in advocating for public insurance that works for patients and dentists. An exploration of the recent past and present suggests a need for continued efforts focused on improving Georgia Medicaid’s dental benefits. A recent history of dental Medicaid in Georgia A review of GDA’s documents on the state’s Medicaid history is illuminating. GDA began tracking and working with dental Medicaid in the 1980s, and until fiscal year 1999, Georgia Medicaid’s dental reimbursement remained flat. Over the period from 1987 to 1999, the purchasing power of dental reimbursements was cut in half due to a lack of fee increases to match growing prices. By 1999, there were only 257 providers willing to take new Medicaid patients. Fiscal year 2001 brought big gains for dental Medicaid when legislators raised fees to the 75th percentile of dentists’ usual customary and reasonable charges, mirroring a similar effort undertaken by South Carolina the year before, and GDA implemented the Take Five Program, increasing dentist enrollment in Medicaid by almost 500 over 21 months. The focus on financial support for dental Medicaid was short-lived. By 2004, the Department of Community Health began to focus on cutting its budget. They eliminated 11 CDT codes from Medicaid and PeachCare that year and proposed a Georgia’s Ever-Shifting Dental Medicaid Landscape Jon Hoin, GDA Health Policy Specialist total elimination of dental benefits in 2005 and 2006. The programs were preserved with significant budget cuts. Further efforts to control costs followed, and in 2006, Georgia entertained bids from Care Management Organizations in an effort to shift the programs’ financial risk to other parties. Various rounds of cuts to Medicaid spending continued through the period following the 2008 financial crisis. Only in 2017 did legislators begin to raise rates again. Assessing Georgia’s current dental Medicaid benefit In its 2024 legislative session, Georgia’s General Assembly directed the Department of Community Health to remove dental coverage limitations on adults over the age of 21. As a result, dental Medicaid coverage has been expanded to all adults in the Medicaid and PeachCare programs. Previously, coverage for adults was limited to emergency care except for certain eligible individuals such as pregnant women. The addition of an expanded adult benefit places new emphasis upon reimbursement rates. Studies have found that a Medicaid expansion's effectiveness in enhancing access to care depends on several factors.1 Insurance is only half the battle: Access to care requires a supply of dentists to provide it.2,3 To have a supply of dentists, reimbursement rates must be appropriately high and administrative burden limited.4 Without a sufficient supply of open spots, Medicaid recipients will compete with each other for available appointments, and some may find themselves without care as a result.2 Currently, Georgia’s reimbursement rates are well below historical benchmarks proven to attract providers. Just under half of the 20 most frequently used CDT codes fall below the regional average. The adjacent graph compares reimbursement rates, most of which were published summer of 2024, between states, as well as with the Southeastern Average from the American Dental Association’s 2022 fee survey adjusted for inflation (Figure 1). Notably, the gap between Georgia’s rates (red dot) and dentists’ fees (orange dot) is large. The ADA reported last year that in 2022 Georgia Medicaid’s fee for service max reimbursement represented just 43.8% of fees charged, a discount of over 50% and a far cry from the more common discount range of 20%-40% negotiated by private insurance companies.5 Inflation has taken a bite out of that 43.8% since that report, and that figure does not account for lower rates paid by Care Management Organizations.5 The real picture of dental reimbursement in Georgia is even more drastic than the graph suggests. Anecdotally, many dentists suggest they are receiving 30 cents on the dollar or less. The insurance mix at which accepting Georgia’s Medicaid reimbursement rates becomes totally unsustainable depends on a whole host of factors ranging from the level of negotiated discounts with private insurance companies to differences in care utilization between Medicaid and private pay populations. At the patient level, 30 | Nov 2024
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