Closing the Gap: How Dental Groups Can Address the Lack of Dental Benefits for 100M+ Americans

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From February 2020 to March 2023, Medicaid enrollment grew by 23.3 million to nearly 95 million due to economic conditions, Medicaid expansion under the Affordable Care Act, and the continuous enrollment provision in the Families First Coronavirus Response Act (FFCRA) of 2020.

The FFCRA provision preserved coverage during the pandemic but the Consolidated Appropriations Act of 2023 ended the continuous enrollment provision allowing states to resume disenrollments beginning in April of 2023.

Already, 77 Million Americans lack access to any dental benefit. As of June 28, 2024 nearly 24 million people have been disenrolled from Medicaid, with few able to re-enroll in dental coverage, and more at risk.

Patients with coverage via dental insurance or membership plans visit more often and accept more care than uncovered patients. Therefore, the key to group practice performance lies in consistent patient engagement driven by access to dental coverage.

Due to the complexity, cost, and limitations of traditional dental insurance creating barriers to enrollment, implementing a dental membership plan can make a significant impact.

Membership plans enable practices to offer simple, affordable, and personalized coverage directly to patients. This model creates a huge opportunity for dental leaders to improve patient engagement, care, and loyalty, while stabilizing and expanding revenue independent of changes in insurance.

Benefits of offering a dental membership plan

Deliver high-quality, patient focused care

If your practice relies on a high-volume model due to low reimbursement rates, a membership plan can transform this approach. By tailoring plans to meet the specific needs of your practice and patients, you can achieve your desired rates and focus on providing more personalized care to a smaller group of patients.

Increase profit margins and collections on production

Because your membership plan operates independently of insurance, your group won’t be financially impacted by declining reimbursement rates.

Create 1:1 patient-provider relationships

By cutting out intermediaries like PPOs, you gain complete control over benefit inclusions, treatment protocol, and pricing — creating a mutually beneficial dynamic between your practice and your patients.

Build a foundation for group practice success with increased membership plan support

Achieving office buy-in for a dental membership plan and scaling it across multiple practices requires both a reliable software infrastructure and support team.

Kleer and Membersy offer an integrated dental membership platform designed to simplify and enhance your practice’s membership plan offerings. These solutions come with advanced features and expert strategy and support to ensure success.

Gain strategic guidance on how to transform your revenue through membership

From tailored plan design to office education, member support, marketing, and beyond, we apply a combined 20+ years of experience to help you reach your goals.

Make membership the easiest part of your team’s day

The right software should fit within your team’s workflow and make it easy to gather insights. The Kleer and Membersy platform will integrate with your practice management system to save your team time, connect your key metrics, and grow your plan.

Eliminate the risk of running a non-compliant plan:

Kleer and Membersy ensure your plan has the necessary discount medical plan operator (DMPO) licensure and meets all requirements to keep you in good standing.

Improve patient care and group practice results

Membership plans connect dentists directly with patients — creating affordable access to dental care for millions of Americans.

If you’re ready to take the first step towards creating a membership plan or improving your existing one, join over 20,000+ dentists using Kleer and Membersy to transform their practice.

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