Nine state dental societies introduced legislation in 2024 to implement dental loss ratios, requiring insurers to spend a set percentage of premiums on patient care, with refunds if unmet.

Nine state dental societies have introduced legislation in 2024 to implement a dental loss ratio. This dentist term refers to limits on insurers to ensure a certain percentage of premiums go toward patient care rather than operating and administrative costs. Insurers in these states would be required to spend a set percentage of their premium revenue on actual patient care. If they fail to meet the set percentage, they would be forced to refund a part of the premium to insured patients. This approach is handled differently in each state, with the common goal of ensuring patients receive the most value from their dental plans.

February 03, 2024
4 Articles