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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.