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JKDA Spring 2012

JKDA Spring 2012

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Published by greghillkda
The Spring 2012 Issue of the Journal of the Kansas Dental Association
The Spring 2012 Issue of the Journal of the Kansas Dental Association

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Published by: greghillkda on Sep 17, 2012
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1
 Volume 97 Number 1 SpriNg 2012
A Publication of the Kansas Dental Associationwww.ksdental.org
In This Issue...
KDA Announces KIND Program
1Presidents Message2KanCare Medicaid Reforms3Non-Dentist Providers3
From the Oce
6KDCF Update9Professional 401K Advice10
Classied Advertisements
15The KDA’s 2012 Comprehensive Oral Health Initiative has found its way working through the2012 Legislature in the form of HB 2631. The bill comes from the KDA’s belief that all Kansansdeserve access to quality oral health care for their comprehensive oral health needs.HB 2631 is a comprehensive approach to improving dental care to Kansans as it seeks to safelyand responsibly improve the delivery of oral healthcare throughout the state by increasing thesupply of dentists available in underserved areas of Kansas, improving the dentist access ofKansas’ most vulnerable citizens, and by using the existing infrastructure to allow dental hy-gienists to perform more dental procedures to deliver more care without a dentist being pres-ent.
Specically, HB 2631 would:
Extend the level of care that a registered dental hygienist can provide outside a dental of-
ce by creating an Expanded Care Permit (ECP) III dental hygienist,
Educate more dental students and designate them to practice in underserved areas of our
state,
Comprehensive oral health initiativemoves through legislature
KDA A
nnounces
KInD L
oAn
R
epAyment
p
RogRAm
Though the state of Kansas provides loan repaymentincentives to physicians, optometrists, and other health-care professionals as an incentive to locate in rural or un-derserved areas, there are NO similar state funded loanrepayment programs for dentists.
The National Health Service Corp (NHSC) oers a loan
repayment program for dentists
who sele in and/or serve under
-served populations within a DentalHealth Professional Shortage Area
(DHPSA). The NHSC requires the
dentist to make a four year servicecommitment. This program is prob-lematic for dentists entering privatepractice because the NHSC requiresdentists to bill all patients based ona sliding fee schedule as determined by the patients’ insurance or income.Though this may seem appropriate,
it makes it very dicult for a new
dentist in private practice to generateenough income in smaller commu-nities to make their practices viable
as they tend to aract lower income
patients who don’t pay full fees.Another problem is that the NHSCcriteria for determining a DHPSAis so broad that virtually all of Kan-sas with the exception of the largestcounties are included and the areasthat really need a dentist are over-looked.The new Kansas Initiative for New
Dentists (KIND) Program is de
-signed to recruit dentists to sparselypopulated areas of Kansas. Workingwith leaders throughout the state,the Kansas Dental Association andthe Delta Dental of Kansas Foun-dation have created a private loanrepayment program they will fund
to help communities aract dentistsAt 8:00 PM on Thursday evening,
February 16, 2012, Kenneth Gaystood at the front of a line, waitingto enter an old Walmart buildingin Kansas City, KS. His wife had
dropped him o two hours before.
He had come to receive free dentalcare at the Kansas Mission of Mercy,
dental care he could not aord afterhe was laid o from his job a few
months earlier.
“I lost my job and my insurance,”he said. “I couldn’t aord to keep
going to the dentist. It seems nowthat about every two weeks, I have a
chunk of my tooth that falls o and
without this, I don’t see any way thatanytime soon, I’ll be able to shell out
the money to get this taken care of.”
milesne reached a 2012 Kmom – 20,000
h
paien teaed
continued on page 8
When Gay entered the building, he was the rst of 2,151
patients who were eventually treated at the two-dayKansas Mission of Mercy Dental Clinic in Kansas City,KS at a building currently being re-modeled to become part of the Kan-sas City Kansas Community Collegecampus. A total of $1.51 million incare was provided.Among those patients was a ner-vous, but extremely appreciativeRoxanne Brown of Kansas City, KS,who had hoped to have a partial
denture made to x her two front
teeth she had lost a few years earlier.
“I came to get my front tooth xed.I couldn’t aord it. Lile did I
know that when I arrived, I wasgoing to receive a beautiful bless-
ing. My teeth are xed,” she said
with a beaming smile after returning
the next day to receive her nished
partial. Actually, I couldn’t hardly
Roxanne Brown was the 20,000
th
KMOM patient and was presentedwith balloons and a $50 gift card to Longhorn Steakhouse by KDCFPresident Mark Herzog (left) and Governor Sam Brownback (right).
continued on page 5continued on page 4
 
2
Greetings,I write this President’s Message onthe eve of going to Topeka to testifyin support of the KDA’s Compre-hensive Oral Health Initiative. Thisinitiative, HB 2631, demonstratesthe KDA’s commitment to improveaccess to quality, safe, and doctorsupervised oral health care for allKansans. It is consistent with theprinciple that the dental patientsof Kansas deserve to have dentaldisease diagnosed by, and irrevers-ible dental procedures performed by, a dentist and only a dentist. Assuch, I believe this bill is worthyof the support of everyone who issincerely interested in solving themultifaceted access to oral healthcare issue.Each year, the KDA Dental Day inTopeka gives dentists the oppor-tunity to meet their state leadersface to face. This direct interactionallows us to dialogue with thoseLegislators who make oral health-care policies for Kansas. It allowsthe voice of organized dentistry to be heard at a time when it needs to be heard the most.This year’s KDA Dental Day was held in Topeka onFebruary 2. Several State Representatives and Sena-
tors, in addition to Governor Brownback, aended our
luncheon. It was a great day for Kansas dentistry andthe patients of Kansas. I want to thank everyone who
took time out of his or her busy schedules to aend. In
particular I would like to thank Dr. Ken Dillehay, Dr.
Chuck Squire, and the KDA Sta for their eorts in
making the day a success. Lastly, I would like to en-
courage everyone to plan on aending next year’s KDA
Dental Day in Topeka.The KDA’s commitment to providing quality, safe,and dentist supervised care to the underprivileged wasfurther demonstrated by this year’s KMOM in Kan-sas City, Kansas. It was the largest KMOM ever. Over2,100 patients were treated and approximately $1.5million in free dental care was provided. Dentists arecharitable, caring, and compassionate professionals.Dentists, on average, donate $33,000 of free dental careannually; many dentists donate much more than that.Dentists are dedicated to helping all patients accessthe care they need. But as the only true authorities onoral healthcare, dentists realize that problems must besolved in a thoughtful, comprehensive, compassion-ate, practical, and above all, SAFE manner. As doctors,
we realize in a way that only doctors can, that the rstrule of all healthcare is to “DO NO HARM”! This is
true whetherproviding actualhealthcare ormaking health-care policies.In closing, I want to thank all ofour volunteer dentists who have
taken time out of their oces and
away from their families on behalfthe KDA this past year. Many havepledged money to the Kansas Den-tal Charitable Foundation and theK-D-PAC. Others have made phonecalls to their Legislators. Still morehave donated their time to carefor the underprivileged. All havedone these things, not for personalgain or glory, but because they careabout the profession of dentistryand the patients of Kansas. Thus,
I can condently say that the rst
and foremost motivation of theKDA and its member dentists in allhealthcare policy debates has al-ways been, and remains, the safetyand wellbeing of the patients ofKansas.
 
Dr. Hal E. HaleKDA President
PresIdenT’s Message
 
3
 JKda
 Journal of the Kansas Dental AssociationISSN# 08887063
PUBLISHED QUARTERLY BY
Kansas Dental Association5200 SW HuntoonTopeka, KS 66604-2398
EDITOR 
Eugene F. McGill, D.D.S.
MANAGING EDITOR 
Kevin J. Robertson, CAE
PRINTING
 Jostens4000 SE AdamsTopeka, KS 66609
PRODUCTION
Niki Sadler
KDA Executive CommitteePRESIDENT
 Dr. Hal Hale
PRESIDENT-ELECT
Dr. Craig Herre
VICE PRESIDENT
Dr. Jason Wagle
SECRETARY
Dr. Steven Hechler
TREASURER 
Dr. Cynthia Sherwood
IMM. PAST PRESIDENT
Dr. David Hamel
Although the KDA publishes authoratative news,
commiee reports, articles and essays, it is in no
respect responsible for contents or opinions of thewriters. Advertising rates and circulation data will befurnished by request.Annual subscription price is $5.00 for member den-tists, $25.00 for non-members, and $40.00 for Canadaand foreign mailings. Single issue price is $10.00.
My
11 Dental Lifeline Network Board Mtg, Wichita7-9 ADA Washington Leader Conference, Wash. D.C.18-19 South Central States Meeting, New Orleans
 June
7-9 KDA Annual Session, Hotel at Old Town, Wichita
 July 
16-19 ADA Management Conference, Chicago
august
2-4
Mid States Dental Leaders Conference, Kansas City, MO
25-26 ADA District 12 Caucus, Dallas
KdaClf evt
With Medicaid currently making up a thirdof the total state budget at $2.8 billion andfederal matching funds likely to dry up asthe U.S. government tightens its belt, thestate of Kansas is in the process of imple-
menting signicant Medicaid reforms known as Kan
-Care geared to cut costs while also improving healthoutcomes.
Kansas faces major challenges in its Medicaid pro
-
gram that require swift and eective policy changes
to continue serving vulnerable Kansans. The Gover-nor’s FY 2012 budget sustained Medicaid through the
current scal year and provided Kansas the time toreinvent its Medicaid program to beer serve Kansansin need and maintain scal responsibility.
Kansas Medicaid costs have grown at an annual rateof 7.4 percent over the last decade. Long-run trends inMedicaid are driven by widespread increases in en-rollment and spending per person. While exacerbated by the economic downturn, Medicaid growth is not
 just tied to the economy. Kansas is in the midst of a
sustained period of accelerated growth as baby boom-ers reach the age of acquired disability. Yet the cost
drivers in Medicaid are not conned to one servicearea or population; the projected sources of growth
in Kansas Medicaid spending cut across populations.
Tackling the structural decit facing Medicaid cannot
 be accomplished by excluding or focusing solely onone population or service.Kansas will implement reforms in the current Medic-aid program to improve outcomes and reduce costs.
As highlighted in the Deloie report on the public
input and stakeholder consultation process, the Kansas approach will
 be based on the themes of:
Integrated, whole-person care,
Preserving or creating a path to independence,
Alternative access models and an emphasis on home and com-
munity based services.
The reform process will align the nancial incentives for the payers,
providers and consumers to best serve the needs of the whole personand the taxpayer, without adding to the administrative burden of theprogram.The idea is to leverage private sector innovation to achieve public goals
 by selecting three statewide KanCare contracts which guarantee:Population-specic and statewide outcome measures will be
integral to the contracts and will be paired with meaningful
nancial incentives.
The reforms explicitly call for creation of health homes, with an
initial focus on individuals with a mental illness, diabetes, or both.Contractors are encouraged to use established community part-
ners, including hospitals, physicians, community mental health
centers (CMHCs), primary care and safety net clinics, centers forindependent living (CILs), area agencies on aging (AAAs), andcommunity developmental disability organizations (CDDOs).
Safeguards for provider reimbursement and quality are included.
n-D pd
Noticeable activity during this leg-islative session regarding the Regis-tered Dental Practitioner non-dentistprovider proposal has been slow. In
 January, the House Commiee on
Health and Human Services, Chair-person Rep Brenda Landwehr, heldan informal roundtable discussionon the mid-level concept. Opposingthe concept at the roundtable were,Dr. Hal Hale, Dr. Cindi Sherwood,
Dr. Paul Kile, Dr. Je Stasch, Dr.
Richard McFadden, Dental BoardPresident Dr. Glenn Hemberger andKansas Dental Association ExecutiveDirector Kevin Robertson. The Reg-istered Dental Practitioner support-
KanCaremeDiCaiD reforms
continued on page 11
ers included representatives from the Kansas Actionfor Children, Kansas Association of Medically Under-served, Kansas Dental Hygienists Association, FortHays State University President Dr. Ed Hammond,United Methodist Health Ministries Fund Executive
Director Kim Moore, Pisburg dentist Dr. Dan Minnis
and Hays dentist Dr. Melinda Miner.The four-hour roundtable discussion was essentially astalemate, but Chairman Brenda Landwehr pushed for
some common ground, eventually geing the mid-lev
-el proponents to agree that the KDA-backed extendedcare permit III concept was “a step in the right direc-
tion.”
HB 2631 was introduced following the roundtable
discussion and the House Commiee on Health and
continued on page 9

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