-designation.jpeg)
Overview
Oral health provides a window into an individual’s overall health. In fact, routine checkups and cleanings, which are 100% covered by most dental plans, can lower the risk of serious health problems. To learn more about how dental coverage works and why it makes it possible for more people to live healthier lives, earn your Dental Benefits Associate (DBA) designation.
To earn your DBA, complete these required courses:
Learning Outcomes
Earning this career-driving designation will demonstrate to your organization that you’ve gained a deeper understanding of dental benefits, plan design, eligibility, and regulations impacting dental insurance coverage, to help you do your job even better.
Course Outline
- 1.1: Gain a foundational understanding of how dental coverage works
- 1.2: Examine the areas where dental plans and medical insurance are similar and how they differ
- 1.3: Identify different types of dental plans
- 1.4: Review coverage inclusions and exclusions
- 1.5: Consider the legal requirements and methods for detecting and deterring fraud
- 1.6: Understand the industry's regulatory environment
- 1.7: Explore network building and how dental plans are marketed
- 1.8: Learn relevant terms, case scenarios, and key concepts
- 2.1: Explore a range of models used in the delivery of dental benefits
- 2.2: Master the rules of dental plan design
- 2.3: Identify dental plans' varying organizational types, including PPOs and HMOs
- 2.4: Take a closer look at the impact of cost drivers
- 2.5: Examine how dental insurance products are priced, marketed, and sold
- 2.6: Review best practices for health plan management and evaluation
- 2.7: Become well-versed in quality standards, utilization, and performance measures
- 2.8: Open case histories that provide real world insights
- 3.1: Explore the methods investigators use to uncover and deter fraud against the health care and health insurance industries
- 3.2: Compare the different ways fraud schemes work and where they often occur
- 3.3: Understand how to identify fraudulent practice
- 3.4: Focus on investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur
- 3.5: Navigate the legal, regulatory, and compliance issues impacting anti-fraud efforts
- 3.6: Examine relevant terms, case scenarios, and key concepts
- 4.1: Explore the impact of court decisions on healthcare reform, including the Supreme Court
- 4.2: Assess the different ways Americans obtain their health insurance coverage
- 4.3: Discover how and why some health insurance providers leverage alternate organizational structures
- 4.4: Gain a deeper understanding of what health insurance exchanges are and how they operate in a post-reform environment
- 4.5: Explore the concepts behind accountable care organizations (ACOs) and their role in bending the cost curve
- 4.6: Analyze how Medicare Part D enables significant portions of the senior population to obtain prescription drug coverage
- 4.7: See how the Affordable Care Act (ACA) has impacted Medicare Part D's out-of-pocket costs
- 4.8: Acquire new planning tools for fraud detection and deterrence
- 4.9: Take a closer look at the interplay of the ACA and recent court decisions that had an impact on Medicaid expansion
-designation.jpeg&description=Dental Benefits Associate (DBA) Designation){kind=link}