Sell offs, spin offs, carve outs and tracking stock Corporate Restructuring Tim Thompson.
Insurance Carve Outs and Hospital Negotiations, Fee for Service
1
To date, there have been longitudinal studies to deter- mine bone augmentation procedures and also soft tissue augmentation procedures but we clinicians need to an- alyze those data not only from a scientific point of view but also from a clinical point of view. We, as educated and experienced practitioners, have answered these different views through clinical experi- ence and will demonstrate treatment solutions to opti- mize implant esthetics in different clinical situations. References Kan JY, Rungcharassaeng K, Umezu K, Kois JC: J Periodontol 74, No. 4, Apr 2003, pp 557-562 Cordaro L, Amade DS, Cordaro M: Clin Oral Implants Res 13, No. 1, Feb 2002, pp 103-111 Studer SP, Lehner C, Bucher A, Scharer P: J Prosthet Dent 83, No. 4, Apr 2000, pp 402-411 Maxillary Edentulism Russell D. Nishimura, DDS, Los Angeles, CA Successful restoration of the edentulous maxilla is dependent upon proper diagnosis and treatment plan- ning. Determining the type of implant restoration best suited for an individual patient is based upon many factors. The patient’s anatomic, functional, esthetic, and psychological status should be evaluated and balanced with the costs/benefits of dental rehabilitation and risks management. Implants may be used to provide support, stability and retention to various types of fixed or remov- able prostheses. Replacement of the maxillary dentition is a full-arch restoration that is dependent upon the maxillo-mandibular relationship, including the vertical dimension of occlusion, plane of occlusion, centric rela- tion and scheme of occlusion. The restorative prognosis may be enhanced by the judicious use of pre-prosthetic or site development surgeries and the correction of de- ficiencies in the opposing mandibular arch. This presentation will examine diagnosis and treat- ment planning the edentulous maxilla. Conventional and computerized planning, immediate and delayed implant placement, and methods to optimize the implant team will be discussed. Indications and contraindications for fixed metal-ceramic, fixed hybrid, and overdentures will be examined, including long-term results and associated complications. References Henry PJ: A review of guidelines for implant rehabilitation of the edentulous maxilla. J Prosthet Dent 87, No. 3, Mar 2002, pp 281-288 Mericske-Stern RD, Taylor TD, Belser U: Management of the eden- tulous patient. Clin Oral Implants Res 11:108, 2000 (suppl 1) Lewis S, Sharma A, Nishimura R: Treatment of edentulous maxillae with osseointegrated implants. J Prosthet Dent 68, No. 3, Sep 1992, pp 503-508 SYMPOSIUM ON ORTHOGNATHIC SURGERY IN A DAY Thursday, October 5, 2006, 10:00 am—12:00 noon Moderator: Jessica J. Lee, DDS, Seattle, WA Insurance Carve Outs and Hospital Negotiations, Fee for Service Steven Sullivan, DDS, Oklahoma City, OK Access to orthognathic surgery has been limited by a number of factors over the last 15 years. The two great- est events impacting the decline in orthognathic surgery were managed care writing these benefits out of poli- cies, and a sharp decline in surgeon reimbursement. The lack of benefits curtailed patients pursuing care due to cost and the decrease in reimbursement has resulted in surgeons no longer feeling that it is econom- ically viable for them to continue this component of their practice. As a result there has been a contraction in the number of surgeons who are willing to provide these services. Hospital fixed pricing, insurance carve outs for spe- cific and unique procedures and fee for service are options to make access better and remuneration appro- priate for the level of service being provided. This presentation will describe the strategies em- ployed over the last 15 years to maintain orthognathic surgery as a vital component of our practice and increase patient acceptance and access. Philosophical Approach to Orthognathic Surgery in Today’s Healthcare Environment Myron R. Tucker, DDS, Charlotte, NC There has been a dramatic decline in orthognathic surgery over the past 15 years. This decline is a result of several compounding factors including decreasing cov- erage by major medical insurance and increasing health- care costs. Because of the difficulty associated with mak- ing orthognathic surgery financially practical many oral and maxillofacial surgeons have turned their interest to other surgical procedures. This has resulted in a signifi- cant decrease in the number of surgeons performing orthognathic surgery as well as the total number of surgeries, and thus a decrease in the level of experience across the oral and maxillofacial surgery profession. Symposia AAOMS • 2006 3
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Transcript of Insurance Carve Outs and Hospital Negotiations, Fee for Service
To date, there have been longitudinal studies to deter-mine bone augmentation procedures and also soft tissueaugmentation procedures but we clinicians need to an-alyze those data not only from a scientific point of viewbut also from a clinical point of view.
We, as educated and experienced practitioners, haveanswered these different views through clinical experi-ence and will demonstrate treatment solutions to opti-mize implant esthetics in different clinical situations.
References
Kan JY, Rungcharassaeng K, Umezu K, Kois JC: J Periodontol 74, No.4, Apr 2003, pp 557-562
Cordaro L, Amade DS, Cordaro M: Clin Oral Implants Res 13, No. 1,Feb 2002, pp 103-111
Studer SP, Lehner C, Bucher A, Scharer P: J Prosthet Dent 83, No. 4,Apr 2000, pp 402-411
Maxillary EdentulismRussell D. Nishimura, DDS, Los Angeles, CA
Successful restoration of the edentulous maxilla isdependent upon proper diagnosis and treatment plan-ning. Determining the type of implant restoration bestsuited for an individual patient is based upon manyfactors. The patient’s anatomic, functional, esthetic, andpsychological status should be evaluated and balanced
with the costs/benefits of dental rehabilitation and risksmanagement. Implants may be used to provide support,stability and retention to various types of fixed or remov-able prostheses. Replacement of the maxillary dentitionis a full-arch restoration that is dependent upon themaxillo-mandibular relationship, including the verticaldimension of occlusion, plane of occlusion, centric rela-tion and scheme of occlusion. The restorative prognosismay be enhanced by the judicious use of pre-prostheticor site development surgeries and the correction of de-ficiencies in the opposing mandibular arch.
This presentation will examine diagnosis and treat-ment planning the edentulous maxilla. Conventional andcomputerized planning, immediate and delayed implantplacement, and methods to optimize the implant teamwill be discussed. Indications and contraindications forfixed metal-ceramic, fixed hybrid, and overdentures willbe examined, including long-term results and associatedcomplications.
References
Henry PJ: A review of guidelines for implant rehabilitation of theedentulous maxilla. J Prosthet Dent 87, No. 3, Mar 2002, pp 281-288
Mericske-Stern RD, Taylor TD, Belser U: Management of the eden-tulous patient. Clin Oral Implants Res 11:108, 2000 (suppl 1)
Lewis S, Sharma A, Nishimura R: Treatment of edentulous maxillaewith osseointegrated implants. J Prosthet Dent 68, No. 3, Sep 1992, pp503-508
SYMPOSIUM ON ORTHOGNATHIC SURGERY IN A DAYThursday, October 5, 2006, 10:00 am—12:00 noonModerator: Jessica J. Lee, DDS, Seattle, WA
Insurance Carve Outs and HospitalNegotiations, Fee for ServiceSteven Sullivan, DDS, Oklahoma City, OK
Access to orthognathic surgery has been limited by anumber of factors over the last 15 years. The two great-est events impacting the decline in orthognathic surgerywere managed care writing these benefits out of poli-cies, and a sharp decline in surgeon reimbursement.
The lack of benefits curtailed patients pursuing caredue to cost and the decrease in reimbursement hasresulted in surgeons no longer feeling that it is econom-ically viable for them to continue this component oftheir practice. As a result there has been a contraction inthe number of surgeons who are willing to provide theseservices.
Hospital fixed pricing, insurance carve outs for spe-cific and unique procedures and fee for service areoptions to make access better and remuneration appro-priate for the level of service being provided.
This presentation will describe the strategies em-
ployed over the last 15 years to maintain orthognathicsurgery as a vital component of our practice and increasepatient acceptance and access.
Philosophical Approach to OrthognathicSurgery in Today’s HealthcareEnvironmentMyron R. Tucker, DDS, Charlotte, NC
There has been a dramatic decline in orthognathicsurgery over the past 15 years. This decline is a result ofseveral compounding factors including decreasing cov-erage by major medical insurance and increasing health-care costs. Because of the difficulty associated with mak-ing orthognathic surgery financially practical many oraland maxillofacial surgeons have turned their interest toother surgical procedures. This has resulted in a signifi-cant decrease in the number of surgeons performingorthognathic surgery as well as the total number ofsurgeries, and thus a decrease in the level of experienceacross the oral and maxillofacial surgery profession.
Symposia
AAOMS • 2006 3
