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  • News story: New dental care approach to be expanded after trial reduces tooth decay

    first_img The government has made great progress in improving the oral health of patients and tooth decay among children continues to decrease ‒ but there is more we can do. Our new proposed NHS dental contract focuses on prevention and quality of care and will be thoroughly tested to ensure it is financially sustainable for the NHS, patients and dentists. The announcement of up to 50 more prototype practices is an important step in developing the NHS dental service in this its 70th year. I welcome it and hope that further refinement and testing with the profession will lead us to a model that enables dentists and their teams to play their full part in the delivery of integrated care and further improvement of oral and general health. The recently published evaluation report from the first year of testing recommended that a further group of dental practices should be recruited into the programme.The new practices are currently being selected and will join from October 2018 and January 2019.The existing 73 practices are continuing to test the new approach, with a new remuneration system added which supports dentists carrying out preventative work.The scheme could be rolled out nationally from April 2020 if it can be shown to benefit patients, the NHS and dental practice following a thorough evaluation.Health Minister Steve Brine said: 90% of patients had reduced or maintained levels of tooth decay 80% of patients had reduced or maintained levels of gum disease 97% of patients said they were satisfied with the dental care they receivedcenter_img Up to 50 practices in England will be selected to join the 73 currently testing a new approach to dental care.The new system incentivises dentists to offer full oral health assessments and self-care plans on top of traditional treatments.In the first year of piloting the new approach, dentists reported that: Chief Dental Officer Sarah Hurley said:last_img read more

  • Lower cost-to-close is good news for credit union mortgage lenders

    first_imgThere was good news a few weeks ago for mortgage lenders. In late August 2015, the Mortgage Bankers Association reported that the all-in cost-to-close for mortgage loans decreased from $7,195 to $6,984, a total savings of $211. Two hundred bucks might not seem like a big deal, but it is, for several reasons.According to the Mortgage Bankers Association, mortgage production costs have been consistently on the rise since 2009. The MBA publishes its Mortgage Performance Report annually, with quarterly installments throughout the year. This is a must-read for every mortgage lender with an eye on manufacturing costs, productivity and industry trends.The decline to $6,984 in the second quarter of this year is – hopefully – the beginning of a long-awaited trend toward more reasonable mortgage manufacturing expenses. Up to now, costs have been rising as lenders face an increasingly complex regulatory and investor environment.Purchase-money lending plays a role in costs, as well. Compared to refinancing loans, loans for the purchase of a home take longer, involve more people, require more documentation and, overall, have more moving parts. The switch to purchase lending is a positive and expected dynamic, but it is yet another component for lenders to address while keeping expenses in check.Whether this quarter’s cost-to-close decrease is truly indicative of a new pattern within the industry won’t be confirmed until fourth quarter numbers become available in early 2016. Know Before You Owe, the new mortgage disclosure rule, becomes effective October 3. The common wisdom among credit union mortgage lenders is that this will likely affect lending costs, at least in the short term.When it comes to fielding a competitive mortgage program, nothing is more important than cost-to-close. This quarter’s $200 per loan savings can be seen either as extra revenue or as a slight improvement in the mortgage rate members pay, or perhaps as both. Offering the lowest rate isn’t everything in mortgage lending, despite the use of interest rates as a standard basis of comparison for the average borrower.Managing Cost-to-CloseControlling cost-to-close — or at least understanding it — is easy. This week’s MBA announcement provides insight. Productivity, the ratio of closed loans to mortgage employees, increased in the second quarter from 2.4 loans per employee per month to 2.8. The seemingly insignificant move of just .4 is actually incredibly important. Productivity and cost-to-close have a tight inverse relationship. Increase productivity and cost-to-close will predictably – and reliably – decrease.This is true because of the make-up of cost-to-close. About 50% of the cost to manufacture a loan is labor. Labor — as represented by the number of employees — is the denominator in the productivity equation, hence the intimate relationship between these two metrics.Two variables affect productivity. Labor is one; the number of closed loans is the other. By making more mortgage loans, credit unions have an opportunity to extend and accelerate the decreasing cost trend that the MBA reported. This may seem like an overly simplistic analysis of a complex problem, but it isn’t. Credit union membership grew at a faster pace in 2014 than at any time since 1994. Many new credit union members means many new potential home buyers. Organizations that make more loans, increase productivity with existing staff, decrease the cost-to-close, and offer a more competitive and profitable mortgage program will produce even more loans. This is a great example of a feedback loop, and the best thing about it is how well it works.We study, talk about, publish and offer insight on credit union mortgage lending performance, an obsession of ours for more than a decade. Interested in knowing more? Read our latest thoughts on cost-to-close, productivity in our High Performance Lending Report. 22SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr,Dan Green With the objective of building a strong, cohesive and recognizable brand, Dan Green oversees all marketing and communications strategies through his work with customers, partners, industry organizations and the Mortgage … Web: www.accenture.com Detailslast_img read more