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Author: Thomas C. Buchmueller Publisher: ISBN: Category : Economics Languages : en Pages : 48
Book Description
Historically, low Medicaid reimbursement rates have limited the willingness of health care providers to accept Medicaid patients, leading to access problems in many communities. This problem has been especially acute in the case of dental care. We combine data from several sources to examine the effect of payment rates on access to dental care among children on Medicaid and on dentists' participation in the program. The main utilization analysis is based on data from the Survey of Income and Program Participation combined with data on Medicaid payment rates and private market dental fees for the years 2001 to 2010. Conditioning on state fixed effects, we find a modest, but statistically significant, positive relationship between Medicaid payment rates and several measures of dental care utilization. We find a comparable effect in aggregate data reported by state Medicaid programs. The most likely explanation for this result is that higher fees increase the number of dentists that accept Medicaid patients. We test this hypothesis directly using data from annual surveys of dentists conducted by the American Dental Association between 1999 and 2009. The results indicate a positive and statistically significant effect of Medicaid payment rates on whether a dentist treats any publicly insured patients and the percent of the practice's patients who have public insurance. Similar to the utilization results, the magnitude of the effect is relatively small. As a result, the estimates imply that increasing Medicaid payments to the level of private market fees would increase access to care, but the incremental cost of the additional visits induced would be very high.
Author: Thomas C. Buchmueller Publisher: ISBN: Category : Economics Languages : en Pages : 48
Book Description
Historically, low Medicaid reimbursement rates have limited the willingness of health care providers to accept Medicaid patients, leading to access problems in many communities. This problem has been especially acute in the case of dental care. We combine data from several sources to examine the effect of payment rates on access to dental care among children on Medicaid and on dentists' participation in the program. The main utilization analysis is based on data from the Survey of Income and Program Participation combined with data on Medicaid payment rates and private market dental fees for the years 2001 to 2010. Conditioning on state fixed effects, we find a modest, but statistically significant, positive relationship between Medicaid payment rates and several measures of dental care utilization. We find a comparable effect in aggregate data reported by state Medicaid programs. The most likely explanation for this result is that higher fees increase the number of dentists that accept Medicaid patients. We test this hypothesis directly using data from annual surveys of dentists conducted by the American Dental Association between 1999 and 2009. The results indicate a positive and statistically significant effect of Medicaid payment rates on whether a dentist treats any publicly insured patients and the percent of the practice's patients who have public insurance. Similar to the utilization results, the magnitude of the effect is relatively small. As a result, the estimates imply that increasing Medicaid payments to the level of private market fees would increase access to care, but the incremental cost of the additional visits induced would be very high.
Author: Thomas C. Buchmueller Publisher: ISBN: Category : Economics Languages : en Pages : 0
Book Description
Historically, low Medicaid reimbursement rates have limited the willingness of health care providers to accept Medicaid patients, leading to access problems in many communities. This problem has been especially acute in the case of dental care. We combine data from several sources to examine the effect of payment rates on access to dental care among children on Medicaid and on dentists' participation in the program. The main utilization analysis is based on data from the Survey of Income and Program Participation combined with data on Medicaid payment rates and private market dental fees for the years 2001 to 2010. Conditioning on state fixed effects, we find a modest, but statistically significant, positive relationship between Medicaid payment rates and several measures of dental care utilization. We find a comparable effect in aggregate data reported by state Medicaid programs. The most likely explanation for this result is that higher fees increase the number of dentists that accept Medicaid patients. We test this hypothesis directly using data from annual surveys of dentists conducted by the American Dental Association between 1999 and 2009. The results indicate a positive and statistically significant effect of Medicaid payment rates on whether a dentist treats any publicly insured patients and the percent of the practice's patients who have public insurance. Similar to the utilization results, the magnitude of the effect is relatively small. As a result, the estimates imply that increasing Medicaid payments to the level of private market fees would increase access to care, but the incremental cost of the additional visits induced would be very high.
Author: Alicia Puente Cackley Publisher: DIANE Publishing ISBN: 1437924174 Category : Health & Fitness Languages : en Pages : 48
Book Description
Children's access to Medicaid dental services is a long-standing concern. Medicaid -- a joint fed. and state program that provides health care coverage, including dental care, for 30 million low-income children -- but, many children in Medicaid experience difficulty finding a dentist who would treat them. At the fed. level, the Centers for Medicare and Medicaid Services (CMS) oversees Medicaid. This report examined: (1) state strategies to monitor and improve access to dental care for children in Medicaid; and (2) CMS actions since 2007 to improve oversight of Medicaid dental services for children. The author surveyed all state Medicaid programs and interviewed state and fed. officials, and dental researchers and associations. Charts and tables.
Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy Publisher: ISBN: Category : Medicaid Languages : en Pages : 236
Author: Matthew. A. Winheim Publisher: ISBN: Category : Languages : en Pages :
Book Description
Background: Regular access to dental services is a well-known factor in the oral health and development of children.1 As such, the United States federal government mandates each state to include dental services for children enrolled in Medicaid through the age of 21. Despite this mandate, the utilization rate of dental services among Medicaid enrolled children has remained remarkably low.2 In July 2005, Virginia implemented a sweeping Medicaid policy reform titled "Smiles for Children" specifically aiming to increase Medicaid pediatric dental utilization rates. The purpose of this study aims to assess the effect of this 2005 policy reform on the utilization of dental services by children enrolled in Medicaid. Objective: The purpose of this study is to examine the impact of the 2005 Virginia Smiles for Children Medicaid policy reform on the utilization of dental services among Medicaid enrolled children. Methods: This was a retrospective cohort study of children (pre-reform n=559,820, post-reform n=690,538) enrolled in Virginia Medicaid from 2002 through 2008. Descriptive statistics and repeated measures multivariate logistic regressions were used to determine the relationship between enrollment (Pre- and Post-policy reform) and the utilization of dental services (1+ Dental Visits vs. No Dental Visits). Results: Descriptive analysis of the cohort found that 34% of pre-reform children had a dental visit while 44% of post-reform children. The logistic regression models revealed that children in the post reform period were 1.39 as likely to have had a dental visit. Stratifying for enrollment length reveals that as the length of exposure time to the post-reform policy increases, the odds of having a dental visit also increase as compared to the pre-reform period: for 31-36 months of enrollment the odds increase 1.54 times. Conclusions: Medicaid policy reform can significantly improve access to dental services for children and can therefore play an important role in promoting public health.
Author: American Dental Association Publisher: American Dental Association ISBN: 1684470552 Category : Medical Languages : en Pages : 186
Book Description
Get paid faster and keep more detailed patient records with CDT 2020: Dental Procedure Codes. New and revised codes fill in the coding gaps, which leads to quicker reimbursements and more accurate record keeping. CDT 2020 is the most up-to-date coding resource and the only HIPAA-recognized code set for dentistry. 2020 code changes include: 37 new codes, 5 revised codes, and 6 deleted codes. The new and revised codes reinforce the connection between oral health and overall health, help with assessing a patient’s health via measurement of salivary flow, and assist with case management of patients with special healthcare needs. Codes are organized into 12 categories of service with full color charts and diagrams throughout, in spiral bound format for easy searching. Includes a chapter on ICD-10-CM codes. CDT 2020 codes go into effect on January 1, 2020 – don’t risk rejected claims by using outdated codes.
Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy Publisher: ISBN: Category : Family & Relationships Languages : en Pages : 216
Author: National Research Council Publisher: National Academies Press ISBN: 0309209463 Category : Medical Languages : en Pages : 296
Book Description
Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.
Author: Thomas C. Buchmueller
Author: Thomas C. Buchmueller
Author: Thomas C. Buchmueller
Author: Alicia Puente Cackley
Author: W. Steven Barnett
Author: 
Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy
Author: Matthew. A. Winheim
Author: American Dental Association
Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy
Author: National Research Council