president of the Health Policy Institute, Marko Vujicic, argued that the oral health
care system was “stuck” and that major expansions in use and improved oral health
for those in greatest need would not come from adherence to the existing system of
financing and delivery of care.
JADA. 2018; 149: 167-169
He identified 4 actions for change: address the dental coverage gap; define and systematically
measure oral health; tie reimbursement, partly, to outcomes; and reform the care delivery
model.
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References
Our dental care system is stuck: and here is what to do about it.
JADA. 2018; 149: 167-169
Medicaid enrollment changes following the ACA. Medicaid and CHIP Payment and Access Commission. Accessed November 4, 2022. https://www.macpac.gov/subtopic/medicaid-enrollment-changes-following-the-aca
Mark Farrah Associates. April 21, 2022.
Percentage of eligibles who received preventive dental services: ages 1 to 20. Medicaid.gov.
Nasseh K, Fosse C, Vujicic M. Dentists who participate in Medicaid: who they are, where they locate, how they practice [published online ahead of print July 15, 2022]. Med Care Res Rev. doi: 10.1177/10775587221108751.
Consolidation in the dental industry: a closer look at dental payers and providers.
Int J Health Econ Manag. 2020; 20: 145-162
Delivery of oral health care in the United States.
in: Mascarenhas A.K. Okunseri C. Dye B.A. Burt and Eklund’s Dentistry, Dental Practice, and the Community. 7th ed. Elsevier,
2019: 36-44Dentists of tomorrow 2022: an analysis of the results of the ADEA 2022 survey of U.S. dental school seniors.
J Dent Educ. 2022; 86: 1405-1417
The consolidation curve.
Harvard Business Review. December 2002;
Healthcare mergers and acquisitions: strategies for consolidation.
Front Health Care Manage. 2011; 27: 3-12
Research Brief. Estimating the impact of Medicaid expansions on dentist supply.
American Dental Association, Health Policy Institute,
August 2021The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care.
Health Econ. 2022; 31: 1103-1128
Impacts of innovation in dental care delivery and payment in Medicaid managed care for children and adolescents.
BMC Health Serv Res. 2021; 21: 565
How big are dental service organizations? American Dental Association, Health Policy Institute.
Risk-based, 6-monthly and 24-monthly dental check-ups for adults: the INTERVAL three arm RCT.
Health Technol Assess. 2020; 24: 1-138
Biography
Dr. Shirtcliff is the president, RMS Consulting, Redmond, OR.
Biography
Dr. Milgrom is an emeritus professor of oral health sciences, University of Washington, Seattle, WA.
Article info
Publication history
Published online: February 08, 2023
Publication stage
In Press Corrected Proof
Footnotes
Commentaries represent the opinions of the author and not necessarily those of the American Dental Association.
Disclosures. Drs. Shirtcliff and Milgrom did not report any disclosures.
Identification
DOI: https://doi.org/10.1016/j.adaj.2023.01.003
Copyright
© 2023 American Dental Association. All rights reserved.
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