Measuring What Matters

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1 Measuring What Matters Access to Dental Care in Oregon Marko Vujicic, PhD Chief Economist & Vice President Health Policy Institute American Dental Association

2 The ADA Health Policy Institute 2017 American Dental Association. All Rights Reserved. 2

3 The ADA Health Policy Institute 2017 American Dental Association. All Rights Reserved. 3

4 Today 1. Review key oral health outcomes in Oregon compared to other states 2. Present new analysis on access to dental care in Oregon 3. Give you my takeaways on where policy makers should be putting more focus 2017 American Dental Association. All Rights Reserved. 4

5 Dental Care Use 2017 American Dental Association. All Rights Reserved. 5

6 Dental Care Use 2017 American Dental Association. All Rights Reserved. 6

7 Dental Care Use 2017 American Dental Association. All Rights Reserved. 7

8 Oral Health & Well-Being for Adults 2017 American Dental Association. All Rights Reserved. 8

9 Oral Health & Well-Being for Adults 2017 American Dental Association. All Rights Reserved. 9

10 Barriers to Dental Care for Adults 2017 American Dental Association. All Rights Reserved. 10

11 New Data-Driven Insights 2017 American Dental Association. All Rights Reserved. 11

12 Supply of Dentists 2017 American Dental Association. All Rights Reserved. 12

13 Supply of Dentists 2017 American Dental Association. All Rights Reserved. 13

14 Geographic Access 2017 American Dental Association. All Rights Reserved. 14

15 Geographic Access 2017 American Dental Association. All Rights Reserved. 15

16 Geographic Access 9% of publicly insured children do not have a Medicaid or CHIP dentist within a 15 minute travel time 74% of publicly insured children live in areas with more than one Medicaid or CHIP dentist within a 15 minute travel time for every 500 publicly insured children 15% of publicly insured children live in areas with one Medicaid or CHIP dentist within a 15 minute travel time for every 500 to 2,000 publicly insured children 2% of publicly insured children live in areas with less than one Medicaid or CHIP dentist within a 15 minute travel time for every 2,000 publicly insured children 2017 American Dental Association. All Rights Reserved. 16

17 Geographic Access 2017 American Dental Association. All Rights Reserved. 17

18 Geographic Access 6% of the population do not have a dentist within a 15 minute travel time 74% of the population live in areas with more than one dentist within a 15 minute travel time for every 2,500 people 14% of the population live in areas with one dentist within a 15 minute travel time for every 2,500 to 5,000 people 7% of the population live in areas with less than one dentist within a 15 minute travel time for every 5,000 people 2017 American Dental Association. All Rights Reserved. 18

19 Geographic Access 2017 American Dental Association. All Rights Reserved. 19

20 Reimbursement in Medicaid 2017 American Dental Association. All Rights Reserved. 20

21 Reimbursement in Medicaid 2017 American Dental Association. All Rights Reserved. 21

22 Reimbursement in Medicaid 2017 American Dental Association. All Rights Reserved. 22

23 Reimbursement in Medicaid 2017 American Dental Association. All Rights Reserved. 23

24 Key Takeaways What We Learned Geographic coverage of dental care providers is quite extensive The supply of dentists is expected to grow steadily in the coming years Dental care use is low among publicly insured children Main barriers to dental care among adults relate to cost and fear, not lack of providers What This Means Need to focus less on supply interventions, more on navigation interventions (e.g. connecting members to a dental home, nudging diabetics into routine dental care) Need to re-examine adult dental benefit design so that is focuses much more on oral health outcomes Need to accelerate innovations in payment and care delivery models that focus on outcomes 2017 American Dental Association. All Rights Reserved. 24

25 Thank ADA.org/HPI 2017 American Dental Association. All Rights Reserved. 25

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