2006 National Oral Health Conference Medicaid Reform Panel. May 1, 2006 Little Rock, Arkansas
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1 Medicaid Reform Panel May 1, 2006 Little Rock, Arkansas
2 Medicaid Reform Panel Richard J. Manski, D.D.S., M.B.A., Ph.D Professor and Director Division of Health Services Research Department of Health Promotion and Policy University of Maryland Dental School
3 Utilization Treatment Does coverage matter How much is enough What s Next
4 Percent population with a dental visit! 2006 National Oral Health Conference
5 100% 80% 60% 40% 20% 0% Percent Population with a Visit! 41.1% 42.4% 43.2% Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May 2001.
6 Visits Per Person! Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May
7 Percent Population with a Visit by Age! Under plus Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May 2001.
8 Percent Population with a Visit by Income! Poor Low Middle High Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May 2001.
9 55% 50% 45% 40% 35% 30% 25% 20% Percent Population with a Visit by Race! Hispanic Black White Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May 2001.
10 Percent Population with a Visit by Education! Some High School College Source: Manski, R.J., Moeller, J.F. and Maas, W. Dental Services: An Analysis of Utilization Over Twenty Years, Journal of the American Dental Association, 132(5): , May 2001.
11 Dental treatment, treatment & treatment! 2006 National Oral Health Conference
12 Procedure Type as a Percentage of All Dental Procedures, % 30% 20% 10% 0% Diagnostic 35.2% Preventive 29.6% Restorative 9.6% 8.3% Prosthetic Periodontic 1.0% Endodontic 7.90% 4.60% 2.4% 1.40% Oral Surgery Orthodontic Other Source: Manski, R.J. and Moeller, J.F., Dental Services: An Analysis of Visits, Procedures and Providers, 1996, Journal of the American Dental Association, 133(2): , February 2002.
13 Population with Private Dental Coverage by Race, United States, % 60% 40% 20% 0% 42% 34% 56% Black Hispanic White Source: Manski, R.J., Macek, M.D., and Moeller, J.F., Private Dental Coverage: Who Has it and How Does it Influence Dental Visits and Expenditures? Journal of the American Dental Association, 133(11): , November 2002.
14 Population with Private Dental Coverage by Income, United States, % 80% 60% 40% 20% 0% 14% 33% 61% Poor Low Income Middle Income 70% High Income Source: Manski, R.J., Macek, M.D., and Moeller, J.F., Private Dental Coverage: Who Has it and How Does it Influence Dental Visits and Expenditures? Journal of the American Dental Association, 133(11): , November 2002.
15 Population with a Visit by Private Dental Coverage, United States, % 50% 40% 30% 20% 10% 0% 56.6% With Coverage 28.6% Without Coverage Source: Manski, R.J., Macek, M.D., and Moeller, J.F., Private Dental Coverage: Who Has it and How Does it Influence Dental Visits and Expenditures? Journal of the American Dental Association, 133(11): , November 2002.
16 Population with a Visit by Race and Private Dental Coverage, United States, % 80% 60% 40% 20% 0% 37% 46% 15% 17% Source: Manski, R.J., Macek, M.D., and Moeller, J.F., Private Dental Coverage: Who Has it and How Does it Influence Dental Visits and Expenditures? Journal of the American Dental Association, 133(11): , November % Black Hispanic White 33% With Coverage No Coverage
17 Population with a Visit by Income and Private Dental Coverage, United States, % 80% 60% 40% 20% 0% 43% 43% 20% 22% 55% Source: Manski, R.J., Macek, M.D., and Moeller, J.F., Private Dental Coverage: Who Has it and How Does it Influence Dental Visits and Expenditures? Journal of the American Dental Association, 133(11): , November % Poor Low Income Middle Income 63% 42% High Income With Coverage No Coverage
18 Policy implications What does this all mean? What next?
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Dental Plans for All Employers
Delta Dental of Nebraska 2018 Plans: Delta Dental PPO plus Premier - Dental Access Delta Dental PPO plus Premier - Millennium Choice Delta Dental PPO plus Premier - Dental Flex Delta Dental PPO plus Premier