Health Policy Institute Some Thoughts on Future Payment and Delivery Models
Marko Vujicic, PhD Chief Economist & Vice President Health Policy Institute
The ADA Health Policy Institute
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Part 1:
Historical Data
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Dentist Earnings
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Dentist Earnings
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Dentist Earnings
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Dentist Earnings
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Dentist Earnings
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Total Dental Spending
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Dental Care Use
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Dental Care Use
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Dental Care Use
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Dental Care Use
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The Dividing Line….age 18
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Dental Benefits Coverage
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Dental Benefits Coverage
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Reasons for Dental Care Non-Use
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Part 2:
A Look Forward
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Dentist Supply Will Grow
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Dental Spending Will Not Historical Annual Per Capita Dental Spending Growth Rates 5.0% 4.0%
5.0% 3.9%
1.8%
2.0%
Most Conservative (Projected)
4.0%
3.0%
1.0%
3.0%
Least Conservative (Projected)
2.0%
Middle Scenario (Projected)
1.0%
0.0% -1.0%
Projected Future Annual Per Capita Dental Spending Growth Rates
1.3% 0.2%
0.6% 0.1%
0.4%0.2%
0.0% 1996-2002
2002-2007
-0.3% 2007-2010
Source: Centers for Medicare and Medicaid Services; U.S. Bureau of Economic Analysis; U.S. Census Bureau.
-1.0%
2010-2020
2020-2030
0.0%0.2%0.1%
2030-2040
Source: 1996-2010 Medicaid Expenditure Panel Survey (MEPS), AHRQ. 2012 U.S. Census National Population Projections. © 2014 American Dental Association. All Rights Reserved.
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Medicaid Expansion
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Medicaid Expansion
Source: ADA Health Policy Resources Center analysis of State Medicaid Policies, Kaiser Family Foundation. Notes: We examined the Medicaid benefits offered by each state to determine the type of dental benefits provided to enrolled adults. States typically post benefits information on their state Medicaid website, or in a statement of benefits. We classified each state’s adult Medicaid dental benefits into one of four categories: extensive dental benefits, limited dental benefits, emergency dental benefits, and no dental benefits. While there is no clearly defined, well-established method for classifying adult Medicaid dental benefits, these categories are consistent with previous methodology developed by the ADA. We calculated the potential percentage change in adults eligible for Medicaid by dividing the number of adults potentially eligible for Medicaid in 2014 as determined by the Kaiser Family Foundation by the number of adults enrolled in Medicaid in 2010, by state. © 2014 American Dental Association. All Rights Reserved.
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Reasons for Dental Care Non-Use
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Adult Medicaid Reimbursement
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Emphasis on Value
Source: Dowling M. The Journey to Excellence. AHRQ Webinar. July 16, 2010 qtd. In Glassman P. Oral Health Quality Improvement in the Era of Accountability. Pacific Center for Special Care. 2011.
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Leveraging the Value Agenda
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An Expanded Role for the Dental Practice
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An Expanded Role for the Dental Practice
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Concluding Thoughts 1. Is a general dentist a ‘General’? 2. Are dental care delivery set up for Medicaid? 3. Is dental care ‘essential’?
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Thank You!
For more information on the Health Policy Institute please visit:
ada.org/hpi To inquire about speaking engagements or custom data analytics please contact:
[email protected]
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