Charitable dental services and Medicaid dentistry are two components of services provided to patients with limited financial resources. An approach to making the case for improvements in Medicaid dentistry may best be made by increasing the public's awareness of the charitable services provided by individual dentists.
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Benefit Design and Access to Dental Care Among Seniors With Medicare Advantage Dental Benefits.
JAMA Health Forum
January 2025
Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.
Importance: Although Medicare Advantage plans frequently offer dental benefits, enrollees report lower rates of dental care use and higher rates of unmet dental need compared with individuals with employer-sponsored benefits. It is unknown which attributes of Medicare Advantage dental plans are associated with enhanced dental care access.
Objective: To determine attributes of Medicare Advantage dental plans associated with higher rates of dental care use and lower rates of unmet dental need.
Multilevel intervention for follow-up of abnormal FIT in the safety-net: IMProving Adherence to Colonoscopy through Teams and Technology (IMPACTT).
Contemp Clin Trials
January 2025
Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA; Action Research Center for Health Equity, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, California, USA; School of Medicine, University of California San Francisco, San Francisco, California, USA. Electronic address:
Background: Fecal immunochemical testing (FIT) is a widely used first step for colorectal cancer (CRC) screening. Abnormal FIT results require a colonoscopy for screening completion and CRC diagnosis, but the rate of timely colonoscopy is low, especially among patients in safety-net settings. Multi-level factors at the clinic- and patient-levels influence colonoscopy completion after an abnormal FIT.
View Article and Find Full Text PDFImmediate postplacental intrauterine device placement: retrospective cohort study of expulsion and associated risk factors.
AJOG Glob Rep
February 2025
Department of Obstetrics and Gynecology, University of Rochester Medical Center, University of Rochester School of Medicine and Dentistry, Rochester, NY (Leubner, Levandowski, Mikami, and Betstadt).
Background: Postpartum contraception is typically provided during postpartum visits. When desired and accessible, the immediate postpartum period provides an additional opportunity to increase the use of more effective contraceptive methods to potentially reduce subsequent unintended pregnancies and improve pregnancy outcomes. In New York State, recent policy changes expanded Medicaid coverage to include immediate postplacental intrauterine device insertion.
View Article and Find Full Text PDFRisk of Hospitalization Among Assisted Living Residents Dually Enrolled in Medicare and Medicaid.
J Am Med Dir Assoc
December 2024
Center for Equity in Aging, Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Objectives: To examine how risk of hospitalization among assisted living (AL) residents differs by dual enrollment in Medicare and Medicaid and by the percent of dually enrolled individuals in an AL community.
Design: Retrospective cohort study.
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Designing episode of care bundles to improve children's oral health care.
J Public Health Dent
December 2024
College of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
Article Synopsis
- The study explores the potential of value-based payment (VBP) models in dentistry, specifically through the design of oral health episode of care (EOC) bundles aimed at improving oral health for children.
- Two preventive EOC bundles for children were developed with input from dental experts, and a retrospective analysis was conducted on Medicaid-enrolled children in Arizona over a 12-year period.
- Results showed that while a significant number of children participated in preventive dental visits, completion rates for the designed EOC bundles were reasonably high, indicating that such models could enhance oral health care delivery.
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