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Medicaid Managed Care and Pediatric Dental Emergency Department Visits.
JAMA Health Forum
June 2024
RAND Corporation, Arlington, Virginia.
Importance: Millions of economically disadvantaged children depend on Medicaid for dental care, with states differing in whether they deliver these benefits using fee-for-service or capitated managed care payment models. However, there is limited research examining the association between managed care and the accessibility of dental services.
Objective: To estimate the association between the adoption of managed care for dental services in Florida's Medicaid program and nontraumatic dental emergency department visits and associated charges.
Policy interventions to improve the accessibility and affordability of Dutch dental care. A scoping review of effective interventions.
Heliyon
May 2024
Talma Instituut, Vrije Universiteit Amsterdam, Faculty of Social Sciences, De Boelelaan 1105, 1081, HV Amsterdam, Noord-Holland, the Netherlands.
Caries and periodontitis remain prevalent in the Netherlands. Given the assumption that increasing the accessibility and affordability of dental care can improve oral health outcomes, policy interventions aimed at improving these aspects may contribute to better oral health. To identify possible solutions, this scoping review firstly identifies policy interventions from around the world that have effectively improved the accessibility or affordability of dental care.
View Article and Find Full Text PDFThe objective of this study was to examine dental providers' familiarity with and attitudes toward alternative payment models (APMs) in a value-based care (VBC) delivery model. The authors analyzed responses to questions pertaining to VBC and APMs from a survey conducted between March and April 2021. Responses were stratified by age, race, practice location, practice type, and provider specialty using descriptive and inferential analysis, including Pearson chi-square or Fisher exact test.
View Article and Find Full Text PDFDentists´ and Dental Hygienists´ experiences of the Capitation Contract System-the dilemma of conflicting loyalties.
BDJ Open
June 2022
Karolinska Institutet, Department of Dental Medicine, Division of Oral Diseases, Huddinge, Sweden.
Objective: The Capitation Contract system (CCS) is a payment model adopted by the Swedish Public Dental Health Service (PDHS). Patients enrolled in the CCS are usually assessed as being at lower risk of dental disease and are more regular dental attenders than those treated by Fee for Service (FFS). With increasing numbers of patients and CCS enrolments, Sweden faces a shortage of dental personnel.
View Article and Find Full Text PDFSystematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective.
Healthcare (Basel)
August 2021
School of Human Sciences, University of Western Australia, Perth 6009, Australia.
The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list and sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, and other methods. The inclusion criteria were peer reviewed articles published between 2004 and 2020 and (i) other countries' health systems that were evaluated in contrast to Australia; (ii) care provided to individuals; (iii) payment models for private services that were the same as Australian government policy (CF and FFS); and (iv) care provided by dentists.
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