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Oral Health Screening by MassHealth Accountable Care Organizations: An opportunity for equity-focused interventions. | LitMetric

AI Article Synopsis

  • Establishing access to dental services for publicly insured patients is crucial for equitable oral health care, especially under the new expectations from MassHealth in 2023.
  • A new oral health screening requirement aims to identify MassHealth patients lacking reliable dental care and assist them in finding a primary dentist.
  • Data collected from the first year of the program highlights the need for better coordination in care and options for telehealth, guiding equity-focused interventions with possible policy impacts.

Article Abstract

Establishing reliable access to dental services for publicly insured patients is an important part of achieving equitable oral health care. In 2023, an oral health screening requirement was added to the MassHealth Accountable Care Organization contract, which has the capacity to affect over 1.3 million members enrolled in MassHealth Accountable Care Organizations throughout the state. The goal of the oral health screening requirement is to identify MassHealth-insured patients who do not have reliable access to dental services and to provide them with resources to establish a dental home with a MassHealth-participating dentist. Primary care providers were surveyed, and results indicate a need for a care coordination mechanism to assist MassHealth-insured patients with establishing a dental home, in addition to an option to request telehealth-enabled and/or urgent dental appointments. This report describes the oral health screening program at one MassHealth Accountable Care Organization and presents some of the data collected during the first year of its implementation, in addition to discussing how this data is being used to guide equity-focused interventions with the potential for policy implications.

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