scholarly journals Billed and Paid Amounts for Preventive Procedures in Dental Medicaid

2019 ◽  
Vol 4 (4) ◽  
pp. 371-377 ◽  
Author(s):  
K. Wagner ◽  
A. Szabo ◽  
C. Zheng ◽  
E. Okunseri ◽  
C. Okunseri
Keyword(s):  
American Indians ◽  
Consumer Price Index ◽  
Performance Measure ◽  
Dental Services ◽  
Preventive Dental Care ◽  
Dental Procedures ◽  
Dental Practices ◽  
Preventive Dental ◽  
Bureau Of Labor Statistics ◽  
Over Time

Objective: To examine trends and variations in billed and paid amounts for preventive dental procedures by race/ethnicity, age, and sex in Wisconsin dental Medicaid. Methods: We analyzed data from the 2001 to 2013 Wisconsin Medicaid claims database for preventive dental procedures for children and adults. Billed and paid amounts for preventive dental procedures were aggregated over a visit and adjusted for inflation based on the Medical Care Consumer Price Index produced by the Bureau of Labor Statistics for 2013. Quantile regression was used to examine the trends over time and the effect of patient demographics. Result: At the 50th and 75th percentiles, the overall billed amounts for preventive dental procedures were $84.97 and $105.53, and the paid amounts were $35.80 and $41.66, respectively. At the 75th percentile, there was a $2.24 increase per year in the billed amount and a $26.88 overall increase from 2001 to 2013. In the paid amount, there was a $1.34 decrease per year for an overall $16.07 decrease from 2001 to 2013. Billed and paid claims for racial/ethnic minority enrollees were $1 to $3 higher per visit at the 75th percentile when compared with those of Whites. Regarding the billed:paid ratio, White, African American, and Hispanic enrollees had values of 50% to 52%, whereas American Indians had the lowest value at 47.7%. At the 75th percentile, children aged 10 to 19 y had significantly higher billed ($26.73) and paid ($9.92) amounts than did adults aged 20 to 69 y. Conclusion: The billed amount increased over time, and the paid amount decreased after adjustment for inflation. In addition, there was a wide gap between billed and paid amounts over time. Knowledge Transfer Statement: This study highlights clear differences between paid and billed amounts in Wisconsin dental Medicaid. The financial health of dental practices is dependent on appropriate reimbursement for dental services provided; thus, information of this nature could serve as a proxy performance measure for access to preventive dental care. Findings from this study could be used by policy makers and dental Medicaid program managers to develop outcome metrics to improve access to preventive dental services.

scholarly journals Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Bussma Ahmed Bugis
Keyword(s):  
Dental Caries ◽  
Low Income ◽  
Dental Care ◽  
Outcome Evaluation ◽  
Medicaid Program ◽  
Dental Services ◽  
Preventive Dental Care ◽  
Preventive Dental ◽  
Dental Benefits ◽  
The Impact

Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2–11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this overview is to measure the impact of Medicaid dental benefits on reducing oral health disparities among Medicaid-eligible children. This paper explains the importance of preventive dental care, children at high risk of dental caries, Medicaid dental benefits, utilization of dental preventive services by Medicaid-eligible children, dental utilization influencing factors, and outcome evaluation of Medicaid in preventing dental caries among children. In conclusion, despite the recent increase of children enrolled in Medicaid, utilizing preventive dental care is still a real challenge that faces Medicaid.

scholarly journals Clinician and Patient Factors Influencing Treatment Decisions: Ethnographic Study of Antibiotic Prescribing and Operative Procedures in Out-of-Hours and General Dental Practices

Antibiotics ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. 575 ◽  
Author(s):  
Wendy Thompson ◽  
Rosemary McEachan ◽  
Susan Pavitt ◽  
Gail Douglas ◽  
Marion Bowman ◽  
...  
Keyword(s):  
Ethnographic Study ◽  
Antibiotic Prescribing ◽  
Patient Factors ◽  
Dental Services ◽  
Out Of Hours ◽  
Factors Influencing ◽  
Dental Procedures ◽  
Temporary Treatment ◽  
Contextual Elements ◽  
Dental Practices

Operative treatment is indicated for most toothache/dental abscesses, yet antibiotics instead of procedures are often prescribed. This ethnographic study aimed to identify clinician and patient factors influencing urgent dental care for adults during actual appointments; and to identify elements sensitive to context. Appointments were observed in out-of-hours and general dental practices. Follow-up interviews took place with dentists, dental nurses, and patients. Dentist and patient factors were identified through thematic analysis of observation records and appointment/interview transcripts. Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. Contextually sensitive elements were revealed by comparing the factors between settings. In total, thirty-one dentist factors and nineteen patient factors were identified. Beliefs about antibiotics, goals for the appointment and access to dental services were important for both dentists and patients. Dentist factors included beliefs about the lifetime impact of urgent dental procedures on patients. Patient factors included their communication and negotiation skills. Contextual elements included dentists’ concerns about inflicting pain on regular patients in general dental practice; and patients’ difficulties accessing care to complete temporary treatment provided out of hours. This improved understanding of factors influencing shared decisions about treatments presents significant opportunity for new, evidence-based, contextually sensitive antibiotic stewardship interventions.

Covid-19 and its financial effects on the dental fraternity and health-care workers: A literature review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Dental Procedures ◽  
Care Workers ◽  
Dental Practices ◽  
Precautionary Measures ◽  
The Government ◽  
Set Up

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.

Does What We See Shape History? Examining Workload History as a Function of Performance and Ambient/Focal Visual Attention

2021 ◽  
Vol 18 (2) ◽  
pp. 1-17
Author(s):  
Shannon P. Devlin ◽  
Jennifer K. Byham ◽  
Sara Lu Riggs
Keyword(s):  
Visual Attention ◽  
Eye Tracking ◽  
Performance Measure ◽  
Task Demands ◽  
Unexpected Finding ◽  
Impact Performance ◽  
History Effects ◽  
And Performance ◽  
Workload History ◽  
Over Time

Changes in task demands can have delayed adverse impacts on performance. This phenomenon, known as the workload history effect, is especially of concern in dynamic work domains where operators manage fluctuating task demands. The existing workload history literature does not depict a consistent picture regarding how these effects manifest, prompting research to consider measures that are informative on the operator's process. One promising measure is visual attention patterns, due to its informativeness on various cognitive processes. To explore its ability to explain workload history effects, participants completed a task in an unmanned aerial vehicle command and control testbed where workload transitioned gradually and suddenly. The participants’ performance and visual attention patterns were studied over time to identify workload history effects. The eye-tracking analysis consisted of using a recently developed eye-tracking metric called coefficient K , as it indicates whether visual attention is more focal or ambient. The performance results found workload history effects, but it depended on the workload level, time elapsed, and performance measure. The eye-tracking analysis suggested performance suffered when focal attention was deployed during low workload, which was an unexpected finding. When synthesizing these results, they suggest unexpected visual attention patterns can impact performance immediately over time. Further research is needed; however, this work shows the value of including a real-time visual attention measure, such as coefficient K , as a means to understand how the operator manages varying task demands in complex work environments.

scholarly journals Factors associated with seeking preventive dental care: an integrative model exploration of behaviors in Mexican immigrants in Midwest America

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jonathan T. Macy ◽  
Elizabeth A. S. Moser ◽  
Adam T. Hirsh ◽  
Patrick O. Monahan ◽  
George J. Eckert ◽  
...  
Keyword(s):  
Dental Care ◽  
Mexican Immigrants ◽  
Integrative Model ◽  
Preventive Dental Care ◽  
Factors Associated ◽  
Preventive Dental

scholarly journals Emergency Drug Kits: Pharmacological and Technical Considerations

2014 ◽  
Vol 61 (4) ◽  
pp. 171-179 ◽  
Author(s):  
Daniel E. Becker
Keyword(s):  
Adverse Events ◽  
Continuing Education ◽  
General Anesthesia ◽  
Intraoperative Monitoring ◽  
Preoperative Assessment ◽  
Procedural Sedation ◽  
Dental Procedures ◽  
Dental Practices ◽  
Emergency Drugs ◽  
Technical Considerations

Abstract The risk for complications while providing dental procedures is greatest when caring for patients having significant medical compromise. It is comforting that significant adverse events can generally be prevented by careful preoperative assessment, along with attentive intraoperative monitoring and support. Nevertheless, the office team must be prepared to manage untoward events should they arise. This continuing education article will address basic emergency drugs that should be available in all dental practices and additional agents that become essential for those practices providing various levels of procedural sedation or general anesthesia.

scholarly journals Provision of Preventive Dental Services in Children Enrolled in Medicaid by Nondental Providers

PEDIATRICS ◽  
2016 ◽  
Vol 137 (2) ◽  
pp. e20153436-e20153436 ◽  
Author(s):  
T. Arthur ◽  
R. G. Rozier
Keyword(s):  
Dental Services ◽  
Preventive Dental
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