Featured Research

from universities, journals, and other organizations

Higher U.S. Medicaid payments to dentists associated with increased rate of dental care among children

Date:
July 12, 2011
Source:
JAMA and Archives Journals
Summary:
Children and adolescents from states that had higher Medicaid payment levels to dentists between 2000 and 2008 were more likely to receive dental care, although children covered by Medicaid received dental care less often than children with private insurance, according to a new study.

Children and adolescents from states that had higher Medicaid payment levels to dentists between 2000 and 2008 were more likely to receive dental care, although children covered by Medicaid received dental care less often than children with private insurance, according to a study in the July 13 issue of JAMA.

According to background information in the article, more than one-third of children are covered by public health insurance, primarily Medicaid and the Children's Health Insurance Program (CHIP). Coverage of dental care for children and adolescents covered by Medicaid and CHIP is required, although states have wide latitude in setting payment rates for providers including dentists, with these rates varying greatly by state. Medicaid recipients may not be able to access dental care if dentists decline to participate in Medicaid because of low payment levels or other reasons. Little is known about the effect of state dental fees on participation of dentists in the Medicaid program.

Sandra L. Decker, Ph.D., of the Centers for Disease Control and Prevention, Hyattsville, Md., conducted a study to examine the association of state Medicaid payment rates for dental care with the receipt of dental care among children covered by Medicaid. The study included data on Medicaid dental fees in 2000 and 2008 for 42 states plus the District of Columbia, and these data were merged with data from 33,657 children and adolescents (ages 2-17 years) in the National Health Interview Survey (NHIS) for the years 2000-2001 and 2008-2009.

Of the 42 states plus the District of Columbia considered in the analyses, the 2008 Medicaid dental fees were lower than the (inflation-adjusted) 2000 fees in 23 states. Payment levels to dentists in 2008 were higher than in 2000 in 19 states plus the District of Columbia. In five states (Connecticut, Indiana, Montana, New York, and Texas) plus the District of Columbia, payments increased by at least 50 percent between 2000 and 2008.

The researchers found that the probability that a child or adolescent had seen a dentist in the past 6 months varied by insurance source. In 2008-2009, children and adolescents covered by Medicaid were less likely (55 percent) than children with private insurance (68 percent) to have seen a dentist in the past 6 months, but were more likely to have seen a dentist than children or adolescents without insurance (27 percent). According to the author's, "children were about 6 percentage points more likely to have seen a dentist in 2008-2009 than in 2000-2001. … Those covered by Medicaid or CHIP were about 13 percentage points and uninsured children were about 40 percentage points less likely than children with private insurance to have seen a dentist."

"Changes in state Medicaid dental payment fees between 2000 and 2008 were positively associated with use of dental care among children and adolescents covered by Medicaid. For example, a $10 increase in the Medicaid prophylaxis payment level (from $20 to $30) was associated with a 3.92 percentage point increase in the chance that a child or adolescent covered by Medicaid had seen a dentist," the authors write.

"As future expansions in Medicaid eligibility and insurance coverage more generally are contemplated and possibly implemented, more attention to the effects of provider payment policies on access to care, quality of care, and health outcomes may be warranted."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. S. L. Decker. Medicaid Payment Levels to Dentists and Access to Dental Care Among Children and Adolescents. JAMA: The Journal of the American Medical Association, 2011; 306 (2): 187 DOI: 10.1001/jama.2011.956

Cite This Page:

JAMA and Archives Journals. "Higher U.S. Medicaid payments to dentists associated with increased rate of dental care among children." ScienceDaily. ScienceDaily, 12 July 2011. <www.sciencedaily.com/releases/2011/07/110712162820.htm>.
JAMA and Archives Journals. (2011, July 12). Higher U.S. Medicaid payments to dentists associated with increased rate of dental care among children. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/2011/07/110712162820.htm
JAMA and Archives Journals. "Higher U.S. Medicaid payments to dentists associated with increased rate of dental care among children." ScienceDaily. www.sciencedaily.com/releases/2011/07/110712162820.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How Nigeria Beat Its Ebola Outbreak

How Nigeria Beat Its Ebola Outbreak

Newsy (Oct. 20, 2014) The World Health Organization has declared Nigeria free of Ebola. Health experts credit a bit of luck and the government's initial response. Video provided by Newsy
Powered by NewsLook.com
Another Study Suggests Viagra Is Good For The Heart

Another Study Suggests Viagra Is Good For The Heart

Newsy (Oct. 20, 2014) An ingredient in erectile-dysfunction medications such as Viagra could improve heart function. Perhaps not surprising, given Viagra's history. Video provided by Newsy
Powered by NewsLook.com
Ebola Worries End for Dozens on U.S. Watch Lists

Ebola Worries End for Dozens on U.S. Watch Lists

Reuters - US Online Video (Oct. 20, 2014) Forty-three people who had contact with Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., were cleared overnight of twice-daily monitoring after 21 days of showing no symptoms. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com
Beijing Marathon Runners Brave Hazardous Air Pollution

Beijing Marathon Runners Brave Hazardous Air Pollution

AFP (Oct. 19, 2014) Tens of thousands of runners battled thick smog at the Beijing Marathon on Sunday, with some donning masks as the levels of PM2.5 small pollutant particles soared to 16 times the maximum recommended level. Duration: 00:54 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins