Should Medicaid include adult coverage for preventive dental procedures? What evidence is needed?
Should Medicaid include adult coverage for preventive dental procedures? What evidence is needed?
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DOI：
10.1016/j.adaj.2020.05.005
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发表时间：
2020-08-01
影响因子：
3.9
通讯作者：
Huang, Shulamite S.
中科院分区：
文献类型：
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作者：
Huang, Shulamite S.
背景医疗补助计划可能有一个显着的财政激励，以提供成本效益的预防性牙科手术的成人保险，因为他们面临的牙科疾病的灾难性成本的责任。是否有足够的证据支持成人医疗补助覆盖的预防性牙科服务是不清楚的。使用一个最佳的保险模型，作者研究了有什么证据支持医疗补助计划中具有成本效益的预防性牙科服务的覆盖范围，以及有什么证据差距。没有足够的证据支持成人医疗补助覆盖的预防性牙科程序。需要进行更多的研究，以确定从医疗补助的角度来看具有成本效益的预防性牙科手术，量化牙科预防对牙科相关医疗保健成本和整体医疗保健成本的影响，并量化患者方和提供者方的经济激励对特定预防性牙科治疗的影响。
Background. Medicaid programs may have a salient financial incentive to provide adult coverage for cost-effective preventive dental procedures because they face responsibility for catastrophic costs of dental disease. Whether there is sufficient evidence to support adult Medicaid coverage of preventive dental services is unclear.Methods. Using an optimal insurance model, the author examines what evidence there is to support coverage of cost-effective preventive dental services in Medicaid and what evidence gaps remain.Results. There is insufficient evidence to support adult Medicaid coverage for preventive dental procedures.Conclusions. More research is needed to identify preventive dental procedures that are cost-effective from a Medicaid perspective, quantify the impact dental prevention has on dental related health care costs and overall health care costs, and quantify the impact patient-side and provider-side financial incentives have on take-up of specific preventive dental treatments.