The Impact of the Affordable Care Act's Dependent Coverage Mandate on Use of Dental Treatments and Preventive Services.
The Impact of the Affordable Care Act's Dependent Coverage Mandate on Use of Dental Treatments and Preventive Services.
复制标题
《平价医疗法案》的家属保险强制规定对使用牙科治疗和预防服务的影响。
DOI：
10.1097/mlr.0000000000000775
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发表时间：
2017
期刊：
影响因子：
3
通讯作者：
Wehby,GeorgeL
中科院分区：
文献类型：
--
作者：
Shane,DanM;Wehby,GeorgeL
背景：口腔健康问题是儿童和年轻人的主要慢性疾病。缺乏牙科保险被认为是护理的一个重要障碍，但很少有经验证据表明私人牙科保险对使用牙科服务的因果关系。我们探索牙科保险和牙科服务利用率之间的关系，分析一个自然实验，增加私人牙科保险源于平价医疗法案（ACA）依赖的覆盖mandate.Objectives：To评估是否增加私人牙科保险由于ACA依赖的覆盖医疗保险任务的溢出效应影响了一组受影响的年轻人之间的牙科服务的利用率。Data：2006-2013 Medical Expenditure Panel Surveys.我们使用了差异中的差异回归方法，比较了受政策影响的25岁奥尔兹与未受政策影响的27岁奥尔兹的牙科保健利用率变化。我们评估了对牙科治疗和预防服务的影响结果：与27岁的奥尔兹相比，25岁的奥尔兹人在授权后的3年内拥有私人牙科保险的可能性高出8个百分点。我们没有发现令人信服的证据表明，年轻人增加了他们的预防性牙科服务的使用，以应对获得保险。我们发现近5个百分点的可能性增加牙科治疗25奥尔兹以下的mandatory，效果似乎集中在women.Conclusions：增加私人牙科覆盖由于ACA的依赖覆盖任务似乎并没有推动整体预防性牙科服务利用率的显着变化，但有证据表明，在恢复性护理的增加。
Background:Oral health problems are the leading chronic conditions among children and younger adults. Lack of dental coverage is thought to be an important barrier to care but little empirical evidence exists on the causal effect of private dental coverage on use of dental services. We explore the relationship between dental coverage and dental services utilization with an analysis of a natural experiment of increasing private dental coverage stemming from the Affordable Care Act’s (ACA)-dependent coverage mandate.Objectives:To evaluate whether increased private dental insurance due to the spillover effect of the ACA-dependent coverage health insurance mandate affected utilization of dental services among a group of affected young adults.Data:2006–2013 Medical Expenditure Panel Surveys.Study Design:We used a difference-in-difference regression approach comparing changes in dental care utilization for 25-year olds affected by the policy to unaffected 27-year olds. We evaluate effects on dental treatments and preventive servicesResults:Compared to 27-year olds, 25-year olds were 8 percentage points more likely to have private dental coverage in the 3 years following the mandate. We do not find compelling evidence that young adults increased their use of preventive dental services in response to gaining insurance. We do find a nearly 5 percentage point increase in the likelihood of dental treatments among 25-year olds following the mandate, an effect that appears concentrated among women.Conclusions:Increases in private dental coverage due to the ACA’s-dependent coverage mandate do not appear to be driving significant changes in overall preventive dental services utilization but there is evidence of an increase in restorative care.