THE EFFECT OF MEDICAID PAYMENT RATES ON ACCESS TO DENTAL CARE AMONG CHILDREN
THE EFFECT OF MEDICAID PAYMENT RATES ON ACCESS TO DENTAL CARE AMONG CHILDREN
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DOI：
10.1162/ajhe_a_00012
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发表时间：
2015-03-01
影响因子：
3.7
通讯作者：
Shore-Sheppard, Lara D.
中科院分区：
文献类型：
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作者：
Buchmueller, Thomas C.;Orzol, Sean;Shore-Sheppard, Lara D.
我们研究了支付率对医疗补助儿童获得牙科护理以及牙医参与医疗补助的影响。使用收入和计划参与调查的数据，结合 2001 年至 2010 年的牙科费用数据以及州固定效应的条件，我们发现医疗补助支付率与牙科护理利用率之间存在适度的正相关关系。我们使用美国牙科协会 1999 年至 2009 年间对牙医进行的年度调查的数据来测试较高的费用是否会增加接受医疗补助患者的牙医数量。我们发现医疗补助支付率对牙医是否治疗任何公共保险患者以及该诊所的患者中拥有公共保险的患者比例有积极的影响，尽管影响很小。这些估计表明，将医疗补助支付增加到私人市场费用的水平将增加获得护理的机会，但导致额外就诊的成本很高。
We examine the effect of payment rates on access to dental care among children on Medicaid and on dentists' participation in Medicaid. Using data from the Survey of Income and Program Participation combined with data on dental fees from 2001 to 2010 and conditioning on state fixed effects, we find a modest positive relationship between Medicaid payment rates and dental care utilization. We test whether higher fees increase the number of dentists accepting Medicaid patients using data from annual surveys of dentists conducted by the American Dental Association between 1999 and 2009. We find a positive, though small, effect of Medicaid payment rates on whether a dentist treats any publicly insured patients and the percentage of the practice's patients who have public insurance. The estimates imply that increasing Medicaid payments to the level of private market fees would increase access to care, but at a high cost of inducing additional visits.