Fewer Americans Forgoing Dental Care Due to Cost
|
|
- Clemence Fletcher
- 7 years ago
- Views:
Transcription
1 Fewer Americans Forgoing Dental Care Due to Cost Authors: Thomas Wall, M.A., M.B.A.; Kamyar Nasseh, Ph.D.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge on critical issues affecting the U.S. dental care system. HPI strives to generate, synthesize, and disseminate innovative research for policy makers, oral health advocates, and dental care providers. Key Messages The percentage of the population reporting cost as a barrier to receiving needed dental care fell in This decline is now in its third year, reversing the increase that occurred from 2000 to The largest decrease in cost barriers to dental care was among adults ages The percentage reporting cost barriers declined from 17.1 percent in 2012 to 14.8 percent in Despite improvements in affordability over the last few years, cost still remains the most critical barrier to obtaining needed dental care. Who We Are HPI s interdisciplinary team of health economists, statisticians, and analysts has extensive expertise in health systems policy research. HPI staff routinely collaborates with researchers in academia and policy think tanks. Contact Us Contact the Health Policy Institute for more information on products and services at hpi@ada.org or call Introduction The ADA Health Policy Institute is leading a comprehensive research program on access to dental care, including closely monitoring the percentage of the U.S. population reporting cost as a barrier to dental care. 1 Studies have shown that affordability is the most common reason many segments of the U.S. population avoid or delay receiving dental care they need. 2,3,4 Research has also shown that cost barriers are higher for dental care compared to other healthcare services. 5 In this research brief, we use newly released data to update our previous analysis of cost barriers to dental care through We analyze cost barriers to dental care by age and by household income American Dental Association All Rights Reserved. October 2014
2 Data & Methods We used data from the National Health Interview Survey (NHIS). 6 This survey, conducted annually, is nationally representative of the civilian noninstitutionalized U.S. population. The family core component collects information on every member of a sample household, including information on demographics, health characteristics and insurance coverage. The interviewed sample in 2013 consisted of 104,520 individuals. One adult and one child (ages 0-17) per household were randomly selected for the sample adult and sample child components. We compared cost barriers for five categories of health care services: (1) dental care, including check-ups (2) medical services, (3) mental health services, (4) prescription drugs and (5) eyeglasses. The dependent variable in the analysis was a binary variable based on the response to the following question: During the past 12 months was there ever a time when you needed [health care service] and didn t get it because you could not afford it? We examined trends in cost as a barrier to dental care for children ages 2-20, three non-elderly adult age groups (21-34, and 50-64) and elderly adults ages 65 and older. We also reported results for nonelderly adults by four levels of household income as defined in the NHIS: (1) less than 100% of the Federal Poverty Level (FPL), (2) % of the FPL, % of the FPL and (4) 400% of the FPL and higher. We tested for statistical significance across time using a chi-squared test. Our point estimates and statistical inferences take into account the complex survey design of the NHIS. Results Figure 1 shows the percentage of the population reporting cost as a barrier to obtaining needed dental care, medical care, prescription drugs, mental health services and eyeglasses. The trends over time were similar for all five services a fairly steady increase from 2000 to 2010, followed by a decrease from 2010 to Changes from 2000 to 2010 and from 2010 to 2013 were statistically significant. Changes between 2012 and 2013 for all health care services were not statistically significant. Figure 2 shows that from 2000 to 2010, the percentage of population who experienced cost barriers to dental care increased among all age groups, with the notable exception of children. From 2010 to 2013 cost barriers to dental care declined among both children and working-age adults. The percentage of adults ages reporting cost as a barrier to dental care fell from 17.1 percent in 2012 to 14.8 percent in 2013, the largest decrease of any age group. All of these changes were statistically significant. In 2013, young adults ages were just as likely as adults to report cost barriers to dental care. Young adults are no longer the age group with the highest level of cost barriers to dental care. Figure 3 shows trends for adults broken down by household income level. From 2000 to 2010, the percentage who could not obtain needed dental care due to cost increased among all income groups. From 2010 to 2013, it declined among all income groups. Both of these changes over time were statistically significant. However, changes from 2012 to 2013 were not statistically significant. 2
3 Figure 1: Percentage of the Population Who Needed But Did Not Obtain Select Health Care Services during the Previous 12 Months Due to Cost, % 14% 12% 10% 8% 6% 4% 2% 0% Prescription Drugs Dental Care Mental Health Services Eyeglasses Medical Source: National Health Interview Survey, National Center of Health Statistics. Notes: Changes from 2000 to 2010 for all services were statistically significant at the 1% level. Changes from 2010 to 2013 for all services were statistically significant at the 1% level. Changes from 2012 to 2013 were not statistically significant % Figure 2: Percentage of the Population Indicating Cost as a Barrier to Receiving Needed Dental Care by Age Group, % 20.3% 15% 10% 5% 11.5% 10.0% 7.1% 6.7% 14.8% 14.8% 14.1% 6.4% 5.8% 0% 3.4% 3.9% to to to to Source: National Health Interview Survey, National Center for Health Statistics. Notes: Changes from 2000 to 2010 for age groups 21-34, 35-49, and 65 + were statistically significant at the 1% level. Changes from 2010 to 2013 for age groups 2-20, and 35-49were statistically significant at the 1% level. Change from 2010 to 2013 for age group was statistically significant at the 5% level. For adults ages 21-34, the change from 2012 to 2013 was statistically significant at the 1% level. For other age groups, changes from 2012 to 2013 were not statistically significant. 3
4 Figure 3: Percentage of the Adults Ages Indicating Cost as a Barrier to Receiving Needed Dental Care by Household Income, % 30% 25% 30.1% 24.5% 20% 15% 10% 5% 17.4% 19.1% 10.7% 4.0% 13.5% 5.4% 0% FPL<100% FPL % FPL % FPL 400%+ Source: National Health Interview Survey, National Center for Health Statistics. Notes: Changes from 2000 to 2010 were statistically significant at the 1%level for all income groups. Changes from 2010 to 2013 were statically significant at the 1% level for all income groups except for < 100% FPL which was statistically significant at the 10% level. Changes from 2012 to 2013 were not statistically significant. Discussion The percentage of the U.S. population reporting cost barriers to dental care continues to decrease, with young adults experiencing the most significant decline. While a full analysis of the underlying causes driving this improvement in the affordability of dental care is beyond the scope of this research brief, we offer some possible explanations. One important factor contributing to the overall decline in cost barriers to dental care could be changes in the actual cost of dental care. A recent analysis shows that dental care prices have grown at much lower rates in recent years and have increased less than the price of other health care services. 7 Policy changes at the national level that occurred between 2010 and 2013 may have contributed to the decline in access barriers due to cost. Maintenance of Effort (MOE) provisions enacted under the Affordable Care Act (ACA), which end for adults in 2014 and for children in 2019, helped to preserve ongoing coverage in Medicaid and CHIP. 8 The policy change could have reduced the percentage of low-income adults and children with cost barriers to dental care. The ACA s expanded dependent coverage provision is likely to have played a role in improving affordability of dental care for young adults. Since September 2010, the ACA has allowed young adults to remain on their parents private health insurance until age Although this policy does not apply directly to private dental benefits, a recent study reported that relative to the pre-reform period, private dental benefits coverage among adults increased in 2011 and 2012 as a result of the reform. 10 This dental benefits spillover effect also led to an increase in dental care utilization 4
5 and a decrease in cost barriers to dental care among young adults. While the improvements in affordability of dental care observed in the past few years are encouraging, cost still remains the most important reason for avoiding or delaying needed dental care. 11,12 Looking forward, up to 8.7 million children are expected to gain dental benefits by 2018 as a result of the ACA. 13 Up to 8.3 million adults are eligible to gain Medicaid dental benefits due to the Medicaid expansion. 14 In addition, through April 19, 2014 about 1.1 million adults and 88,000 children obtained private dental coverage through stand-alone dental plans in the new health insurance marketplaces, with an unknown number gaining dental coverage through private medical insurance. 15 Adults ages were by far the most likely age group to purchase dental benefits in the marketplaces. 16 This expansion of dental benefits coverage could further improve the affordability of dental care, although there is considerable uncertainty at this stage in the type of dental benefit plans being purchased in the health insurance marketplaces as well as the readiness of Medicaid programs in many states to absorb an influx of new beneficiaries. 17 Problems such as administrative burdens and low reimbursement rates may limit the number of dental providers that accept Medicaid. 18 Recent studies show that reforming Medicaid, including increasing reimbursement rates closer to market levels, is associated with an increase in dental care utilization. 19,20 The Health Policy Institute will continue to monitor barriers to needed dental care in the coming years. This Research Brief was published by the American Dental Association s Health Policy Institute. 211 E. Chicago Avenue Chicago, Illinois hpi@ada.org For more information on products and services, please visit our website, 5
6 References 1 Wall T, Nasseh K Vujicic M. Financial Barriers to Dental Care Declining after a Decade of Steady Increases. Health Policy Institute Research Brief. American Dental Association. September Available from: Accessed August 5, 2 Bloom B, Simile CM, Adams PF, Cohen RA. Oral health status and access to oral health care for U.S. adults aged 18-64; National Health Interview Survey, National Center for Health Statistics. Vital Health Stat 10(253) Brown T, Finlayson T, Fulton B, Jahedi S. The demand for dental care and financial barriers in accessing care among adults in California. CDA Journal. 2009;37(8). 4 Wall T, Nasseh K, Vujicic M. Most important barriers to dental care are financial, not supply related. Health Policy Institute Research Brief. American Dental Association. October Available from: Accessed October 8, 5 Wall T, Nasseh K Vujicic M. Financial Barriers to Dental Care Declining after a Decade of Steady Increases. Health Policy Institute Research Brief. American Dental Association. September Available from: Accessed August 5, 6 National Center for Health Statistics. National Health Interview Survey, Public-use data file and documentation. Available at: Accessed August 5, 2014, 7 Wall T, Nasseh K Vujicic M. Financial Barriers to Dental Care Declining after a Decade of Steady Increases. Health Policy Institute Research Brief. American Dental Association. September Available from: Accessed August 5, 8 The Kaiser Commission on Medicaid and the Uninsured. Medicaid Enrollment: June 2012 Data Snapshot. August Available at: Accessed August 5, 9 Leonard Davis Institute of Health Economics. The Effects of the ACA s Under-26 Mandate: What Do We Know? June Available at: Accessed August 5, 10 Vujicic M, Yarbrough C, Nasseh K. The Effect of the Affordable Care Act's Expanded Coverage Policy on Access to Dental Care. Med Care. 2014;52(8): Wall T, Nasseh K, Vujicic M. Most important barriers to dental care are financial, not supply related. Health Policy Institute Research Brief. American Dental Association. October Available from: Accessed October 8, 12 Bloom B, Simile CM, Adams PF, Cohen RA. Oral health status and access to oral health care for U.S. adults aged 18-64; National Health Interview Survey, National Center for Health Statistics. Vital Health Stat 10(253) Nasseh K, Vujicic M, O Dell A. Affordable Care Act expands dental benefits for children but does not address critical access to dental care issues. Health Policy Institute Research Brief. American Dental Association. April Available from: Accessed August 5, 14 Yarbrough C, Vujicic M, Nasseh K. More than 8 Million Adults Could Gain Dental Benefits through Medicaid Expansion. Health Policy Institute Research Brief. American Dental Association. February Available from: Accessed August 5, 15 Yarbrough C., Vujicic M., Nasseh K. Update: Take-Up of Pediatric Dental Benefits in Health Insurance Marketplaces Still Limited. Health Policy Institute Research Brief. American Dental Association. May Available from: 6
7 %20Update%20Takeup%20of%20Pediatric%20Dental%20Benefits.ashx. Accessed August 5, 16 Vujicic M, Yarbrough C. Young adults most likely age group to purchase dental benefits in health insurance marketplaces. Health Policy Institute Research Brief. American Dental Association. August Available from: Accessed August 14, 17 Yarbrough C, Vujicic M, Nasseh K. Health Insurance Marketplaces Offer a Variety of Dental Benefit Options, but Information Availability is an Issue. Health Policy Institute Research Brief. American Dental Association. March Available from: Accessed October 6, 18 Government Accountability Office Oral Health. Factors Contributing the Low Use of Dental Services by Low- Income Populations. GAO/HEHS Available from: Accessed October 8, 19 Decker SL. Medicaid payment levels to dentists and access to dental care among children and adolescents. JAMA. 2011;306(2): Nasseh K, Vujicic M. The impact of Medicaid reform on children s dental care utilization in Connecticut, Maryland and Texas. Health Serv Res. Forthcoming Suggested Citation Wall T, Nasseh K, Vujicic M. Fewer Americans forgoing dental care due to cost. Health Policy Institute Research Brief. American Dental Association. October Available from: 7
Research Brief. Most Important Barriers to Dental Care Are Financial, Not Supply Related. Key Messages. Introduction
Most Important Barriers to Dental Care Are Financial, Not Supply Related Authors: Thomas Wall, M.A., M.B.A.; Kamyar Nasseh, Ph.D.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationResearch Brief. Dental Care Utilization Rate Highest Ever among Children, Continues to Decline among Working-Age Adults. Key Messages.
Dental Care Utilization Rate Highest Ever among Children, Continues to Decline among Working-Age Adults Authors: Kamyar Nasseh, Ph.D.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought
More informationResearch Brief. Why Adults Forgo Dental Care: Evidence from a New National Survey. Key Messages. Introduction
Why Adults Forgo Dental Care: Evidence from a New National Survey Authors: Cassandra Yarbrough, M.P.P.; Kamyar Nasseh, Ph.D.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationResearch Brief. Are Medicaid and Private Dental Insurance Payment Rates for Pediatric Dental Care Services Keeping up with Inflation?
Are Medicaid and Private Dental Insurance Payment Rates for Pediatric Dental Care Services Keeping up with Inflation? Authors: Kamyar Nasseh, Ph.D.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI)
More informationDental Care Utilization Continues to Decline among Working-Age Adults, Increases among the Elderly, Stable among Children
The ADA Health Policy Resources Center (HPRC) is a thought leader and recognized authority on critical policy issues facing the dental profession. Through unbiased, innovative, empirical research, HPRC
More informationYoung Adults Most Likely Age Group to Purchase Dental Benefits in Health Insurance Marketplaces
Young Adults Most Likely Age Group to Purchase Dental Benefits in Health Insurance Marketplaces Authors: Marko Vujicic, Ph.D.; Cassandra Yarbrough, M.P.P. The Health Policy Institute (HPI) is a thought
More informationResearch Brief. Lack of True Mandate for Pediatric Dental Benefits Limits Take-Up of Coverage, Early Enrollment Data Suggest.
Lack of True Mandate for Pediatric Dental Benefits Limits Take-Up of Coverage, Early Enrollment Data Suggest Authors: Cassandra Yarbrough, M.P.P.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI)
More informationResearch Brief. Gap in Dental Care Utilization Between Medicaid and Privately Insured Children Narrows, Remains Large for Adults.
Gap in Dental Care Utilization Between Medicaid and Privately Insured Children Narrows, Remains Large for Adults Authors: Marko Vujicic, Ph.D.; Kamyar Nasseh, Ph.D. The Health Policy Institute (HPI) is
More informationResearch Brief. Medicaid Market for Dental Care Poised for Major Growth in Many States. Key Messages. Introduction
Medicaid Market for Dental Care Poised for Major Growth in Many States Authors: Cassandra Yarbrough, M.P.P.; Marko Vujicic, Ph.D.; Kamyar Nasseh, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationEmergency Department Use for Dental Conditions Continues to Increase
Emergency Department Use for Dental Conditions Continues to Increase Authors: Thomas Wall, M.A., M.B.A.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader and trusted source for
More informationDental Insurance - A Lesson for Adults
Key Insights on Dental Insurance Decisions Following the Rollout of the Affordable Care Act The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge on critical issues
More informationMore Dental Benefits Options in 2015 Health Insurance Marketplaces
More Dental Benefits Options in 2015 Health Insurance Marketplaces Authors: Cassandra Yarbrough, M.P.P.; Marko Vujicic, Ph.D.; Kamyar Nasseh, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationMore Dental Benefits Options in 2015 Health Insurance Marketplaces
More Dental Benefits Options in 2015 Health Insurance Marketplaces Authors: Cassandra Yarbrough, M.P.P.; Marko Vujicic, Ph.D.; Kamyar Nasseh, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationVery Large Dental Practices Seeing Significant Growth in Market Share
Very Large Dental Practices Seeing Significant Growth in Market Share Authors: Thomas Wall, M.A., M.B.A.; Albert H. Guay, D.M.D. The Health Policy Institute (HPI) is a thought leader and trusted source
More informationResearch Brief. Majority of Dental-Related Emergency Department Visits Lack Urgency and Can Be Diverted to Dental Offices. Key Messages.
Majority of Dental-Related Emergency Department Visits Lack Urgency and Can Be Diverted to Dental Offices The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge on
More informationKey Differences in Dental Care Seeking Behavior between Medicaid and Non- Medicaid Adults and Children
Key Differences in Dental Care Seeking Behavior between Medicaid and Non- Medicaid Adults and Children The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge on critical
More informationResearch Brief. Supply of Dentists in the United States is Likely to Grow. Key Messages. Introduction
Supply of Dentists in the United States is Likely to Grow Authors: Bradley Munson, B.A.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge
More informationUNINSURED ADULTS IN MAINE, 2013 AND 2014: RATE STAYS STEADY AND BARRIERS TO HEALTH CARE CONTINUE
UNINSURED ADULTS IN MAINE, 2013 AND 2014: RATE STAYS STEADY AND BARRIERS TO HEALTH CARE CONTINUE December 2015 Beginning in January 2014, the federal Patient Protection and Affordable Care Act (ACA) has
More informationAffordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion
Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Table of Contents Expanded Coverage... 2 Health Insurance Exchanges... 3 Medicaid Expansion... 8 Novartis Pharmaceuticals Corporation
More informationResearch Brief. Dental-Related Emergency Department Visits on the Increase in the United States. Key Messages. Introduction
Dental-Related Emergency Department Visits on the Increase in the United States Authors: Thomas Wall, M.A., M.B.A.; Kamyar Nasseh, Ph.D. The Health Policy Institute (HPI) is a thought leader and trusted
More information2012 Vermont Household Health Insurance Survey: Comprehensive Report
Vermont Department of Financial Regulation Insurance Division 2012 Vermont Household Health Insurance Survey: Comprehensive Report Brian Robertson, Ph.D. Jason Maurice, Ph.D. Table of Contents Page I.
More informationkaiser medicaid uninsured commission on The Role of Medicaid for People with Behavioral Health Conditions November 2012
on on medicaid and and the the uninsured November 2012 The Role of Medicaid for People with Behavioral Health Conditions Introduction Behavioral health conditions encompass a broad range of illnesses,
More informationDENTAL COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND SCHIP
July 2008 DENTAL COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND SCHIP Tooth decay is the most common chronic illness among children. Although it is firmly established that oral health
More informationFinancial Burden of Medical Care: A Family Perspective
NCHS Data Brief No. 14 January 014 Financial Burden of Medical Care: A Family Perspective Robin A. Cohen, Ph.D., and Whitney K. Kirzinger, M.P.H. Key findings Data from the National Health Interview Survey,
More information75 Washington Ave. Suite 206 Portland, ME 04101. (207) 767-6440 www.marketdecisions.com
75 Washington Ave. Suite 206 Portland, ME 04101 (207) 767-6440 www.marketdecisions.com Comprehensive Report 2014 Vermont Household Health Insurance Survey Vermont Department of Regulation, Insurance Division
More informationAffordable Care Act and Adolescents and Young Adults
Affordable Care Act and Adolescents and Young Adults Overview of Summit Welcome and Introductions Affordable Care Act 101 Affordable Care Act and Impact on Adolescents and Young Adults Federal Update on
More informationUsing the National Health Interview Survey to Monitor Health Insurance and Access to Care 1
Using the National Health Interview Survey to Monitor Health Insurance and Access to Care 1 Robin A. Cohen, Ph.D. Centers for Disease Control and Prevention, National Center for Health Statistics, 3311
More informationPrescription drugs are playing an increasingly greater role in the
TASK FORCE ON THE FUTURE OF HEALTH INSURANCE Issue Brief FEBRUARY 2004 Lack of Prescription Coverage Among the Under 65: A Symptom of Underinsurance Claudia L. Schur, Michelle M. Doty, and Marc L. Berk
More informationBuying Decisions for Dental and Vision Insurance. Seven Guidelines for Selecting the Right Plans. Provided by
Buying Decisions for Dental and Vision Insurance Seven Guidelines for Selecting the Right Plans 2014 Provided by Many employers are struggling to stay current with the Affordable Care Act (ACA) and keep
More informationHealth Insurance Marketplaces
Health Insurance Marketplaces 2013 Zywave, Inc. All rights reserved. Presented by Employer Flexible What is Health Care Reform? The Affordable Care Act (ACA) was enacted in March 2010. Biggest overhaul
More informationAFFORDABLE CARE ACT FAQ
AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want
More informationComparing Affordability and Benefits Between CHIP and Qualified Health Plans in 35 States: Which Coverage is Best for Kids?
Comparing Affordability and Benefits Between CHIP and Qualified Health Plans in 35 States: Which Coverage is Best for Kids? The Children s Health Insurance Program (CHIP) was enacted in 1997 by a bipartisan
More informationESTIMATES OF SOURCES OF HEALTH INSURANCE IN CALIFORNIA, 2016
ESTIMATES OF SOURCES OF HEALTH INSURANCE IN CALIFORNIA, 2016 The California Health Benefits Review Program (CHBRP) responds to requests from the California Legislature to evaluate relevant medical effectiveness
More informationAnalyst HEALTH AND HEALTH CARE IN SAN JOAQUIN COUNTY REGIONAL
SPRING 2016 HEALTH AND HEALTH CARE IN SAN JOAQUIN COUNTY San Joaquin County Health Care s Rapid Growth Creates Critical Shortages in Key Occupations. Health care has been changing rapidly in the United
More informationPublic Health Insurance Expansions for Parents and Enhancement Effects for Child Coverage
Public Health Insurance Expansions for Parents and Enhancement Effects for Child Coverage Jason R. Davis, University of Wisconsin Stevens Point ABSTRACT In 1997, the federal government provided states
More informationThe National Survey of Children s Health
with Current Health Insurance, by Location 91.1 89.4.2.9 Current Health Insurance The survey asked parents if their children currently had coverage through any kind of health insurance, including private
More informationESTIMATES OF SOURCES OF HEALTH INSURANCE IN CALIFORNIA FOR 2017
ESTIMATES OF SOURCES OF HEALTH INSURANCE IN CALIFORNIA FOR 2017 The California Health Benefits Review Program (CHBRP) responds to requests from the California Legislature to evaluate relevant medical effectiveness
More informationHIV/AIDS Care in a Changing Healthcare Landscape. Effect of Healthcare Reform on Ryan White Programs and ADAP
HIV/AIDS Care in a Changing Healthcare Landscape Effect of Healthcare Reform on Ryan White Programs and ADAP Healthcare Reform and Ryan White Programs: The Basics Under the Patient Protection and Affordable
More informationIMPROVING CHILDREN S HEALTH: A Chartbook About the Roles of Medicaid and SCHIP by Leighton Ku and Sashi Nimalendran
Summary IMPROVING CHILDREN S HEALTH: A Chartbook About the Roles of Medicaid and SCHIP by Leighton Ku and Sashi Nimalendran This chartbook summarizes numerous recent research findings about children who
More informationACCESS TO CHILD-ONLY SUPPLEMENTAL DENTAL COVERAGE THROUGH CHIPRA: A Handbook for Advocates and Policymakers
ACCESS TO CHILD-ONLY SUPPLEMENTAL DENTAL COVERAGE THROUGH CHIPRA: A Handbook for Advocates and Policymakers March 2011 A publication of the Children s Dental Health Project BACKGROUND Overview & Background
More informationResearch Brief. A Ten-Year, State-by-State, Analysis of Medicaid Fee-for-Service Reimbursement Rates for Dental Care Services.
A Ten-Year, State-by-State, Analysis of Medicaid Fee-for-Service Reimbursement Rates for Dental Care Services The Health Policy Institute (HPI) is a thought leader and trusted source for policy knowledge
More informationExpanding Health Coverage in Kentucky: Why It Matters. September 2009
Expanding Health Coverage in Kentucky: Why It Matters September 2009 As the details of federal health reform proposals consume the public debate, reflecting strong and diverse opinions about various options,
More informationAffordable Care Act Expands Dental Benefits for Children But Does Not Address Critical Access to Dental Care Issues
[Type text] Health Policy Resources Center The ADA Health Policy Resources Center (HPRC) is a thought leader and recognized authority on critical policy issues facing the dental profession. Through unbiased,
More informationThis glossary provides simple and straightforward definitions of key terms that are part of the health reform law.
This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. A Affordable Care Act Also known as the ACA. A law that creates new options for people
More informationThe Children s Health Insurance Program Reauthorization Act of 2009
Children s Health Insurance Program Dental and Mental Health: Benefit Improvements in CHIPRA The Children s Health Insurance Program (CHIP) was created in 1997 to provide affordable health coverage to
More informationThe Health Insurance Marketplace 101. May 2013
The Health Insurance Marketplace 101 May 2013 Affordable Care Act Coverage Accomplishments 3.1 million young adults have gained insurance through their parents plans 6.1 million people with Medicare through
More informationFEDERAL GOVERNMENT WILL PICK UP NEARLY ALL COSTS OF HEALTH REFORM S MEDICAID EXPANSION By January Angeles and Matthew Broaddus
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated March 28, 2012 FEDERAL GOVERNMENT WILL PICK UP NEARLY ALL COSTS OF HEALTH REFORM
More informationmedicaid and the uninsured June 2011 Health Coverage for the Unemployed By Karyn Schwartz and Sonya Streeter
I S S U E kaiser commission on medicaid and the uninsured June 2011 P A P E R Health Coverage for the Unemployed By Karyn Schwartz and Sonya Streeter In May 2011, 13.9 million people in the U.S. were unemployed,
More informationResearch Brief. A Proposed Classification of Dental Group Practices. Key Messages. Introduction
A Proposed Classification of Dental Group Practices Authors: Albert Guay, D.M.D; Matthew Warren, M.A.; Rebecca Starkel, M.A.; Marko Vujicic, Ph.D. The Health Policy Institute (HPI) is a thought leader
More informationKansas Insurance Department
Kansas Insurance Department A Kansas Guide to Health Insurance Changes Public Policy Session Panel Discussion KAMU Annual Conference Sept. 26, 2013 Sandy Praeger, Commissioner of Insurance 2014 Affordable
More informationStatement by Gary Claxton Vice President, Henry J. Kaiser Family Foundation Director, Health Care Marketplace Project
Statement by Gary Claxton Vice President, Henry J. Kaiser Family Foundation Director, Health Care Marketplace Project Before the U.S. Senate Committee on Finance Roundtable on Health Care Coverage May
More informationAffordable Care Act FAQs
Note: This material is not intended to serve as legal advice and only constitutes Delta Dental s opinion on the subject matter contained herein based on its own review of available guidance. Delta Dental
More informationHealth Economics Program
Health Economics Program Issue Brief November 2013 Utilization of Health Care by Insurance Status Introduction With a sizeable number of currently uninsured individuals potentially obtaining health insurance
More informationState and Federal Policy Choices: How Human Services Programs and Their Clients Can Benefit from National Health Reform
State and Federal Policy Choices: How Human Services Programs and Their Clients Can Benefit from National Health Reform Stan Dorn Senior Fellow, Urban Institute NGA Center for Best Practices January 9,
More informationHealth Policy Resources Center Research Brief. Accountable Care Organizations Present Key Opportunities for the Dental Profession.
Accountable Care Organizations Present Key Opportunities for the Dental Profession The ADA Health Policy Resources Center (HPRC) is a thought leader and recognized authority on critical policy issues facing
More informationThe $7.6 Million Question: Will New Jersey Leave Thousands Without Health Insurance in the Dark?
February 2014 The $7.6 Million Question: Will New Jersey Leave Thousands Without Health Insurance in the Dark? By Raymond Castro Senior Policy Analyst The clock is ticking: New Jersey will forfeit $7.6
More informationFINDINGS FROM THE 2014 MASSACHUSETTS HEALTH INSURANCE SURVEY
CENTER FOR HEALTH INFORMATION AND ANALYSIS FINDINGS FROM THE MASSACHUSETTS HEALTH INSURANCE SURVEY MAY 2015 Prepared by: Laura Skopec and Sharon K. Long, Urban Institute Susan Sherr, David Dutwin, and
More informationHEALTH POLICY AFFORDABLE CARE ACT AND STATE MEDICAID CHANGES. NEW Members Conference of the Illinois General Assembly November 27-28, 2012
HEALTH POLICY AFFORDABLE CARE ACT AND STATE MEDICAID CHANGES NEW Members Conference of the Illinois General Assembly November 27-28, 2012 Robert Kaestner, PhD Institute of Government and Public Affairs,
More informationChanges in Health Insurance Coverage in the Great Recession, 2007-2010 John Holahan and Vicki Chen The Urban Institute Executive Summary
I S S U E P A P E R kaiser commission on medicaid and the uninsured Changes in Health Insurance Coverage in the Great Recession, 2007-2010 John Holahan and Vicki Chen The Urban Institute Executive Summary
More informationHealth Reform Monitoring Survey -- Texas
Health Reform Monitoring Survey -- Texas Issue Brief #1: Were Texans Satisfied with the Cost of Health Care and Health Insurance Prior to the Affordable Care Act? February 10, 2014 Vivian Ho, PhD, Elena
More informationExchanges and the ACA What You Need to Know for 2014
Exchanges and the ACA What You Need to Know for 2014 How the Affordable Care Act affects the Individual Health Insurance Market This presentation is for informational purposes only and does not constitute
More informationTHE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION. Linda J. Sheppard November 6, 2014
THE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION Linda J. Sheppard November 6, 2014 The Kansas Market Approximately 348,000 Kansans are uninsured - 12.3% of the state s population 44,130 are children, but
More informationAffordable Care Act FAQs
Note: This material is not intended to serve as legal advice and only constitutes Delta Dental s opinion on the subject matter contained herein based on its own review of available guidance. Delta Dental
More informationEXAMINING THE IMPACT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN NORTH CAROLINA MEDICAID EXPANSION OPTION ISSUE BRIEF
EXAMINING THE IMPACT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN NORTH CAROLINA MEDICAID EXPANSION OPTION ISSUE BRIEF As originally passed, the Patient Protection and Affordable Care Act (ACA)
More informationTHE AFFORDABLE CARE ACT AND DENTAL COVERAGE IN ILLINOIS
THE AFFORDABLE CARE ACT AND DENTAL COVERAGE IN ILLINOIS Stephanie F. Altman Health & Disability Advocates www.hdadvocates.org www.illinoishealthmatters.org Health & Disability Advocates Based in Chicago
More informationGLOSSARY OF KEY HEALTH INSURANCE CONCEPTS
The Affordable Care Act: A Working Guide for MCH Professionals Module 2 GLOSSARY OF KEY HEALTH INSURANCE CONCEPTS Overview A fundamental first step in accessing health care in the United States is having
More informationMedicare Supplemental Coverage in Minnesota
Medicare Supplemental Coverage in Minnesota December 2002 h ealth e conomics p rogram Health Policy and Systems Compliance Division Minnesota Department of Health Medicare Supplemental Coverage in Minnesota
More informationPreventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals. Section 6 BENEFITS
The Affordable Care Act: A Working Guide for MCH Professionals Section 6 BENEFITS In addition to expanding access to affordable health coverage options, the Affordable Care Act (ACA) makes several changes
More informationkaiser medicaid and the uninsured commission on THE IMPACT OF MEDICAID AND SCHIP ON LOW-INCOME CHILDREN S HEALTH February 2009
P O L I C Y kaiser commission on medicaid and the uninsured February 2009 B R I E F THE IMPACT OF MEDICAID AND SCHIP ON LOW-INCOME CHILDREN S HEALTH Today, one-quarter of children in the U.S. and half
More informationThe Affordable Care Act: Health Coverage Options & Considerations in 2014
The Affordable Care Act: Health Coverage Options & Considerations in 2014 J A C K S O N V I L L E A R E A C H A M B E R O F C O M M E R C E A U G U S T 2 7, 2 0 1 3 L A U R A M I N Z E R E X E C U T I
More informationHealth Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid
Health Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid Timely Analysis of Immediate Health Policy Issues March 2011 Matthew Buettgens, John Holahan
More informationHealth Insurance Coverage: Estimates from the National Health Interview Survey, 2004
Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., Division of Health Interview Statistics, National Center
More informationAffordable Care Act: Key Provisions for People with MS
Affordable Care Act: Key Provisions for People with MS October 2013 Why reform healthcare? By 2008, 15% of the U.S. population, or approximately 47 million Americans, lacked health insurance Documented
More informationHealth Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January June 2013
Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January June 2013 by Michael E. Martinez, M.P.H., M.H.S.A., and Robin A. Cohen, Ph.D. Division of Health
More informationInsure Tennessee. What is Insure Tennessee?
Coverage for Tennessee s uninsured that is market-based, promotes personal responsibility, addresses cost, and is a big step towards real healthcare reform in Tennessee. What is Insure Tennessee? 2 What
More informationThe Health Reform Monitoring Survey (HRMS): A Rapid Cycle Tool for Monitoring Coverage and Access Changes for Children under the ACA
The Health Reform Monitoring Survey (HRMS): A Rapid Cycle Tool for Monitoring Coverage and Access Changes for Children under the ACA Genevieve M. Kenney Urban Institute The Affordable Care Act 2014 components
More informationTRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG ADULTS
Adults Young by Utilization Treatment and Coverage Insurance in Trends National Survey on Drug Use and Health Short Report January 29, 2015* TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG
More informationHealth Insurance and Children with Disabilities
Health Insurance and Children with Disabilities Health Insurance and Children with Disabilities Peter G. Szilagyi Summary Few people would disagree that children with disabilities need adequate health
More informationHealth Insurance Transitions Under the ACA Experienced by People Previously Insured in Non-Group Plans
BRIEF 46 OCTOBER 2015 Health Insurance Transitions Under the ACA Experienced by People Previously Insured in Non-Group Plans AUTHORS Giovann Alarcon Graduate Research Assistant, SHADAC Jessie Kemmick Pintor
More informationConsidering Large Group Practices as a Vehicle for Consolidation in Dentistry
Considering Large Group Practices as a Vehicle for Consolidation in Dentistry Authors: Albert Guay, D.M.D.; Thomas Wall, M.A., M.B.A. The Health Policy Institute (HPI) is a thought leader and trusted source
More informationWashington Health Benefit Exchange. Leading Age 2014 Annual Conference. Phil Dyer Board Member
Washington Health Benefit Exchange Leading Age 2014 Annual Conference Phil Dyer Board Member DISCLAIMER; The views and information expressed are my personal opinions and perspectives and do not represent
More informationThe Affordable Care Act and People with Disabilities
The Affordable Care Act and People with Disabilities The Arc of Texas envisions a world where people with disabilities are included in their communities and neighborhoods and where quality supports and
More informationORAL HEALTH COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND CHIP
P O L I C Y B R I E F kaiser commission on medicaid and the uninsured ORAL HEALTH COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND CHIP APRIL 2009 Tooth decay is the most common chronic
More informationKaiser Low-Income Coverage and Access Survey
Kaiser Low-Income Coverage and Access Survey July 2008 Access to Affordable Dental Care: Gaps for Low-Income Adults By Jennifer Haley, Genevieve Kenney, and Jennifer Pelletier Although oral health has
More informationSTATISTICAL BRIEF #113
Medical Expenditure Panel Survey STATISTICAL BRIEF #113 Agency for Healthcare Research and Quality January 26 Children s Dental Care: Periodicity of Checkups and Access to Care, 23 May Chu Introduction
More informationMedicare taxes on higher income families $318. Cadillac tax on high-cost plans $111. Employer mandate $106
ACA Changes Created new way of counting Medicaid income Removed asset tests for some Medicaid groups Increased Medicaid income levels for children Raised age limit for coverage of children who age-out
More informationTHE MEDICAID PROGRAM AT A GLANCE. Health Insurance Coverage
on on medicaid and and the the uninsured March 2013 THE MEDICAID PROGRAM AT A GLANCE Medicaid, the nation s main public health insurance program for low-income people, covers over 62 million Americans,
More informationKatherine Record, JD, MPH, MA Senior Fellow, Center for Health Law & Policy Innovation Harvard Law School March 2013
Extending Medicaid to Reduce HIV Transmission & Health Related Costs in Texas: Modeling the Transition of Ryan White Clients into Medicaid & Private Insurance in 2014 Katherine Record, JD, MPH, MA Senior
More informationMedicaid Expansion and the Affordable Care Act. AUGUST 2012 David Blatt Director, Oklahoma Policy Institute dblatt@okpolicy.
Medicaid Expansion and the Affordable Care Act AUGUST 2012 David Blatt Director, Oklahoma Policy Institute dblatt@okpolicy.org 918-794-3944 Summary of the Supreme Court Decision What Was At Issue Whether
More informationHealth Reform Monitoring Survey -- Texas
Health Reform Monitoring Survey -- Texas Issue Brief #11: Effects of the Affordable Care Act on health insurance coverage in Texas as of March 2015 April 30, 2015 Vivian Ho, PhD and Elena Marks, JD, MPH
More informationHealth Insurance Coverage in Texas
Health Insurance Coverage in Texas U.S. Census Current Population Survey 2012 Data March 2014 Fast Facts: Texans & Health Insurance (2012) 6.4 million uninsured Texans, 24.6% of all ages Highest rate in
More informationHealth Policy Research Brief
Health Policy Research Brief November 2009 Unaffordable Dental Care Is Linked to Frequent School Absences Nadereh Pourat and Gina Nicholson Children often miss school in order to receive dental care, including
More informationkaiser medicaid and the uninsured Oral Health and Low-Income Nonelderly Adults: A Review of Coverage and Access commission on June 2012
P O L I C Y B R I E F kaiser commission on medicaid and the uninsured Oral Health and Low-Income Nonelderly Adults: A Review of Coverage and Access 1330 G S T R E E T NW, W A S H I N G T O N, DC 20005
More informationHealthy Howard Health Plan: A Summary of Inaugural Members Demographics, Health Status and Goals in 2009
Healthy Howard Health Plan: A Summary of Inaugural Members Demographics, Health Status and Goals in 2009 RESEARCH REPORT #1 Executive Summary Prepared for Healthy Howard, Inc. by the Department of Health,
More informationHow To Get A Health Insurance Plan In Texas
Anticipating the Health Insurance Marketplace in Texas HFMA Lone Star Chapter Fall Institute September 16, 2013 1 About Community Health Choice Non-profit Health Maintenance Organization licensed by the
More informationTHE AFFORDABLE CARE ACT AND CALIFORNIA'S SAN JOAQUIN VALLEY: A CAUSE PERSPECTIVE
THE AFFORDABLE CARE ACT AND CALIFORNIA'S SAN JOAQUIN VALLEY: A CAUSE PERSPECTIVE Steve Chooljian, M.D., John A. Capitman, Ph.D., Mohammad Rahman, Ph.D., Kudzai Nyandoro, B.S. Acknowledgements This report
More informationHow Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
More informationIt goes by many names: Patient Protection and Affordable Care Act (PPACA) or ACA or Obama Care or simply Healthcare Reform.
WHAT IS HEALTHCARE REFORM? Healthcare Reform (HCR) is a law passed by Congress that provides many different requirements. A very important aspect of the law is that it is designed to provide individuals
More informationThe Uninsured and Underinsured in Minnesota 1
The Uninsured and Underinsured in Minnesota 1 A Summary of Data to Support Outreach and Enrollment Efforts INTRODUCTION The Affordable Care Act (ACA) requires states to provide free, impartial enrollment
More informationImpact of the Individual Mandate The individual mandate will impact many of
Special Focus Area: The Affordable Care Act - Implications for Bellevue In early 2010, Congress passed and the President signed the Patient Protection and Affordable Care Act. Commonly known as the Affordable
More information