The Dental Piece of the Medicaid Puzzle Some Background to Kick us Off

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Presentation transcript:

The Dental Piece of the Medicaid Puzzle Some Background to Kick us Off Marko Vujicic, PhD Chief Economist & Vice President Health Policy Institute

The ADA Health Policy Institute

The ADA Health Policy Institute

Just the Facts…

Just the Facts…

Just the Facts…

Just the Facts…

Just the Facts…

Tools for Policymakers…

State Level Fact Sheets

State Level Fact Sheets

State Level Fact Sheets

State Level Fact Sheets

Estimating Cost of Adult Dental Benefit # of Medicaid Beneficiaries % Who Get Dental Care $ Per User Per Year Total Cost

Example: Alabama Formula: Enrollment x Utilization x Spending/User x State Share Scenario 1: 234,582 adults x 0.249 x $818.47 x 0.311 = $14.9 million The cost of adding an adult dental benefit under Scenario 1 represents about 0.9% of Alabama’s total Medicaid budget. State Adult Medicaid Enrollment Utilization Rate (% with a dental visit) Spending per Dental Care User per Year ($2015) State Share of Medicaid Expenditure Scenario 1 Scenario 2 Scenario 3 Alabama 234,582 24.9% 49.8% $818.47 $731.16 31.1% Current Total Medicaid Expenditure Increase in Expenditure ($) As Percentage of Total Medicaid Expenditure Scenario 1 Scenario 2 Scenario 3 $1,570,364,045.64 $14,896,360.31 $13,307,415.21 $26,566,789.21 0.9% 0.8% 1.7%

Example: Missouri Formula: Enrollment x Utilization x Spending/User x State Share Scenario 2: 301,540 adults x 0.249 x $548.37 x 0.372 = $15.3 million The cost of adding an adult dental benefit under Scenario 2 represents about 0.4% of Missouri’s total Medicaid budget. State Adult Medicaid Enrollment Utilization Rate (% with a dental visit) Spending per Dental Care User per Year ($2015) State Share of Medicaid Expenditure Scenario 1 Scenario 2 Scenario 3 Missouri 301,540 24.9% 58.1% $818.47 $548.37 37.2% Current Total Medicaid Expenditure Increase in Expenditure ($) As Percentage of Total Medicaid Expenditure Scenario 1 Scenario 2 Scenario 3 $3,411,896,825.25 $22,883,654.10 $15,332,048.25 $35,713,278.85 0.7% 0.4% 1.0%

Projecting the Supply of Dentists Graduates Retired Moved in Practicing Dentist Moved out Foreign-trained Death Re-licensure License lapse Un-retirement Exit labor force Emigration

Projecting the Supply of Dentists

Understanding Access

Understanding Access

Understanding Access Missouri North Dakota Entire Population Medicaid Children Maximum Travel Time 15 minutes 93% 80% 78% 73% 30 minutes 99% 96% 94% 90%

ada.org/hpi hpi@ada.org Thank You! ada.org/hpi hpi@ada.org