Dentistry at a Crossroads : A Look Back, a Look Forward Marko Vujicic, Ph.D. Managing Vice President Health Policy Resources Center.

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Presentation transcript:

Dentistry at a Crossroads : A Look Back, a Look Forward Marko Vujicic, Ph.D. Managing Vice President Health Policy Resources Center

© 2013 American Dental Association, All Rights Reserved Dentistry at a Crossroads

© 2013 American Dental Association, All Rights Reserved Today

© 2013 American Dental Association, All Rights Reserved Key Forces Converging 1.Declining utilization of dental care among (younger) adults 2.Continued fiscal austerity within state budgets 3.Shift from financing procedures to financing outcomes 4.Pressure on providers to become more efficient 5.Increased integration of health care delivery and health care financing 6.Increased consumerism in health care

© 2013 American Dental Association, All Rights Reserved My Road to Dentistry…

© 2013 American Dental Association, All Rights Reserved The Dental Economy 3.9% per year -0.3% per year 1.8% per year

© 2013 American Dental Association, All Rights Reserved The Dental Economy

© 2013 American Dental Association, All Rights Reserved The Dental Economy

© 2013 American Dental Association, All Rights Reserved Dentist Earnings

© 2013 American Dental Association, All Rights Reserved Dentist Earnings

© 2013 American Dental Association, All Rights Reserved Utilization of Dental Care

© 2013 American Dental Association, All Rights Reserved Utilization of Dental Care

© 2013 American Dental Association, All Rights Reserved Utilization of Dental Care

© 2013 American Dental Association, All Rights Reserved Dental Benefits

© 2013 American Dental Association, All Rights Reserved Cost as a Barrier to Care ? ?

© 2013 American Dental Association, All Rights Reserved What’s on the Horizon?

© 2013 American Dental Association, All Rights Reserved No Relief for Adults 21,000, ,000 3,200,000 5,500,000

© 2013 American Dental Association, All Rights Reserved Fiscal Constraints in States Source: Kaiser Family Foundation Survey of State Medicaid Budget Officers, 2012.

© 2013 American Dental Association, All Rights Reserved Sea Change in Care Delivery and Financing $$ for procedures $$ for outcomes

© 2013 American Dental Association, All Rights Reserved Sea Change in Care Delivery and Financing The Future of US Health Care Accountable Care Organizations Quality-and-Efficiency.aspx?omnicid=20

© 2013 American Dental Association, All Rights Reserved Sea Change in Care Delivery and Financing

© 2013 American Dental Association, All Rights Reserved Sea Change in Care Delivery and Financing

© 2013 American Dental Association, All Rights Reserved Increased Consumerism in Health Care

© 2013 American Dental Association, All Rights Reserved Increased Consumerism in Health Care

© 2013 American Dental Association, All Rights Reserved Increased Consumerism in Health Care

© 2013 American Dental Association, All Rights Reserved Key Forces Converging 1.Decline in utilization of dental care among (younger) adults 2.Continued fiscal austerity within state budgets 3.Shift from financing procedures to financing outcomes 4.Pressure on providers to become more efficient 5.Increased integration of health care delivery and health care financing 6.Increased consumerism in health care

© 2013 American Dental Association, All Rights Reserved What to Do?

© 2013 American Dental Association, All Rights Reserved Possible Strategic Action Areas 1.Decline in utilization of dental care among (younger) adults –Increase oral health literacy; Promote value of dental care and dental benefits; Expand scope of practice for dentists. 2.Continued fiscal austerity within state budgets –Demonstrate that dental benefits are a ‘good buy’ in Medicaid; Help dentists become more efficient. 3.Shift from financing procedures to financing outcomes –Lead in the development of quality and outcome measures. 4.Pressure on providers to become more efficient –Help dentists become more efficient. E.g. ADA’s CPS initiative 5.Increased integration of health care delivery and health care financing –Develop a vision for the role of the dentist in the health care team. 6.Increased consumerism in health care –Increase oral health literacy; Promote value of dental care; Make it very very convenient to see the dentist.

© 2013 American Dental Association, All Rights Reserved Sea Change in Care Delivery and Financing