Utilization and Expenditures for Dental Services Among the Elderly Larry Meskin Jack Brown Santa Fe Group, June 28, 2007.

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Presentation transcript:

Utilization and Expenditures for Dental Services Among the Elderly Larry Meskin Jack Brown Santa Fe Group, June 28, 2007

Note: The percentages are of the total population. Populations with Significant Barriers to Access to Dental Care are in Red Boxes

Size of the Elderly Population

U.S. Elderly by Age, (in Millions) 65+ in the United States, 2005, U.S. Depts. of HHS & Commerce

Number (in Millions) & Percent of Total Population By Race/Ethnicity, 2000 & 2030 White-NHBlack-NHAll Other RacesAsianHispanic (Any Race)

Number (in Millions) & Percent of Total Elderly By Race/Ethnicity, 2000 & 2030 White-NHBlack-NHAll Other RacesAsianHispanic (Any Race)

Economic Status of the Elderly

Percent of Elderly Below Federal Poverty Level, Gender and Race/Ethnicity, 2003 U.S. Census Bureau

Net Worth With and Without Home Equity, by Age, Overall Median Median Net Worth $114,050$120,000$100,100 Excluding Home Equity $27,588$31,400$19,025 Bottom Quintile Median Net Worth $32,000$43,230$46,266 Excluding Home Equity $2,900$2,885$4,000 Top Quintile Median Net Worth $449,800$452,992$569,000 Excluding Home Equity $237,925$272,681$414,369 U.S. Census Bureau

General Health and Living Arrangements Among the Elderly

Living Arrangements of the Non-Institutionized Elderly, by Race/Ethnicity and Gender, 2000 Men Women SpouseRelativesNon-relativesAloneLiving with

Number and Percent of Elderly Living in Nursing Homes, 1990 & Number of Elderly 1,772,0321,720,500 Percent of Elderly 5.7%4.9% Percent of U.S. Population 0.71%0.61%

Percent of Elderly in Nursing Homes, by Age and Gender, 1999 National Health and Nutrition Examination Survey, 2004

Trends in DMFT Among the Elderly

Change in DMFT by Age and Gender, &

Edentulism Among the Elderly

Percent Edentulous Among Elderly (65+), by Race/Ethnicity, National Health and Nutrition Examination Survey, 2004

Percent Edentulous, by Age and Income, National Health and Nutrition Examination Survey, 2004

Utilization of and Expenditures for Dental Services Among the Elderly

DMFS Versus Fluoridated Communities* DMFS 20% 30% 40% 50% 60% 70% 80% %Fl Baby Boom Gen X Gen Y * Decayed, Missing or Filled Surfaces, Children aged 5-17, NIDCR; Percent of population residing in fluoridated communities, ADA

Percent with a Visit to a Dentist During the Previous Year, By Age and Race NCHS, Health Interview Survey, 2005

Percent with a Visit to a Dentist During the Previous Year, By Hispanic NCHS, Health Interview Survey, 2005

Percent with a Visit to a Dentist During the Previous Year, By Income NCHS, Health Interview Survey, 2005

Multivariate Analysis of Utilization of Dental Services by the Elderly

Percent with a Visit During the Previous Year, By Selected Factors - Dentists & Physicians Ins No Yes Gender MMMM Age Inc High Educ S Coll Race B-NHW W Dentate YYNA No Yes MMMM Poor S HS B-NHW W YYNA

Percent with a Visit During the Previous Year, By Selected Factors - Dentists & Physicians Ins No Yes Gender MMMM Age Inc Hi Educ S Coll Race WWWW Dentate NYNA No Yes MMMM Poor S HS WWWW NYNA

Percent with a Visit During the Previous Year, By Selected Factors - Dentists & Physicians Ins No Yes Gender MMMM Age Inc PoorHighPoorHigh Educ No HSS CollNo HSS Coll Race B-NH Dentate NYNA No Yes MMMM PoorHighPoorHigh No HSS CollNo HSS Coll W-NH NYNA

Types of Dental Services Received by the Elderly

Distribution of Dental Services: All Ages,

Distribution of Dental Services: Year-olds,

Distribution of Dental Services: Aged 75+,

Percentage of Various Services Received by Elderly, Aged 65+,

Percent with a Visit by Type of Procedure By High, Middle, Low Incomes, 65 + MEPS 2004

Percent with Dental Visit by Type of Procedure, All Ages and Elderly MEPS 2004

Percent with a Visit by Type of Procedure Black/Hispanic & 2004 MEPS 1996 & 2004

Expenditures & Source of Payment for Dental Services Among the Elderly

Percentage Distribution of Expenditures, By Type of Procedure, All Ages

Percent of Expenditures and Procedures, By Type of Procedure, – 65+

Total Real Charges (2004$) for Dental Services, By Age and Source of Payment, 1996 & 2004 $669 $760 $693 $ Medical Expenditure Panel Surveys