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

2. The ADA Health Policy Institute

3. The ADA Health Policy Institute

4. Just the Facts…

5. Just the Facts…

6. Just the Facts…

7. Just the Facts…

8. Just the Facts…

9. Tools for Policymakers…

10. State Level Fact Sheets

11. State Level Fact Sheets

12. State Level Fact Sheets

13. State Level Fact Sheets

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

15. Example: Alabama
Formula: Enrollment x Utilization x Spending/User x State Share
Scenario 1: 234,582 adults x x $ x = $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%

16. Example: Missouri
Formula: Enrollment x Utilization x Spending/User x State Share
Scenario 2: 301,540 adults x x $ x = $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%

17. 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

18. Projecting the Supply of Dentists

19. Understanding Access

20. Understanding Access

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

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