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The State of Dentistry What Data Tell Us About Your Future Practice Environment Cassie Yarbrough, MPP Health Policy Researcher ADA Health Policy Institute
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@ASDAnet #ASDAnet Overview Introduction The Dental Environment Changes Impacting the Dental Profession Looking Forward and Points of Strategic Action
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@ASDAnet #ASDAnet The Dental Environment What does the world look like today?
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@ASDAnet #ASDAnet A Major Transition Dentistry Shifts in Source of Dental Care Financing The Economy New Dental Care Delivery Models Rising Student Debt Affordable Care Act Change in Oral Health Status Shifts in Dental Care Utilization Patterns New Dental Schools
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@ASDAnet #ASDAnet Total Dental Spending ($ millions)
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@ASDAnet #ASDAnet Total Dental Spending
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@ASDAnet #ASDAnet Dentist Earnings
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@ASDAnet #ASDAnet Dental Care Utilization, 2000-2012
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@ASDAnet #ASDAnet Dental Benefits: Children
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@ASDAnet #ASDAnet Dental Benefits: Adults
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@ASDAnet #ASDAnet Reasons Why Adults Do Not Plan to Visit a Dentist 1. Cost 2. My mouth is healthy and I do not need dental care
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@ASDAnet #ASDAnet Reasons why High Income Adults Do Not Plan to Visit a Dentist
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@ASDAnet #ASDAnet Financial Barriers to Dental Care
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@ASDAnet #ASDAnet Changes The Affordable Care Act
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@ASDAnet #ASDAnet Uninsured Rate as of December 2014
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@ASDAnet #ASDAnet Dependent Coverage Policy
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@ASDAnet #ASDAnet Marketplace Dental Benefits, 2014 and 2015
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@ASDAnet #ASDAnet Marketplace Questions Are consumers buying dental benefits? Are the dental benefits “good”? Are consumers using the dental benefits they purchase?
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@ASDAnet #ASDAnet Are Consumers Buying Dental Benefits?
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@ASDAnet #ASDAnet Are Dental Benefits “Good”? First Dollar Coverage for Preventive Pediatric Services? Medical Plans with Embedded Pediatric Dental Benefits Yes: 75.7%No: 24.3% Stand-Alone Dental Plans Yes: 43.9%No: 56.1%
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@ASDAnet #ASDAnet Are Consumers Using These Benefits? ?
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@ASDAnet #ASDAnet Medicaid Expansion 15% of general dentists 50% of pediatric dentists are accepting new Medicaid patients
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@ASDAnet #ASDAnet Medicaid Expansion
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@ASDAnet #ASDAnet Total ACA Benefits Expansion
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@ASDAnet #ASDAnet Let’s Assume Demand Goes Up… Are there enough dentists to keep up? Will they want to treat these new patients?
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@ASDAnet #ASDAnet Dentists per 100,000 Population
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@ASDAnet #ASDAnet Percent of Dentists “Not Busy Enough”
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@ASDAnet #ASDAnet Child Medicaid Reimbursement, 2014
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@ASDAnet #ASDAnet Adult Medicaid Reimbursement, 2014
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@ASDAnet #ASDAnet Opportunities and Strategies
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@ASDAnet #ASDAnet Emphasis on Value
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@ASDAnet #ASDAnet Leveraging the Value Agenda
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@ASDAnet #ASDAnet Increased Care Coordination
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@ASDAnet #ASDAnet Consumerism
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@ASDAnet #ASDAnet Increase Dental Care Utilization
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@ASDAnet #ASDAnet Rethink the Role of the Dental Practice
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@ASDAnet #ASDAnet Practice Consolidation The trend toward larger, consolidated multi-site practices is expected to continue, driven by changes in practice patterns of new dentists, a drive for efficiency, and increased competition for patients.
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@ASDAnet #ASDAnet Career Choices – Group Practice Dentists in large group practices… – reported lower satisfaction levels associated with work hours, scheduling, and overall work-life balance – reported less ability to influence the organization or to advance within it – reported higher satisfaction levels with income and benefits – were less likely to report feeling stressed in their jobs – were less likely to be satisfied with the care delivered in their practice – were less likely to report satisfaction with their careers in dentistry
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@ASDAnet #ASDAnet Student Debt What are the trends in dental student debt? How does this compare to higher education in general? What is the impact of dental student debt on career choices? – Pursue advanced education – Work in private practice or public health, government, faculty position – Own a practice – Hours worked per year – Accept uninsured and Medicaid patients
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@ASDAnet #ASDAnet Student Debt
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@ASDAnet #ASDAnet Student Debt
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@ASDAnet #ASDAnet Student Debt
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@ASDAnet #ASDAnet Thank You! For more information visit the ADA Health Policy Institute at: www.ada.org/hpi
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