1. State of the Dental Market Outlook 2016 Thank you for joining! You will be on hold until the meeting starts at 12:00 pm CT If you aren’t currently connected by phone, dial 866.740.1260 If prompted, enter meeting number: 4407745 Marko Vujicic, PhD Chief Economist & Vice President Health Policy Institute

2. © 2015 American Dental Association. All Rights Reserved. 2 Health Policy Institute

3. © 2015 American Dental Association. All Rights Reserved. 3 Some Trendlines…

4. © 2015 American Dental Association. All Rights Reserved. 4 Dental Spending

5. © 2015 American Dental Association. All Rights Reserved. 5 Dental Spending

6. © 2015 American Dental Association. All Rights Reserved. 6 Dental Care Utilization

7. © 2015 American Dental Association. All Rights Reserved. 7 Dental Care Utilization

8. © 2015 American Dental Association. All Rights Reserved. 8 Dental Care Utilization

9. © 2015 American Dental Association. All Rights Reserved. 9 Dental Care Utilization

10. © 2015 American Dental Association. All Rights Reserved. 10 Dental Care Utilization

11. © 2015 American Dental Association. All Rights Reserved. 11 Dental Care Utilization

12. © 2015 American Dental Association. All Rights Reserved. 12 Dental Care Utilization

13. © 2015 American Dental Association. All Rights Reserved. 13 Dental Care Utilization

14. © 2015 American Dental Association. All Rights Reserved. 14 Dental Benefits Coverage

15. © 2015 American Dental Association. All Rights Reserved. 15 Dental Benefits Coverage

16. © 2015 American Dental Association. All Rights Reserved. 16 Dental Benefits Coverage

17. © 2015 American Dental Association. All Rights Reserved. 17 Dental Benefits Coverage

18. © 2015 American Dental Association. All Rights Reserved. 18 Cost Barriers to Dental Care

19. © 2015 American Dental Association. All Rights Reserved. 19 Cost Barriers to Dental Care

20. © 2015 American Dental Association. All Rights Reserved. 20 Dentist Earnings

21. © 2015 American Dental Association. All Rights Reserved. 21 Dentist Earnings

22. © 2015 American Dental Association. All Rights Reserved. 22 Dentist Earnings

23. © 2015 American Dental Association. All Rights Reserved. 23 Reimbursement

24. © 2015 American Dental Association. All Rights Reserved. 24 Looking to the Future…5 Trends 1.The value agenda 2.Increased consumerism 3.Shifting coverage patterns 4.Increased collaboration 5.A data revolution

25. © 2016 American Dental Association. All Rights Reserved. 25 #1 – The Value Agenda Provider CentricFOCUSPatient Centric/Consumer Value Blind Reimbursement VALUE Value-based Reimbursement and Accountability Episodic Fragmented CarePATIENT FLOW Continuous and Coordinated Inpatient-Focused DELIVERY SETTING Ambulatory/Office/Home focused Individuals APPROACHPopulation Based Disease and Treatment OBJECTIVEHealth/Wellness Prevention A View of the Changing Landscape Source: Dowling M. The Journey to Excellence. AHRQ Webinar. July 16, 2010 qtd. In Glassman P. Oral Health Quality Improvement in the Era of Accountability. Pacific Center for Special Care. 2011. FromTo

26. © 2016 American Dental Association. All Rights Reserved. 26 #1 – The Value Agenda

27. © 2015 American Dental Association. All Rights Reserved. 27 #2 – Increased Consumerism

28. © 2015 American Dental Association. All Rights Reserved. 28 #2 – Increased Consumerism

29. © 2016 American Dental Association. All Rights Reserved. 29 #2 – Increased Consumerism

30. © 2016 American Dental Association. All Rights Reserved. 30 #3 – Shifting Coverage Patterns

31. © 2016 American Dental Association. All Rights Reserved. 31 #4 – Increased Collaboration

32. © 2016 American Dental Association. All Rights Reserved. 32 #5 – A Data Revolution The next big thing to hit medical care will be new ways of accumulating, processing, and applying data— revolutionizing medical care the same way Billy Beane and his minions turned baseball into “moneyball”.

33. © 2016 American Dental Association. All Rights Reserved. 33 #5 – A Data Revolution Giving connected toothbrushes to patients makes all the sense in the world. Knowing they brush their teeth regularly means they are less likely to develop cavities and other issues associated with higher cost. Insurers and providers might even be able to promote more brushing or even flossing using incentives from the app associated with the connected toothbrush. Fortune Magazine

34. © 2015 American Dental Association. All Rights Reserved. 34 Thank You! ada.org/hpi hpi@ada.org