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[PMID]:29361654
[Au] Autor:Berry MD; Thomson Reuters Accelus.
[Ti] Título:Medicaid Reimbursement.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-25, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Reembolso de Seguro de Saúde/legislação & jurisprudência
Medicaid/economia
Medicaid/organização & administração
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária
Governo Federal
Fraude/prevenção & controle
Serviços de Assistência Domiciliar
Seres Humanos
Seguro Odontológico
Seguro de Serviços Farmacêuticos
Federação Internacional de Planejamento Familiar
Assistência de Longa Duração
Atenção Primária à Saúde
Diálise Renal
Governo Estadual
Telemedicina
Transporte de Pacientes
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


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[PMID]:29345890
[Au] Autor:Willink A; Shoen C; Davis K
[Ad] Endereço:Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg School of Public Health.
[Ti] Título:How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries.
[So] Source:Issue Brief (Commonw Fund);2018:1-12, 2018 Jan 01.
[Is] ISSN:1558-6847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Issue: The Medicare program specifically excludes coverage of dental, vision, and hearing services. As a result, many beneficiaries do not receive necessary care. Those that do are subject to high out-of-pocket costs. Goal: Examine gaps in access to dental, vision, and hearing services for Medicare beneficiaries and design a voluntary dental, vision, and hearing benefit plan with cost estimates. Methods: Uses the Medicare Current Beneficiary Survey, Cost and Use File, 2012, with population and costs projected to 2016 values. Findings and Conclusions: Among Medicare beneficiaries, 75 percent of people who needed a hearing aid did not have one; 70 percent of people who had trouble eating because of their teeth did not go to the dentist in the past year; and 43 percent of people who had trouble seeing did not have an eye exam in the past year. Lack of access was particularly acute for poor beneficiaries. Because few people have supplemental insurance covering these additional services, among people who received care, three-fourths of their costs of dental and hearing services and 60 percent of their costs of vision services were paid out of pocket. We propose a basic benefit package for dental, vision, and hearing services offered as a premium-financed voluntary insurance option under Medicare. Assuming the benefit package could be offered for $25 per month, we estimate the total coverage costs would be $1.924 billion per year, paid for by premiums. Subsidies to reach low-income beneficiaries would follow the same design as the Part D subsidy.
[Mh] Termos MeSH primário: Transtornos da Audição/economia
Benefícios do Seguro/economia
Cobertura do Seguro/organização & administração
Seguro Odontológico/economia
Medicare/economia
Transtornos da Visão/economia
[Mh] Termos MeSH secundário: Custo Compartilhado de Seguro
Serviços de Saúde Bucal/economia
Transtornos da Audição/terapia
Seres Humanos
Renda
Estados Unidos
Transtornos da Visão/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE


  3 / 5148 MEDLINE  
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[PMID]:28465031
[Au] Autor:di Bella E; Leporatti L; Montefiori M; Krejci I; Ardu S
[Ad] Endereço:Department of Economics and Business Studies, University of Genoa, Via Vivaldi 5, 16126, Genoa, Italy. Electronic address: edibella@unige.it.
[Ti] Título:Popular initiatives in 2014-2016 call for the introduction of mandatory dental care insurance in Switzerland: The contrasting positions at stake.
[So] Source:Health Policy;121(6):575-581, 2017 Jun.
[Is] ISSN:1872-6054
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Switzerland's mandatory health insurance system provides coverage for a standard benefits package for all residents. However, adult dental care is covered only in case of accidents and inevitable dental illnesses, while routine dental care is almost completely financed out-of-pocket. In general, unmet health needs in Switzerland are low, but unmet dental needs are significant, when compared with other countries in Europe. Recent popular initiatives in Switzerland have aimed to introduce a mandatory insurance model for dental care through a mandatory contribution of 1% of gross salaries toward dental care insurance. In three cantons, the proposals have collected the required number of signatures and a public referendum is expected to be held in 2017/2018. If implemented, the insurance system is expected to have a significant impact on the dental profession, dental care demand, and the provision of dental services. The contrasting positions of stakeholders for and against the reform reflect a rare situation in which dental care policy issues are being widely discussed at all levels. However, such a discussion is of crucial relevance not only for Switzerland, but also for the whole of Europe, which has significant levels of unmet needs for dental care, especially among vulnerable and deprived individuals, and new solutions to expand dental care coverage are required.
[Mh] Termos MeSH primário: Assistência Odontológica/estatística & dados numéricos
Seguro Odontológico/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Assistência Odontológica/economia
Política de Saúde
Seres Humanos
Seguro Odontológico/economia
Seguro Odontológico/estatística & dados numéricos
Meia-Idade
Fatores Socioeconômicos
Suíça/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


  4 / 5148 MEDLINE  
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[PMID]:28765465
[Au] Autor:Manski RJ; Meyerhoefer CD
[Ad] Endereço:Dr. Manski is Professor and Chair, Dental Public Health, University of Maryland School of Dentistry; and Dr. Meyerhoefer is Professor, Department of Economics, Lehigh University. rmanski@umaryland.edu.
[Ti] Título:Projecting the Demand for Dental Care in 2040.
[So] Source:J Dent Educ;81(8):eS133-eS145, 2017 Aug.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to provide a forward-thinking assessment of the underlying factors likely to impact trends in dental care demand and the need for dental providers in 2020, 2025, and beyond. Dental workforce trends and their likely impact on the need for dentists are a function of predicted dental care demand, which will in turn be determined by the size and characteristics of our population size, economic outlook, the state of public and private dental care insurance, trends in dental care delivery, professionally determined dental care need, and population health beliefs. Projecting rates of dental care utilization far into the future is difficult because projections must be made using historical data, and established trends may not persist if there is structural change in the future. Nonetheless, when structural change occurs, it does not typically affect all aspects of the economy, so there is value in describing the likely future impact of current trends. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Assistência Odontológica/tendências
Previsões
Necessidades e Demandas de Serviços de Saúde/tendências
[Mh] Termos MeSH secundário: Assistência Odontológica/economia
Assistência Odontológica/estatística & dados numéricos
Odontólogos/provisão & distribuição
Gastos em Saúde
Seres Humanos
Renda/tendências
Cobertura do Seguro
Seguro Odontológico
Dinâmica Populacional
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.020


  5 / 5148 MEDLINE  
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[PMID]:28719488
[Au] Autor:Shane DM; Wehby GL
[Ad] Endereço:Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA.
[Ti] Título:The Impact of the Affordable Care Act's Dependent Coverage Mandate on Use of Dental Treatments and Preventive Services.
[So] Source:Med Care;55(9):841-847, 2017 Sep.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Oral health problems are the leading chronic conditions among children and younger adults. Lack of dental coverage is thought to be an important barrier to care but little empirical evidence exists on the causal effect of private dental coverage on use of dental services. We explore the relationship between dental coverage and dental services utilization with an analysis of a natural experiment of increasing private dental coverage stemming from the Affordable Care Act's (ACA)-dependent coverage mandate. OBJECTIVES: To evaluate whether increased private dental insurance due to the spillover effect of the ACA-dependent coverage health insurance mandate affected utilization of dental services among a group of affected young adults. DATA: 2006-2013 Medical Expenditure Panel Surveys. STUDY DESIGN: We used a difference-in-difference regression approach comparing changes in dental care utilization for 25-year olds affected by the policy to unaffected 27-year olds. We evaluate effects on dental treatments and preventive services RESULTS:: Compared to 27-year olds, 25-year olds were 8 percentage points more likely to have private dental coverage in the 3 years following the mandate. We do not find compelling evidence that young adults increased their use of preventive dental services in response to gaining insurance. We do find a nearly 5 percentage point increase in the likelihood of dental treatments among 25-year olds following the mandate, an effect that appears concentrated among women. CONCLUSIONS: Increases in private dental coverage due to the ACA's-dependent coverage mandate do not appear to be driving significant changes in overall preventive dental services utilization but there is evidence of an increase in restorative care.
[Mh] Termos MeSH primário: Assistência Odontológica/utilização
Cobertura do Seguro/estatística & dados numéricos
Seguro Odontológico/estatística & dados numéricos
Patient Protection and Affordable Care Act/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adulto
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Saúde Bucal
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000775


  6 / 5148 MEDLINE  
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[PMID]:28662240
[Au] Autor:Willink A; Schoen C; Davis K
[Ad] Endereço:Roger C. Lipitz Center for Integrated Health Care, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Consideration of Dental, Vision, and Hearing Services to Be Covered Under Medicare.
[So] Source:JAMA;318(7):605-606, 2017 08 15.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cobertura do Seguro
Seguro Odontológico
Medicare/organização & administração
[Mh] Termos MeSH secundário: Perda Auditiva
Seres Humanos
Cobertura do Seguro/economia
Seguro Odontológico/economia
Medicare/economia
Estados Unidos
Transtornos da Visão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.8647


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[PMID]:28661810
[Au] Autor:Jung M; Kwon SC; Edens N; Northridge ME; Trinh-Shevrin C; Yi SS
[Ad] Endereço:Molly Jung is with the Department of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, MD. Simona C. Kwon, Chau Trinh-Shevrin, and Stella S. Yi are with the Department of Population Health, New York University, New York, NY. Neile Edens is with Common Threads, Austin, TX. Ma
[Ti] Título:Oral Health Care Receipt and Self-Rated Oral Health for Diverse Asian American Subgroups in New York City.
[So] Source:Am J Public Health;107(S1):S94-S96, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To identify determinants of receipt of annual oral health examinations and self-rated oral health among diverse Asian American subgroups. METHODS: We used data from the Community Health Resources and Needs Assessment, a community-based survey of Asian American immigrant adults conducted in the New York City metropolitan region from 2013 to 2016 (n = 1288). We used multivariable logistic regression models to assess determinants of oral health care receipt and self-rated oral health. RESULTS: Failure to receive an annual oral health examination was common in this sample (41.5%) and was more frequent for participants who were younger and male and those who had poorer English fluency and lower educational attainment. Not having dental insurance versus having private dental insurance resulted in 2 to 3 times the odds of nonreceipt of oral health care and poor self-rated oral health. CONCLUSIONS: Nonreceipt of annual oral health examinations and poor self-rated oral health were common across Asian American subgroups. Facilitating dental insurance sign-up and providing in-language services may improve oral health care access and ultimately oral health among Asian American immigrants.
[Mh] Termos MeSH primário: Americanos Asiáticos/estatística & dados numéricos
Assistência Odontológica/utilização
Saúde Bucal/estatística & dados numéricos
Autorrelato
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Estudos Transversais
Feminino
Seres Humanos
Seguro Odontológico/economia
Masculino
Meia-Idade
New Jersey
Cidade de Nova Iorque
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303661


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[PMID]:28661798
[Au] Autor:Niederman R; Huang SS; Trescher AL; Listl S
[Ad] Endereço:Richard Niederman and Shulamite S. Huang are with the Department of Epidemiology & Health Promotion, College of Dentistry, New York University, New York, NY. Anna-Lena Trescher and Stefan Listl are with the Translational Health Economics Group, Department of Conservative Dentistry, Heidelberg Un
[Ti] Título:Getting the Incentives Right: Improving Oral Health Equity With Universal School-Based Caries Prevention.
[So] Source:Am J Public Health;107(S1):S50-S55, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite significant financial, training, and program investments, US children's caries experience and inequities continued to increase over the last 20 years. We posit that (1) dental insurance payment systems are not aligned with the current best evidence, exacerbating inequities, and (2) system redesign could meet health care's triple aim and reduce children's caries by 80%. On the basis of 2013 to 2016 Medicaid and private payment rates and the caries prevention literature, we find that effective preventive interventions are either (1) consistently compensated less than ineffective interventions or (2) not compensated at all. This economic and clinical misalignment may account for underuse of effective caries prevention and subsequent overuse of restorative care. We propose universal school-based comprehensive caries prevention to address this misalignment. Preliminary modeling suggests that universal caries prevention could eliminate 80% of children's caries and cost less than one fifth of current Medicaid children's oral health spending. If implemented with bundled payments based on cycle of care and measurable outcomes, there would be an alignment of incentives, best evidence, care, and outcomes. Such a program would meet the Healthy People Oral Health goals for children, as well as health care's triple aim.
[Mh] Termos MeSH primário: Equidade em Saúde/normas
Motivação
Saúde Bucal/normas
Serviços de Odontologia Escolar
[Mh] Termos MeSH secundário: Cárie Dentária/prevenção & controle
Planos de Pagamento por Serviço Prestado/economia
Seres Humanos
Seguro Odontológico/economia
Medicaid/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2016.303614


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[PMID]:28555729
[Au] Autor:Jang Y; Yoon H; Park NS; Chiriboga DA
[Ad] Endereço:School of Social Work, University of Texas at Austin, Austin, Texas.
[Ti] Título:Oral Health and Dental Care in Older Asian Americans in Central Texas.
[So] Source:J Am Geriatr Soc;65(7):1554-1558, 2017 Jul.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine factors associated with dental health insurance, self-rated oral health, and use of preventive dental care services in older Asian Americans. DESIGN: Cross-sectional survey. SETTING: The Asian American Quality of Life Survey was conducted with 2,614 Asian Americans living in central Texas using questionnaires available in English and six Asian languages. PARTICIPANTS: Asian American Quality of Life Survey participants aged 60 and older (N = 533; mean age = 69.4 ± 6.9). MEASUREMENTS: Participants were asked whether they had insurance that covered the cost of any dental visit, how they would rate their overall oral health status, and whether they had visited a dental clinic for a routine examination in the past 12 months. Information was also collected on sociodemographic and immigration-related variables. RESULTS: More than 61% of the sample had no dental health insurance, 45% reported that their oral health was fair or poor, and 44% had not used preventive dental care services. A series of logistic regression analyses identified factors posing a significant risk to oral health and dental care. For example, those with limited English proficiency were 3.5 times as likely to lack dental health insurance and 3.2 times as likely to rate their oral health as fair or poor. The odds of not using preventive dental care services were 6.4 times as great in those without dental health insurance. CONCLUSION: The overall findings call attention to efforts to promote oral health and dental care in older Asian Americans.
[Mh] Termos MeSH primário: Americanos Asiáticos/estatística & dados numéricos
Assistência Odontológica/utilização
Saúde Bucal/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Estudos Transversais
Seres Humanos
Seguro Odontológico/economia
Odontologia Preventiva/métodos
Autorrelato
Inquéritos e Questionários
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14832


  10 / 5148 MEDLINE  
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[PMID]:28510683
[Au] Autor:Campbell BH
[Ad] Endereço:Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee.
[Ti] Título:Determination.
[So] Source:JAMA;317(19):1953-1954, 2017 05 16.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Restauração Dentária Permanente
Revisão da Utilização de Seguros
Cobertura do Seguro
Seguro Odontológico
Radioterapia/efeitos adversos
Sobreviventes/psicologia
Dente/efeitos da radiação
[Mh] Termos MeSH secundário: Restauração Dentária Permanente/economia
Dentição Permanente
Definição da Elegibilidade
Seres Humanos
Cobertura do Seguro/economia
Seguro Odontológico/economia
Seguro Odontológico/legislação & jurisprudência
Reembolso de Seguro de Saúde
Medicare/legislação & jurisprudência
Personalidade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.0629



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