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A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program

BACKGROUND: In Iowa from 2014 to 2017, there were 2 separate public dental benefit programs for Medicaid-enrolled adults: one for the Medicaid expansion population called the Dental Wellness Plan (DWP), and one for the traditional, non-expansion adult Medicaid population. The programs differed with...

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Autores principales: Reynolds, Julie C., McKernan, Susan C., Damiano, Peter C., Kuthy, Raymond A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534867/
https://www.ncbi.nlm.nih.gov/pubmed/31126338
http://dx.doi.org/10.1186/s12903-019-0771-z
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author Reynolds, Julie C.
McKernan, Susan C.
Damiano, Peter C.
Kuthy, Raymond A.
author_facet Reynolds, Julie C.
McKernan, Susan C.
Damiano, Peter C.
Kuthy, Raymond A.
author_sort Reynolds, Julie C.
collection PubMed
description BACKGROUND: In Iowa from 2014 to 2017, there were 2 separate public dental benefit programs for Medicaid-enrolled adults: one for the Medicaid expansion population called the Dental Wellness Plan (DWP), and one for the traditional, non-expansion adult Medicaid population. The programs differed with respect to reimbursement, administration, and benefit structure. This study explored differences in patterns and predictors of dentist participation in the two programs. METHODS: Authors sent a survey to all private practice dentists in Iowa (n = 1301) 2 years after DWP implementation. Descriptive, bivariate, and logistic regression analyses were used to examine patterns and predictors of dentist participation in Medicaid and DWP. RESULTS: Overall rates of dentists’ acceptance of new Medicaid and DWP patients were 45 and 43%, respectively. However, Medicaid participants were much more likely than DWP participants to place limits on patient acceptance. Adjusting for other factors, practice busyness was the only significant predictor of DWP participation, and practice location was the only significant predictor of Medicaid participation. Dentists who were not busy enough were more than twice as likely to participate in DWP compared to others, and dentists in rural areas were almost twice as likely to participate in Medicaid compared to dentists in urban areas. CONCLUSIONS: Dentist participation in Medicaid is an ongoing concern for states aiming to ensure access to dental care for low-income populations. We found distinct participation patterns and predictors between a traditional Medicaid dental program and the DWP, suggesting different motivations for participation between the two programs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12903-019-0771-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-65348672019-05-30 A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program Reynolds, Julie C. McKernan, Susan C. Damiano, Peter C. Kuthy, Raymond A. BMC Oral Health Research Article BACKGROUND: In Iowa from 2014 to 2017, there were 2 separate public dental benefit programs for Medicaid-enrolled adults: one for the Medicaid expansion population called the Dental Wellness Plan (DWP), and one for the traditional, non-expansion adult Medicaid population. The programs differed with respect to reimbursement, administration, and benefit structure. This study explored differences in patterns and predictors of dentist participation in the two programs. METHODS: Authors sent a survey to all private practice dentists in Iowa (n = 1301) 2 years after DWP implementation. Descriptive, bivariate, and logistic regression analyses were used to examine patterns and predictors of dentist participation in Medicaid and DWP. RESULTS: Overall rates of dentists’ acceptance of new Medicaid and DWP patients were 45 and 43%, respectively. However, Medicaid participants were much more likely than DWP participants to place limits on patient acceptance. Adjusting for other factors, practice busyness was the only significant predictor of DWP participation, and practice location was the only significant predictor of Medicaid participation. Dentists who were not busy enough were more than twice as likely to participate in DWP compared to others, and dentists in rural areas were almost twice as likely to participate in Medicaid compared to dentists in urban areas. CONCLUSIONS: Dentist participation in Medicaid is an ongoing concern for states aiming to ensure access to dental care for low-income populations. We found distinct participation patterns and predictors between a traditional Medicaid dental program and the DWP, suggesting different motivations for participation between the two programs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12903-019-0771-z) contains supplementary material, which is available to authorized users. BioMed Central 2019-05-24 /pmc/articles/PMC6534867/ /pubmed/31126338 http://dx.doi.org/10.1186/s12903-019-0771-z Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Reynolds, Julie C.
McKernan, Susan C.
Damiano, Peter C.
Kuthy, Raymond A.
A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title_full A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title_fullStr A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title_full_unstemmed A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title_short A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion program
title_sort tale of two public dental benefit programs: iowa dentist participation in traditional medicaid versus a medicaid expansion program
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534867/
https://www.ncbi.nlm.nih.gov/pubmed/31126338
http://dx.doi.org/10.1186/s12903-019-0771-z
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