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Dentistry at a Crossroads : A Look Back, a Look Forward. Marko Vujicic, Ph.D. Managing Vice President Health Policy Resources Center. Dentistry at a Crossroads. Today. Key Forces Converging. Declining utilization of dental care among (younger) adults
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Dentistry at a Crossroads:A Look Back, a Look Forward Marko Vujicic, Ph.D. Managing Vice President Health Policy Resources Center
Key Forces Converging • Declining utilization of dental care among (younger) adults • Continued fiscal austerity within state budgets • Shift from financing procedures to financing outcomes • Pressure on providers to become more efficient • Increased integration of health care delivery and health care financing • Increased consumerism in health care
The Dental Economy -0.3% per year 1.8% per year 3.9% per year
No Relief for Adults 21,000,000 800,000 3,200,000 5,500,000
Fiscal Constraints in States Source: Kaiser Family Foundation Survey of State Medicaid Budget Officers, 2012.
Sea Change in Care Delivery and Financing $$ for procedures $$ for outcomes
Sea Change in Care Delivery and Financing The Future of US Health Care http://www.youtube.com/watch?v=y51eT-1-BE8&feature=related Accountable Care Organizations http://www.commonwealthfund.org/Multimedia/Videos/2012/Karen-Davis-Quality-and-Efficiency.aspx?omnicid=20
Key Forces Converging • Decline in utilization of dental care among (younger) adults • Continued fiscal austerity within state budgets • Shift from financing procedures to financing outcomes • Pressure on providers to become more efficient • Increased integration of health care delivery and health care financing • Increased consumerism in health care
Possible Strategic Action Areas • Decline in utilization of dental care among (younger) adults • Increase oral health literacy; Promote value of dental care and dental benefits; Expand scope of practice for dentists. • Continued fiscal austerity within state budgets • Demonstrate that dental benefits are a ‘good buy’ in Medicaid; Help dentists become more efficient. • Shift from financing procedures to financing outcomes • Lead in the development of quality and outcome measures. • Pressure on providers to become more efficient • Help dentists become more efficient. E.g. ADA’s CPS initiative • Increased integration of health care delivery and health care financing • Develop a vision for the role of the dentist in the health care team. • Increased consumerism in health care • Increase oral health literacy; Promote value of dental care; Make it very very convenient to see the dentist.