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Dentistry at a Crossroads : A Look Back, a Look Forward

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

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  1. Dentistry at a Crossroads:A Look Back, a Look Forward Marko Vujicic, Ph.D. Managing Vice President Health Policy Resources Center

  2. Dentistry at a Crossroads

  3. Today

  4. 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

  5. My Road to Dentistry…

  6. The Dental Economy -0.3% per year 1.8% per year 3.9% per year

  7. The Dental Economy

  8. The Dental Economy

  9. Dentist Earnings

  10. Dentist Earnings

  11. Utilization of Dental Care

  12. Utilization of Dental Care

  13. Utilization of Dental Care

  14. Dental Benefits

  15. Cost as a Barrier to Care ? ?

  16. What’s on the Horizon?

  17. No Relief for Adults 21,000,000 800,000 3,200,000 5,500,000

  18. Fiscal Constraints in States Source: Kaiser Family Foundation Survey of State Medicaid Budget Officers, 2012.

  19. Sea Change in Care Delivery and Financing $$ for procedures $$ for outcomes

  20. 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

  21. Sea Change in Care Delivery and Financing

  22. Sea Change in Care Delivery and Financing

  23. Increased Consumerism in Health Care

  24. Increased Consumerism in Health Care

  25. Increased Consumerism in Health Care

  26. 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

  27. What to Do?

  28. 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.

  29. Sea Change in Care Delivery and Financing

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