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Flashcards in DENT 2060 Financing Deck (12):
1

Oral health disparities are often found in which race(s) of people?

*Black, non-hispanic
*Hispanic
*American Indian
*Alaska Natives

2

Financing of Dental Care

*7.4% spent on dental services;
*can be paid with private funds (insurance) or public dental coverage (government help)
*more than 100 million people in US have neither

3

Payment methods

*fee-for-service (set fee-scale; usual, customary and reasonable fees; pt billed, most common, insurance pays %)
*capitation (dentist contracts w/3rd party to provide; DDS paid fixed monthly, dental managed care organizations, health maintenance organizations)
*encounter fee (each visit same cost regardless of service; inconvenient - office only wants one service at a time; less pt comprehensive care)
*barter (exchanging goods or services without using money)

4

Medicare

E for elderly; 65 years old or more, under 65 w/certain disabilities; no coverage for dental unless medically necessary

5

Medicaid

D for dental for the poor; **Federal-state health insurance; children, seniors, blind, pregnant, disabilities; funding from state, mandatory for children under 21; maind funding for nursing homes

6

Cobra

If you get laid off or retire before 65; Consolidated Omnibus Budget Reconciliation Act of 1985; employers allow groups to continue with their coverage temporarily

7

What's being done to help disparity groups or address disparities?

#1 - Healthy People 2020
National Call to Action by Surgeon General
National Oral Health Surveillance System
National Institute of Dental and Craniofacial Research

*this was our homework

8

Shortage of help

4230 Dental Health Professional shortage areas; 9642 dentists needed for ratio 3000 to 1

9

SCHIPS

children under 19; state designed program and determined eligibility; dentists more willing to buy this program because of better patients and money

10

Federal block grants

lump sum given to group; feds give to state or local gov; many low-income clinics utilize this

11

What is being done for shortage of help areas?

Areas are qualified to receive federal programs and grants; they need more WILLING professionals to work in these areas; burden placed on safety net dental clinics (Matthew 25); Push towards volunteerism of private sector - free or reduced fee services

12

Access problem solutions

private sector volunteerism; expand safety net clinics; on-site oral health care from centers; mobile or teledentistry; expanded role of dental hygienists