Dentistry at a Crossroads : A Look Back, a Look Forward
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Transcript of Dentistry at a Crossroads : A Look Back, a Look Forward
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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
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© 2013 American Dental Association, All Rights Reserved
Dentistry at a Crossroads
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© 2013 American Dental Association, All Rights Reserved
Today
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Key Forces Converging
1. Declining utilization of dental care among (younger) adults
2. Continued fiscal austerity within state budgets
3. Shift from financing procedures to financing outcomes
4. Pressure on providers to become more efficient
5. Increased integration of health care delivery and health care financing
6. Increased consumerism in health care
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My Road to Dentistry…
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The Dental Economy
3.9% per year -0.3% per year1.8% per year
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The Dental Economy
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The Dental Economy
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Dentist Earnings
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Dentist Earnings
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Utilization of Dental Care
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Utilization of Dental Care
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Utilization of Dental Care
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Dental Benefits
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Cost as a Barrier to Care
? ?
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What’s on the Horizon?
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No Relief for Adults
21,000,000
800,000
3,200,000
5,500,000
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Fiscal Constraints in States
Source: Kaiser Family Foundation Survey of State Medicaid Budget Officers, 2012.
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Sea Change in Care Delivery and Financing
$$ for procedures
$$ for outcomes
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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
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Sea Change in Care Delivery and Financing
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Sea Change in Care Delivery and Financing
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Increased Consumerism in Health Care
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Increased Consumerism in Health Care
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Increased Consumerism in Health Care
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Key Forces Converging
1. Decline in utilization of dental care among (younger) adults
2. Continued fiscal austerity within state budgets
3. Shift from financing procedures to financing outcomes
4. Pressure on providers to become more efficient
5. Increased integration of health care delivery and health care financing
6. Increased consumerism in health care
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What to Do?
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Possible Strategic Action Areas
1. 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.
2. Continued fiscal austerity within state budgets– Demonstrate that dental benefits are a ‘good buy’ in Medicaid; Help dentists become
more efficient.
3. Shift from financing procedures to financing outcomes– Lead in the development of quality and outcome measures.
4. Pressure on providers to become more efficient – Help dentists become more efficient. E.g. ADA’s CPS initiative
5. Increased integration of health care delivery and health care financing– Develop a vision for the role of the dentist in the health care team.
6. Increased consumerism in health care– Increase oral health literacy; Promote value of dental care; Make it very very
convenient to see the dentist.
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Sea Change in Care Delivery and Financing