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Measuring What Matters  A New Way of Measuring Geographic Access to Dental Care Services Measuring What Matters  A New Way of Measuring Geographic Access to Dental Care Services

Measuring What Matters A New Way of Measuring Geographic Access to Dental Care Services - PowerPoint Presentation

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Uploaded On 2023-05-19

Measuring What Matters A New Way of Measuring Geographic Access to Dental Care Services - PPT Presentation

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minute dentist insured travel dentist minute travel insured publicly areas medicaid time live children population geographic chip 000 500

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1. Measuring What Matters A New Way of Measuring Geographic Access to Dental Care Services Thank you for joining! You will be on hold until the call begins at 11:00 a.m. Central timePlease remember to mute your phone unless you are speaking.This webinar will be recorded.Streaming audio is available through your computerIf you’d like to call in to listen to the audio via phone, dial (888) 378-4398 and enter conference ID: 514730

2. The ADA Health Policy Institute

3. The ADA Health Policy Institute

4. The ADA Health Policy Institute

5. The ADA Health Policy Institute

6. Today CHAIR Marko Vujicic, Ph.D., Chief Economist & Vice President, ADA Health Policy Institute PANELISTS Jayanth Kumar, DDS, MPH, State Dental Director, California Department of Public Health Marty Milkovic, MSW, Director of Care Coordination & Outreach, Connecticut Dental Health Partnership (CTDHP)

7. Health Professional Shortage Areas

8. Barriers to Dental Care

9. Barriers to Dental Care

10. Supply of Medicaid or CHIP Dentists

11. Supply and Dental Care Use

12. Supply and Dental Care Use

13. Measuring What MattersADA.org/HPI

14. PROVIDERSMap every location where at least one dentist participates in Medicaid or CHIPIncludes FQHCs and dental school clinicsAdjust for FTEs based on age and multiple locationsBased on Insure Kids Now and ADA office data basePOPULATIONMap general population as well as children with public health insuranceData are at Census tract level Use population-weighted centroidBased on Census dataMethodsGEO-ANALYSISCreate 5, 15, 30 minute travel times around population-weighted centroids and dental offices, FQHCs, and dental school clinicsBased on road networksUse 2SFCA method to measure density of dentists relative to population

15. Methods

16. Geographic Access

17. Geographic Access

18. Geographic Access4% of publicly insured children do not have a Medicaid or CHIP dentist within a 15 minute travel time56% of publicly insured children live in areas with more than one Medicaid or CHIP dentist within a 15 minute travel time for every 500 publicly insured children35% of publicly insured children live in areas with one Medicaid or CHIP dentist within a 15 minute travel time for every 500 to 2,000 publicly insured children5% of publicly insured children live in areas with less than one Medicaid or CHIP dentist within a 15 minute travel time for every 2,000 publicly insured children

19. Geographic Access3% of the population do not have a dentist within a 15 minute travel time52% of the population live in areas with more than one dentist within a 15 minute travel time for every 2,500 people31% of the population live in areas with one dentist within a 15 minute travel time for every 2,500 to 5,000 people14% of the population live in areas with less than one dentist within a 15 minute travel time for every 5,000 people

20. Geographic Access

21. Geographic Access

22. Geographic Access12% of publicly insured children do not have a Medicaid or CHIP dentist within a 15 minute travel time58% of publicly insured children live in areas with more than one Medicaid or CHIP dentist within a 15 minute travel time for every 500 publicly insured children29% of publicly insured children live in areas with one Medicaid or CHIP dentist within a 15 minute travel time for every 500 to 2,000 publicly insured children1% of publicly insured children live in areas with less than one Medicaid or CHIP dentist within a 15 minute travel time for every 2,000 publicly insured children

23. Geographic Access4% of the population do not have a dentist within a 15 minute travel time61% of the population live in areas with more than one dentist within a 15 minute travel time for every 2,500 people26% of the population live in areas with one dentist within a 15 minute travel time for every 2,500 to 5,000 people9% of the population live in areas with less than one dentist within a 15 minute travel time for every 5,000 people

24. Geographic Access

25. Geographic Access

26. Geographic Access1% of publicly insured children do not have a Medicaid or CHIP dentist within a 15 minute travel time95% of publicly insured children live in areas with more than one Medicaid or CHIP dentist within a 15 minute travel time for every 500 publicly insured children4% of publicly insured children live in areas with one Medicaid or CHIP dentist within a 15 minute travel time for every 500 to 2,000 publicly insured children0% of publicly insured children live in areas with less than one Medicaid or CHIP dentist within a 15 minute travel time for every 2,000 publicly insured children

27. Geographic Access0% of the population do not have a dentist within a 15 minute travel time75% of the population live in areas with more than one dentist within a 15 minute travel time for every 2,500 people19% of the population live in areas with one dentist within a 15 minute travel time for every 2,500 to 5,000 people6% of the population live in areas with less than one dentist within a 15 minute travel time for every 5,000 people

28. Geographic Access

29. Geographic Access

30. Geographic Access32% of publicly insured children do not have a Medicaid or CHIP dentist within a 15 minute travel time68% of publicly insured children live in areas with more than one Medicaid or CHIP dentist within a 15 minute travel time for every 500 publicly insured children0% of publicly insured children live in areas with one Medicaid or CHIP dentist within a 15 minute travel time for every 500 to 2,000 publicly insured children0% of publicly insured children live in areas with less than one Medicaid or CHIP dentist within a 15 minute travel time for every 2,000 publicly insured children

31. Geographic Access20% of the population do not have a dentist within a 15 minute travel time69% of the population live in areas with more than one dentist within a 15 minute travel time for every 2,500 people8% of the population live in areas with one dentist within a 15 minute travel time for every 2,500 to 5,000 people3% of the population live in areas with less than one dentist within a 15 minute travel time for every 5,000 people

32. Geographic Access

33. Released Today!

34. Using This New Tool

35. Using This New Tool

36. Comparing Reimbursement in Medicaid

37. Using This New Tool

38. Using This New Tool

39. Using This New Tool

40. Next StepsAccess Maps 2.0Color the tracts according to dental care utilization among Medicaid enrolleesColor providers based on alternative definitions of “participate in Medicaid or CHIP”Rerun analysis for Medicaid adultsMystery shopper study to verify that dentists are accepting Medicaid patientsDentist workforce projections under alternative assumptionsPolicy simulations to predict impact of policy reforms on dentist participation in Medicaid

41. Jayanth KumarState Dental Director, California Department of Public Health

42. Marty MilkovicDirector of Care Coordination & Outreach, Connecticut Dental Health Partnership

43. RoundtableMarko Vujicic, PhDChief Economist & Vice President, ADA Health Policy InstituteJayanth Kumar, DDS, MPHState Dental Director, California Department of Public HealthMarty Milkovic, MSWDirector of Care Coordination & Outreach, Connecticut Dental Health Partnership

44. Thank You! @ADAHPIADA.org/HPIhpi@ada.org