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
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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
1.8% per year
-0.3% 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-DavisQuality-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
© 2013 American Dental Association, All Rights Reserved
Increased Consumerism in Health Care
© 2013 American Dental Association, All Rights Reserved
Increased Consumerism in Health Care
© 2013 American Dental Association, All Rights Reserved
Increased Consumerism in Health Care
© 2013 American Dental Association, All Rights Reserved
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
–
2.
Continued fiscal austerity within state budgets
–
3.
Help dentists become more efficient. E.g. ADA’s CPS initiative
Increased integration of health care delivery and health care
financing
–
6.
Lead in the development of quality and outcome measures.
Pressure on providers to become more efficient
–
5.
Demonstrate that dental benefits are a ‘good buy’ in Medicaid; Help
dentists become more efficient.
Shift from financing procedures to financing outcomes
–
4.
Increase oral health literacy; Promote value of dental care and dental
benefits; Expand scope of practice for dentists.
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.
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Sea Change in Care Delivery and Financing
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