Journal article
Member and dentist narratives about a dental programme for the Medicaid expansion population: A content analysis
Community Dentistry and Oral Epidemiology, Vol.47(6), pp.485-493
12/01/2019
DOI: 10.1111/cdoe.12490
PMID: 31441086
Abstract
Objectives In the United States, the 2010 Affordable Care Act's Medicaid expansion improved financial access to dental care for new Medicaid enrollees in states with Medicaid dental benefits for adults. Using an existing theoretical framework, we explored dentist and Medicaid member narratives concerning a state's redesigned dental programme for the Medicaid expansion population. Methods Data sources include two surveys conducted in 2016—one to a random sample of Medicaid members and one to private practice dentists in Iowa. A qualitative content analysis approach was used to quantify and describe themes present in open‐ended comment data. Results The most common themes among Medicaid member narratives were related to oral health needs and status, availability of dentists who accept Medicaid, and Medicaid coverage for dental care. Among dentists, the programme's administrative burden was the most common theme, with coverage and reimbursement commonly cited as well. An emergent theme among both member and dentist comments was patient confusion or lack of knowledge about programme enrolment and coverage. Conclusions Member awareness about enrolment and coverage in public dental benefit plans should be further explored to determine the impact on access to care. Effectively communicating the intent, programme design and expectations of a Medicaid programme to both providers and Medicaid members is important to the success of the programme.
Details
- Title: Subtitle
- Member and dentist narratives about a dental programme for the Medicaid expansion population: A content analysis
- Creators
- Julie C Reynolds - University of Iowa, Preventive and Community DentistryJennifer M C Sukalski - University of Iowa, Center for Social Science InnovationSusan C McKernan - University of Iowa, Preventive and Community DentistryPeter C Damiano - University of Iowa, Preventive and Community Dentistry
- Resource Type
- Journal article
- Publication Details
- Community Dentistry and Oral Epidemiology, Vol.47(6), pp.485-493
- Publisher
- Blackwell Publishing Ltd; Oxford
- DOI
- 10.1111/cdoe.12490
- PMID
- 31441086
- ISSN
- 0301-5661
- eISSN
- 1600-0528
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Preventive and Community Dentistry; Public Policy Center (Archive); Oral Health Policy Research
- Record Identifier
- 9983756994902771
Metrics
44 Record Views