ADEA State Update

Reports of Interest - December 2017

(State Policy, Medicare and Medicaid, Dental Health) Permanent link   All Posts

DataAnalysisKeyThe Center for Health Care Strategies (CHCS), with support from the DentaQuest Foundation, issued a brief analyzing 2011 dental service use and cost data for nonelderly Medicaid-enrolled adults, considering a number of individual-, community-, and state-level factors. CHCS found the following:

  • The comprehensiveness of a state’s dental benefit package was a major predictor of dental service use and costs. The highest levels of outpatient dental service use, or preventive dental service use specifically, were in states with more comprehensive coverage.
  • Older nonelderly adult Medicaid beneficiaries, ages 45-64, had higher mean dental costs than younger adults, likely driven by their use of more expensive services.
  • Communities with more dentists per resident had higher outpatient use and lower emergency department use for dental services among Medicaid-enrolled adults.


The National Governors Association Center for Best Practices Health Division has released a report on how states can build complex care programs. These complex care programs target high-need, high-cost Medicaid enrollees who are the most frequent users of costly sites of care, such as emergency departments and inpatient settings. Nationally, this population accounts for approximately 50% of Medicaid spending despite representing only 5% of those enrolled. As discussions continue around changes to the Medicaid program at the national level, states are continuing to seek innovative solutions for complex care populations. The report, titled Building Complex Care Programs: Road Map Overview, serves as a step-by-step guide to help states assess their capacity to create complex care programs, select evidence-based practices to maximize outcomes, implement effective targeting and evaluation strategies and consider lessons learned from early adopters.

Duggan Dental