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Medicaid Payment and Fluoride Varnish Application During Pediatric Medical Visits

Ashley M Kranz1, Isaac M Opper2, Bradley D Stein3

  • 1RAND Corporation, Arlington, VA, USA.

Medical Care Research and Review : MCRR
|February 8, 2022
PubMed

Insights

Medicaid payment positively influences fluoride varnish application during pediatric medical visits. Higher reimbursement rates can improve access to this crucial preventive oral health service for young children.

Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Health Services Research

Background:

  • Medicaid covers fluoride varnish applications for infants and toddlers.
  • Significant state-level variation exists in the delivery of this preventive oral health service.
  • Understanding factors influencing service receipt is crucial for improving child oral health outcomes.

Purpose of the Study:

  • To examine the association between Medicaid payment levels and the utilization of fluoride varnish during pediatric medical visits.
  • To inform policy decisions regarding provider reimbursement for preventive oral health services.

Main Methods:

  • Analysis of Medicaid data from 22 states between 2006 and 2014.
  • Inclusion of over 3.3 million pediatric medical visits in the study cohort.
  • Statistical examination of the correlation between Medicaid payment rates and fluoride varnish application.

Main Results:

  • Fluoride varnish was applied in less than 10% of the analyzed pediatric medical visits.
  • A positive association was observed between higher Medicaid payment rates and the likelihood of fluoride varnish receipt.
  • State-level variations in care delivery highlight potential impacts of payment policies.

Conclusions:

  • Medicaid provider payment is a significant factor influencing the delivery of preventive oral health services to young children.
  • Policymakers should consider the impact of reimbursement strategies on access to pediatric oral health care.
  • Optimizing payment structures may enhance the uptake of fluoride varnish and improve long-term child oral health.

Keywords:
Medicaiddental careoral healthpediatricspreventive health services

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