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A health plan report card for dentistry
J D Bader1, D A Shugars, W J Hayden
1Sheps Center for Health Services Research, University of North Carolina, Chapel Hill 27515, USA.
The Journal of the American College of Dentists
|January 1, 1996
Summary
Dental plan report cards are proposed to meet employer demands for performance data. This prototype aims to establish a consensus standard for evaluating dental managed care plans.
Area of Science:
- Health Services Research
- Dental Public Health
- Healthcare Management
Background:
- Employers increasingly require performance data on healthcare plans.
- Standardized report cards are emerging for medical managed care plans.
- Similar performance metrics are currently lacking for dental managed care plans.
Purpose of the Study:
- To propose a prototype report card for dental managed care plans.
- To facilitate the development of a consensus standard for dental plan evaluation.
- To address the anticipated need for dental plan performance information by purchasers.
Main Methods:
- Development of a prototype report card with 38 proposed measures.
- Selection of measures based on purchaser importance and evidence-based effectiveness.
- Consideration of data obtainability within typical dental practices.
Main Results:
- A prototype report card framework with 38 measures has been proposed.
- Measures focus on critical aspects of dental plan performance, including processes and outcomes.
- The proposed measures are designed for realistic data collection in dental practices.
Conclusions:
- A prototype report card is presented to guide the development of dental managed care plan standards.
- The proposed measures offer a foundation for assessing dental plan quality, access, and satisfaction.
- Future efforts will focus on refining measures and establishing data collection responsibilities for dental practitioners and plan administrators.