Conference PPT - Institute for Oral Health

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Principles for eliminating uninsurance (IOM: Insuring America’s s Health) • Oral health care insurance should enhance health and well-being – Is the care high quality, effective, efficient, safe, timely, patient-centered and equitable? – Are preventive and screening services covered and encouraged? – Are there incentives to avoid overuse / inappropriate use of services? – Are there incentives to offer high quality care consistent with scientific evidence?
Assumptions • Hypothetical population of 1million elders – 54% are 65-74 – 34% are 75-84 and – 13% are 85+ • 95% community dwelling • 5% will be in institutions • 80% have 1 chronic condition • 50% have at least 2 chronic conditions
Page 1 and 2: It takes a village to improve oral
Page 3 and 4: Options • Extending dental insura
Page 5 and 6: Elders use of care 3.6* over 50y 70
Page 7 and 8: 75% of elders: Household income < $
Page 9 and 10: National Health Expenditures 2005 H
Page 11 and 12: Financing versus Reimbursement •
Page 13 and 14: Dental Services by Source of Other
Page 15 and 16: Dental visit by age and insurance (
Page 17 and 18: Plan Type by ability to pay (SES) S
Page 19 and 20: Principles for Eliminating Uninsura
Page 21 and 22: Principles for eliminating uninsura
Page 23: Principles for eliminating uninsura
Page 27 and 28: Development of a statewide Elders
Page 29 and 30: • Population covered - Poor • B
Page 31 and 32: • Level of care covered -Diagnost
Page 33 and 34: Out of pocket cost to participant -
Page 35 and 36: Out of pocket cost to participant (
Page 37 and 38: • Advantages - If done well, woul
Page 39 and 40: Elders’ Oral Health Summit What d
Page 41 and 42: PRINCIPLES • Annuity Product •
Page 43 and 44: Prepaid Insurance Plans • Univers
Page 45 and 46: Prepaid Insurance Plans • Afforda
Page 47 and 48: Prepaid Insurance Plans • Afforda
Page 49 and 50: Prepaid Insurance Plans • Enhance
Page 51 and 52: Elders’ Oral Health Summit Option
Page 53 and 54: PPO • Advantages - Reasonable cos
Page 55 and 56: PPO • Plan Summary - Pay 20% of d
Page 57 and 58: HSA • Advantages -Simple -Freedom
Page 59 and 60: HSA • Plan Summary (cont.) - Addi
Page 61 and 62: 100% enrollee-paid dental plans •
Page 63 and 64: TRICARE Retiree Dental Program •
Page 65 and 66: Popular changes to contract • Cov
Page 67 and 68: Options for financing/reimbursement

Conference PPT - Institute for Oral Health

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