This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Avery Brow
DentaQuest Partnership for Oral Health Advancement
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4153-4952
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction: Poor oral health remains a national concern impacting overall health and continues to burden an already overtaxed health care system. These issues are exacerbated by differing levels of coverage nationally, particularly in those states that lack any public oral health coverage. Those with significant and immediate need are forced to seek care from alternative settings and often are not equipped to provide dental treatment. Oregon operates a unique system called Coordinated Care Organizations (CCOs) designed to link providers from across disciplines and focus on prevention and chronic disease management.
Methods: Using claims data from the All-Payer, All-Claims (APAC) database, this paper evaluates claims from 2013 to 2015 for all patients presenting to an emergency department (ED) or as an inpatient for a non-traumatic dental condition (NTDC) in the state of Oregon.
Results: ED visits for NTDCs increased from 2013 to 2015 with 79% of ED visits for a dental condition paid for by Medicaid, and those aged 20-34 had the highest visit rate across all 3 years. Black and American Indian or Alaskan Native patients had the highest ED utilization. Residents of rural counties were more likely to utilize the ED than urban county residents. 76% of patients visited the ED 1 time with a charge of $13,888,516. Consistent with other findings, the increased visits are likely due to expanded Medicaid coverage. Increased usage by rural residents is also supported by other studies.
Conclusions: This paper continues to demonstrate the need for multi-level solutions that continue to decrease ED utilization across Oregon.
Keywords
Non-Traumatic Dental Conditions, Hospital Utilization, Coordinated Care Organizations (CCOs)
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Avery Brow
DentaQuest Partnership for Oral Health Advancement
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4153-4952
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 13 Jan, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction: Poor oral health remains a national concern impacting overall health and continues to burden an already overtaxed health care system. These issues are exacerbated by differing levels of coverage nationally, particularly in those states that lack any public oral health coverage. Those with significant and immediate need are forced to seek care from alternative settings and often are not equipped to provide dental treatment. Oregon operates a unique system called Coordinated Care Organizations (CCOs) designed to link providers from across disciplines and focus on prevention and chronic disease management.
Methods: Using claims data from the All-Payer, All-Claims (APAC) database, this paper evaluates claims from 2013 to 2015 for all patients presenting to an emergency department (ED) or as an inpatient for a non-traumatic dental condition (NTDC) in the state of Oregon.
Results: ED visits for NTDCs increased from 2013 to 2015 with 79% of ED visits for a dental condition paid for by Medicaid, and those aged 20-34 had the highest visit rate across all 3 years. Black and American Indian or Alaskan Native patients had the highest ED utilization. Residents of rural counties were more likely to utilize the ED than urban county residents. 76% of patients visited the ED 1 time with a charge of $13,888,516. Consistent with other findings, the increased visits are likely due to expanded Medicaid coverage. Increased usage by rural residents is also supported by other studies.
Conclusions: This paper continues to demonstrate the need for multi-level solutions that continue to decrease ED utilization across Oregon.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
This is a list of supplementary files associated with this preprint. Click to download.
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