The Affordable Care Act and health insurance exchanges: effects on the pediatric dental benefit.
Purpose: To examine the relationship between state health insurance Exchange selection and pediatric dental benefit design, regulation and cost.Methods: Medical and dental plans were analyzed across three types of state health insurance Exchanges: State-based (SB), State-partnered (SP), and Federall...
| Publicado en: | Pediatric Dentistry Vol. 37; no. 1; pp. 23 - 30 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
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American Academy of Pediatric Dentistry
Jan/Feb2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109701959&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109701959 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01641263 P42 jtl: Pediatric Dentistry issn: 01641263 maglogo: N pubinfo: dt: Jan/Feb2015 vid: 37 iid: 1 pid: 13705 pub: American Academy of Pediatric Dentistry place: Chicago, Illinois artinfo: ui: 109701959 NLM25685969 2012907639 NLM25685969 109701959 ppf: 23 ppct: 7 formats: tig: atl: The Affordable Care Act and health insurance exchanges: effects on the pediatric dental benefit. aug: au: Orynich, C Ashley Casamassimo, Paul S Seale, N Sue Reggiardo, Paul Litch, C Scott sug: ab: Purpose: To examine the relationship between state health insurance Exchange selection and pediatric dental benefit design, regulation and cost.Methods: Medical and dental plans were analyzed across three types of state health insurance Exchanges: State-based (SB), State-partnered (SP), and Federally-facilitated (FF). Cost-analysis was completed for 10,427 insurance plans, and health policy expert interviews were conducted. One-way ANOVA compared the cost-sharing structure of stand-alone dental plans (SADP). T-test statistics compared differences in average total monthly pediatric premium costs.Results: No causal relationships were identified between Exchange selection and the pediatric dental benefit's design, regulation or cost. Pediatric medical and dental coverage offered through the embedded plan design exhibited comparable average total monthly premium costs to aggregate cost estimates for the separately purchased SADP and traditional medical plan (P=0.11). Plan designs and regulatory policies demonstrated greater correlation between the SP and FF Exchanges, as compared to the SB Exchange.Conclusions: Parameters defining the pediatric dental benefit are complex and vary across states. Each state Exchange was subject to barriers in improving the quality of the pediatric dental benefit due to a lack of defined, standardized policy parameters and further legislative maturation is required. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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