The Journal of the American Dental Association
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J Am Dent Assoc, Vol 127, No 5, 605-609.
© 1996 American Dental Association
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Journal of the American Dental Association, Vol 127, Issue 5, 605-609
Copyright © 1996 by American Dental Association

RESEARCH

Does the elimination of Medicaid reimbursement affect the frequency of emergency department dental visits?



LA Cohen, RJ Manski, and FJ Hooper
Department of Oral Health Care Delivery, Baltimore College of Dental Surgery, Dental School, University of Maryland 21201, USA.

In an attempt to save costs, the state of Maryland in February 1993 eliminated Medicaid reimbursement to dentists for treatment of adults with dental emergencies. The authors analyzed data from the University of Maryland Hospital's emergency department to determine if this change resulted in increased use of the emergency department by Medicaid recipients for treatment of dental conditions. After the policy change, the rate of dental visits to the emergency department by Medicaid recipients increased by 21.8 percent. This increase occurred during the same period in which the percentage of all emergency department visits by Medicaid recipients was decreasing.


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L. A. Cohen, R. J. Manski, L. S. Magder, and C. D. Mullins
A Medicaid Population's Use of Physicians' Offices for Dental Problems
Am J Public Health, August 1, 2003; 93(8): 1297 - 1301.
[Abstract] [Full Text] [PDF]


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