Dental Care: On the Pathway from Volume to Value
Ann Greiner, President and CEO, Patient-Centered Primary Care Collaborative
Two reform models have gained traction: Patient-Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs). The PCMH -- designed as a more comprehensive, team-based and patient centered model of primary care- long envisioned oral care being integrated into ambulatory care. The ACO model- intended to better coordinate physician, hospital and other settings of care- is also in conceptual alignment with the notion of medical - dental care integration. This presentation will focus on the degree to which dental care is associated with new accountability models, examine the status of dental quality measures, and explore how dental practices are experimenting with value-based payment arrangements. It will also consider how dental care may evolve as more data about performance becomes available, pressures increase on dentists and the dental team to provide more value for the spend on dental care, and as the industry consolidates.
Integration, Oral Health, and Interprofessional Practice
Sean G. Boynes, DMD, MS; Director of Interprofessional Practice and Interim Director of Analytics and Publications, The DentaQuestPartnership
Born out of the ongoing paradigm shift that finds a changing healthcare landscape, interprofessional practice (IPP) can be utilized as a tool to bring traditionally siloed organizations and caregivers into a person-centered care model. However, medical and dental care teams tend to be hesitant in interprofessional partnering because of limitations in technology, payment, and effective communication. The overall aim of the course is to provide lessons learned and the solutions that resulted to more effectively bring medical and dental care teams together to provide improved integrated care to patients.
Interprofessional Medical-Dental Collaboration
Patricia A. Braun MD, MPH, FAAP
Oral health inequity has long existed, yet, oral health is an essential part of overall health. Access to dental care can be a challenge for many populations for various reasons including lack of dental insurance, lack of dental providers who accept the client’s dental insurance, socio-economic barriers, cultural barriers, and more. Leveraging the medical visit to promote oral health is an interprofessional approach to reduce the dental gap. During this session, we will examine a variety of interprofessional, collaborative approaches to medical-dental integration. We will examine the current status of primary prevention of dental disease for young children by non-dental providers. We will then dive into the stepped-approach of integrating dental hygienists into medical care teams. We will highlight the developing best-practices to medical-dental collaboration.
Role of the Oral Health Workforce in the Health Care Value Equation
Elizabeth Mertz, PhD, MA
The landscape of dentistry, dental public health, and the care delivery systems is changing. Adapting to the new and evolving environment of care is challenging for our current workforce due to the rigid structures and policies which scaffold traditional models of care, finance, and practice.This session will explore the ways in which the workforce contributes to the value equation, and in an interactive and engaging session, elicit from participants the challenges and opportunities for workforce redesign efforts to improve the oral health of the public.
Cracking the Code! Oral Health Value Based Care Transformation. Putting Value Into Our Dental Visits
Mark Doherty, DMD MPH CCHP Executive Director, Safety Net Solutions(SNS)
This presentation will take a deep look into value-based care discussing what transformation from a fee for service reimbursement and care system to a value-based model in medicine has looked like and more importantly for us in Oral health: what oral health value-based care (OHVBC) transformation may look like for us. It will show the main tenets of OHVBC, what OHVBC is and what it is not. It will demonstrate the domains and competencies needed to be successful in an OHVBC systems change and it will examine several models of OHVBC to demonstrate that one model of OHVBC does not serve all situations and beneficiaries.
Exploring Paths for Dental Integration and Coordinated Care
Evelyn F. Ireland, CAE, MPA; Executive Director National Association of Dental Plans
Dental and medical care delivery have been siloed for decades. Since the Surgeon General?s 2000 Report Oral Health in America’s finding that oral health is integral to general health, understanding of this linkage has been growing. Understanding has been fueled by studies by insurers of the impact of periodontal treatment on medical treatment costs for high cost medical conditions and more recently by similar studies of preventive dental care in both the private and public sector. This presentation will focus on the trends in the dental market as well as consumer and employer awareness that Illuminate new paths for dental integration into overall health care delivery.
Kaiser Permanente: Integrated and Value Based Care Model
John J. Snyder, DMD Executive Dental Director and CEO Permanente Dental Associates, P.C.
Permanente Dental Associates has a 45-year history of collaboration with medical professionals to provide a total healthcare option for Kaiser Permanente members. The integration of dental care started as part of a small pilot embedded within the health care system. PDA began to identify and pursue opportunities to improve health outcomes by leveraging the dental appointment to encourage compliance with preventative primary care services. With the launch of Wisdom, Epic’s integrated electronic health record, dentists can now act as a full care team partner, closing care gaps in the dental setting or coordinating care to other medical providers. In looking to the future, PDA and the Kaiser Dental Program is experimenting with different workforce models to support the best possible health outcomes for our patients.
Value-Based Payment Systems Panel (one member of the panel)
Jeffrey Chaffin, DDS, MPH, MBA, MHA
Defining value and value-based payment is an integral part of improving quality in healthcare. Dental has been slower to adopt quality and value-based payments as opposed to those in medicine. Dentistry has not largely adopted diagnostic coding and this limits work in quality. Quality is an emerging area and dental benefits administrators are starting to look at pay for performance as one form of value-based payment and the use of Dental Quality Alliance measures in payment schemes are being investigated. This panel will explore how dental payors approach and support value-based payment models in the US and how consumers benefit from a value-based care system.
Evolving the Dental Public Health Landscape: Interprofessional Practice and Value-Based Care
Mike Plunkett, DDS, MPH
Defining value and value-based payment is an integral part of improving quality in healthcare. Dental has been slower to adopt quality and value-based payments as opposed to those in medicine. Dentistry has not largely adopted diagnostic coding and this limits work in quality. Quality is an emerging area and dental benefits administrators are starting to look at pay for performance as one form of value-based payment and the use of Dental Quality Alliance measures in payment schemes are being investigated. This panel will explore how dental payors approach and support value-based payment models in the US and how consumers benefit from a value-based care system.
Demonstrating Value Through An Integrated Primary Healthcare System
Mary E. Foley, RDH, MPHExecutive Director, Medicaid|Medicare|CHIP Services Dental Association
Defining value and value-based payment is an integral part of improving quality in healthcare. Dental has been slower to adopt quality and value-based payments as opposed to those in medicine. Dentistry has not largely adopted diagnostic coding and this limits work in quality. Quality is an emerging area and dental benefits administrators are starting to look at pay for performance as one form of value-based payment and the use of Dental Quality Alliance measures in payment schemes are being investigated. This panel will explore how dental payors approach and support value-based payment models in the US and how consumers benefit from a value-based care system.
Medicaid: Delivery System and Payment Reforms are Transforming Health Care in the US
Matt Salo, Executive DirectorNational Association of Medicaid Directors
Medicaid is the largest health care system in the United States. The program design and populations it serves can bring about improvements in the health care system and patient outcomes. Through this session, participants will gain key insights into implications of the 2018 midterm elections for Medicaid at both state and federal levels. Given that a key characteristic of state Medicaid programs is the drive towards value-based care, this session explores what this means and how the dental industry can understand and take advantage of these trends.