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      Dental Care Presents The Highest Level Of Financial Barriers, Compared To Other Types Of Health Care Services

      Author(s): 1 , 2 , 3
      Publication date Created:
      Publication date (Print):
      Journal: Health Affairs
      Publisher: Health Affairs (Project Hope)

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          Abstract

          The Affordable Care Act is improving access to and the affordability of a wide range of health care services. While dental care for children is part of the law's essential health benefits and state Medicaid programs must cover it, coverage of dental care for adults is not guaranteed. As a result, even with the recent health insurance expansion, many Americans face financial barriers to receiving dental care that lead to unmet oral health needs. Using data from the 2014 National Health Interview Survey, we analyzed financial barriers to a wide range of health care services. We found that irrespective of age, income level, and type of insurance, more people reported financial barriers to receiving dental care, compared to any other type of health care. We discuss policy options to address financial barriers to dental care, particularly for adults.

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          Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act.

          Benjamin Sommers, Munira Gunja, Kenneth Finegold … (2015)
          The Affordable Care Act (ACA) completed its second open enrollment period in February 2015. Assessing the law's effects has major policy implications.
          Article 0 comments Cited 90 times – based on 0 reviews     Review now
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            Early Coverage, Access, Utilization, and Health Effects Associated With the Affordable Care Act Medicaid Expansions

            Laura Wherry, Sarah Miller (2016)
            In 2014, only 26 states and the District of Columbia chose to implement the Patient Protection and Affordable Care Act (ACA) Medicaid expansions for low-income adults.
            Article 0 comments Cited 77 times – based on 0 reviews     Review now
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              Trends in contacts with mental health professionals and cost barriers to mental health care among adults with significant psychological distress in the United States: 1997-2002.

              Ramin Mojtabai (2005)
              I assessed recent trends in prevalence of any contact with mental health professionals and nonuse of mental health care or prescription medications owing to cost among adults with significant psychological distress. In samples drawn from the National Health Interview Survey of 1997-2002, multiple logistic regression analysis was used to examine the association of survey year with mental health professional contacts and nonuse of mental health care or prescription medications owing to cost. The prevalence of any contact with mental health professionals increased from 29.1% in 1997 to 35.5% in 2002 (P<.05). The prevalence of nonuse of services because of cost also increased-from 15.6% to 20.0% for mental health care (P<.05) and from 27.7% to 34.1% for medication use (P<.001). Age, racial/ethnic, income, and insurance status disparities in receiving care persisted over the study period. The number of individuals in need of mental health care who contacted mental health professionals grew in recent years, as did the number of individuals who encountered cost barriers to such care. Barring dramatic improvements in health insurance coverage, more individuals will likely face such barriers in coming years.
              Article 0 comments Cited 29 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Health Affairs
                Abbreviated Title: Health Affairs
                Publisher: Health Affairs (Project Hope)
                ISSN (Print): 0278-2715
                ISSN (Electronic): 1544-5208
                Publication date Created: December 2016
                Publication date (Print): December 2016
                Volume: 35
                Issue: 12
                Pages: 2176-2182
                Affiliations
                [1 ] Marko Vujicic ( ) is the chief economist at and vice president of the Health Policy Institute, American Dental Association, in Chicago, Illinois.
                [2 ] Thomas Buchmueller is the Waldo O. Hildebrand Professor of Risk Management and Insurance in the Ross School of Business, University of Michigan, in Ann Arbor.
                [3 ] Rachel Klein was director of organizational strategy for Families USA, in Washington, D.C., at the time of this writing.
                Article
                DOI: 10.1377/hlthaff.2016.0800
                PubMed ID: 27920304
                SO-VID: 868d6cf7-c62b-472f-9e6d-972acc9515c4
                Copyright © © 2016
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