Richard J Manski
Biographic Data
| ID | 5537569 |
|---|---|
| NAME | Richard J Manski |
| GIVEN NAMES | Richard J |
| FAMILY NAME | Manski |
| SIGNATURE | MANSKI R J |
| AFFILIATIONS | University of Maryland, Baltimore |
| ORCID | 0000-0002-7425-5730 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 12 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 2 |
Association Between Medicaid Dental Payment Policies and Children’s Dental Visits, Oral Health, and School Absences
This cross-sectional study found that more generous Medicaid payment policies were associated with significant but modest increases in children's preventive dental visits and excellent oral health. Further research is needed to understand the potential association between policies that improve access to dental care and children's academic success
Dental care use and other population characteristics of older Americans with self‐reported chronic conditions in the health and retirement study
These cross-sectional findings establish the relative strength of relationships between dental care use, oral health status, and other population characteristics and eight diagnosed conditions. Further work beyond the scope of this paper is needed to confirm these results as either attributes of those with the disease or causal risk factors for the onset of the condition
Diversity in the use of specialized dental services by older adults in the United States
Our study identifies diversity in the use of specialized dental services among an older adult population and suggests that more widespread use of routine dental services could potentially improve oral health and limit the need for expensive specialized dental care for this population
Does covering routine dental care for the Medicare population produce cost savings in Medicare? A preliminary 2‐year analysis
Our results affirm the need for a longer-term study to provide any conclusive evidence as to the ultimate impact of a Medicare dental benefit on other health care use and expenses
Differences Among Older Adults in the Types of Dental Services Used in the United States
The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services. The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals aged 55 years and older in the United States. We analyze these data and explore patterns of service use by …
Increasing Access to Dental and Medical Care by Allowing Greater Flexibility in Scope of Practice
In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do more oral health care, and both professions to collaborate. State practice acts, standards of care, and professional school curricula …
Response Error in Reporting Dental Coverage by Older Americans in the Health and Retirement Study
The aim of this research was to analyze the inconsistency in responses to survey questions within the Health and Retirement Study (HRS) regarding insurance coverage of dental services. Self-reports of dental coverage in the dental services section were compared with those in the insurance section of the 2002 HRS to identify inconsistent responses. Logistic regression identified characteristics of persons reporting discrepancies and assessed the e…
Dental service mix among older adults aged 65 and over, U nited S tates, 1999 and 2009
Findings point to a shift in the mix of dental services received by older adults during the two periods. The predominance of diagnostic and preventive procedures has important access and workforce implications. An expanded role for dental hygienists in helping to meet the oral health needs of older adults is possible given a hygienist's current scope of practice
Dental procedures among children age birth to 20, U nited S tates, 1999 and 2009
The vast majority of procedures received by children from birth to 20 years were diagnostic and preventive. Most children with at least one dental visit received a diagnostic or preventive service. Between 1999 and 2009, the proportion of all services received accounted for by diagnostic or preventive services increased. However, the proportion in which each type of procedure was received by children who made at least one visit who received did n…
Dental Care Coverage and Use
Objectives. We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage. Methods. We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use. Results. C…
Dental service mix among working‐age adults in the U nited S tates, 1999 and 2009
Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends
Patterns of Older Americans’ Health Care Utilization Over Time
Objectives. We analyzed correlates of older Americans’ continuous and transitional health care utilization over 4 years. Methods. We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004–2008 sur…
Dental usage under changing economic conditions
Older Americans' dental care utilization appeared to be fairly resilient to changes in household finances; only when wealth fell by 50 percent or more did individuals decrease dental use. This finding might extend to other health-care services that are preventive, routine, and relatively inexpensive
Wealth effect and dental care utilization in the United States
Relative to those living in the wealthiest US households, the likelihood of utilizing dental care appears to decrease with a decline in wealth. The likelihood of utilizing dental care also appears to decrease with a decline in income as well
The Effect of Dental Insurance on Dental Care Use and Selection Bias
OBJECTIVES: We examine the effect of dental insurance coverage on the probability of having a dental care visit in light of selection bias. METHODS: We use data from the 2003 Medical Expenditure Panel Survey and use 3 different approaches to control for selection bias. First, we use a probit specification and include a rich set of independent variables that we posit control for unobserved attitudes toward risk and health care. Second, we use an i…
The influence of comorbidity and other health measures on dental and medical care use among Medicare beneficiaries 2002
Comorbidities and other health status measures are theorized to play either a predisposing or need role in determining health care utilization. The study's findings confirm the dominant role of these measures as predisposing factors limiting access to dental care for Medicare beneficiaries and as need factors producing higher levels of inpatient hospital and other medical care for Medicare beneficiaries
The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004–2006
Objectives. We examined dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status. Methods. We used data from the Health and Retirement Study for persons aged 51 years and older to estimate a multivariable model of dental care use transitions with controls for dental coverage and retirement transitions and other potentially confounding covariates. Results. We found that Americans aged 51 y…
Comparison of patient visits to emergency departments, physician offices, and dental offices for dental problems and injuries
Respondents visiting EDs and physicians typically did not receive definitive care and subsequently visited a dentist for treatment
Investing in Preventive Dental Care for the Medicare Population
Objectives. We estimated the use of preventive dental care services by the US Medicare population, and we assessed whether money spent on preventive dental care resulted in less money being spent on expensive nonpreventive procedures. Methods. We used data from the 2002 Medicare Current Beneficiary Survey to estimate a multinomial logistic model to analyze the influence of predisposing, enabling, and need variables in identifying those beneficiar…
Dental care coverage and retirement
Dental care, generally not covered in Medicare, is an important factor in the decision to seek dental care. It is important to understand the relationship between retirement and dental coverage in order to identify the best ways of improving oral health and access to care among older Americans
Dental care utilization and retirement
The authors conclude from this study that full retirement accompanied by reduced income and dental insurance coverage produces lower utilization of dental services. However, they also show that retirement acts as an independent variable, whereas income, coverage, and free time (unobserved) act as intervening variables
Dental care expenditures and retirement
Although having dental coverage is a key determinant of the level of OOP expenditures on dental care; spending is higher among those without coverage than those who have dental insurance. We also found that while retirement has no independent effect on OOP dental expenditures once controlling for coverage, dental coverage rates are much lower among retirees
The Supply of Dentists and Access to Care in Rural Kansas
Context: Rural deficits in dental care and oral health are well documented and are typically attributed to the low number of dentists practicing in rural areas, but the relationships between rural residence, dental supply, and access to care have not been firmly established, impeding the development of effective public policy. Purpose: The purpose of this study is to develop a conceptual framework for observed variations in dental supply, oral he…
Coping with Toothache Pain
Although removing financial barriers alone may not lead to preventive dental visits, it would facilitate more timely visits to dentists to treat toothache pain
Dental Visits Among Smoking and Nonsmoking US Adults in 2000
Dental Insurance Visits and Expenditures Among Older Adults
Objectives. We examined the effect of age, income, and coverage on dental service utilization during 1996. Methods. We used data from the 1996 Medical Expenditure Panel Survey. Results. Edentulous and poorer older adults are less likely to have coverage and less likely to report a dental visit than dentate or wealthier older adults. Conclusions. These analyses help to describe the needs of older adults as they cope with diminishing resources as a…
A Medicaid Population’s Use of Physicians’ Offices for Dental Problems
Objectives. This study evaluated how the elimination of Medicaid reimbursement to dentists for the treatment of adult dental problems affected patients’ visits to physicians. Methods. Data tapes describing physicians’ claims for adult Medicaid patients were obtained from the Maryland Medicaid Management Information System. The database contains information on all claims made to Maryland Medicaid, including date, provider, International Classifica…
Dental Care Coverage and Use
Objectives. We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage. Methods. We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use. Results. C…
Patterns of Older Americans’ Health Care Utilization Over Time
Objectives. We analyzed correlates of older Americans’ continuous and transitional health care utilization over 4 years. Methods. We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004–2008 sur…
Investing in Preventive Dental Care for the Medicare Population
Objectives. We estimated the use of preventive dental care services by the US Medicare population, and we assessed whether money spent on preventive dental care resulted in less money being spent on expensive nonpreventive procedures. Methods. We used data from the 2002 Medicare Current Beneficiary Survey to estimate a multinomial logistic model to analyze the influence of predisposing, enabling, and need variables in identifying those beneficiar…
Dental Expenditures and Source of Payment by Race/Ethnicity and Other Sociodemographic Characteristics
While sociodemographic characteristics determined who had dental expenditures, they did not determine the amount or source of those expenditures
A Medicaid Population’s Use of Physicians’ Offices for Dental Problems
Objectives. This study evaluated how the elimination of Medicaid reimbursement to dentists for the treatment of adult dental problems affected patients’ visits to physicians. Methods. Data tapes describing physicians’ claims for adult Medicaid patients were obtained from the Maryland Medicaid Management Information System. The database contains information on all claims made to Maryland Medicaid, including date, provider, International Classifica…
Dental Insurance Visits and Expenditures Among Older Adults
Objectives. We examined the effect of age, income, and coverage on dental service utilization during 1996. Methods. We used data from the 1996 Medical Expenditure Panel Survey. Results. Edentulous and poorer older adults are less likely to have coverage and less likely to report a dental visit than dentate or wealthier older adults. Conclusions. These analyses help to describe the needs of older adults as they cope with diminishing resources as a…
Dental Visits Among Smoking and Nonsmoking US Adults in 2000
The Supply of Dentists and Access to Care in Rural Kansas
Context: Rural deficits in dental care and oral health are well documented and are typically attributed to the low number of dentists practicing in rural areas, but the relationships between rural residence, dental supply, and access to care have not been firmly established, impeding the development of effective public policy. Purpose: The purpose of this study is to develop a conceptual framework for observed variations in dental supply, oral he…
Coping with Toothache Pain
Although removing financial barriers alone may not lead to preventive dental visits, it would facilitate more timely visits to dentists to treat toothache pain
Dental care coverage and retirement
Dental care, generally not covered in Medicare, is an important factor in the decision to seek dental care. It is important to understand the relationship between retirement and dental coverage in order to identify the best ways of improving oral health and access to care among older Americans
Dental care utilization and retirement
The authors conclude from this study that full retirement accompanied by reduced income and dental insurance coverage produces lower utilization of dental services. However, they also show that retirement acts as an independent variable, whereas income, coverage, and free time (unobserved) act as intervening variables
Dental care expenditures and retirement
Although having dental coverage is a key determinant of the level of OOP expenditures on dental care; spending is higher among those without coverage than those who have dental insurance. We also found that while retirement has no independent effect on OOP dental expenditures once controlling for coverage, dental coverage rates are much lower among retirees
Comparison of patient visits to emergency departments, physician offices, and dental offices for dental problems and injuries
Respondents visiting EDs and physicians typically did not receive definitive care and subsequently visited a dentist for treatment
Investing in Preventive Dental Care for the Medicare Population
Objectives. We estimated the use of preventive dental care services by the US Medicare population, and we assessed whether money spent on preventive dental care resulted in less money being spent on expensive nonpreventive procedures. Methods. We used data from the 2002 Medicare Current Beneficiary Survey to estimate a multinomial logistic model to analyze the influence of predisposing, enabling, and need variables in identifying those beneficiar…
The influence of comorbidity and other health measures on dental and medical care use among Medicare beneficiaries 2002
Comorbidities and other health status measures are theorized to play either a predisposing or need role in determining health care utilization. The study's findings confirm the dominant role of these measures as predisposing factors limiting access to dental care for Medicare beneficiaries and as need factors producing higher levels of inpatient hospital and other medical care for Medicare beneficiaries
The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004–2006
Objectives. We examined dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status. Methods. We used data from the Health and Retirement Study for persons aged 51 years and older to estimate a multivariable model of dental care use transitions with controls for dental coverage and retirement transitions and other potentially confounding covariates. Results. We found that Americans aged 51 y…
Dental usage under changing economic conditions
Older Americans' dental care utilization appeared to be fairly resilient to changes in household finances; only when wealth fell by 50 percent or more did individuals decrease dental use. This finding might extend to other health-care services that are preventive, routine, and relatively inexpensive
Wealth effect and dental care utilization in the United States
Relative to those living in the wealthiest US households, the likelihood of utilizing dental care appears to decrease with a decline in wealth. The likelihood of utilizing dental care also appears to decrease with a decline in income as well
The Effect of Dental Insurance on Dental Care Use and Selection Bias
OBJECTIVES: We examine the effect of dental insurance coverage on the probability of having a dental care visit in light of selection bias. METHODS: We use data from the 2003 Medical Expenditure Panel Survey and use 3 different approaches to control for selection bias. First, we use a probit specification and include a rich set of independent variables that we posit control for unobserved attitudes toward risk and health care. Second, we use an i…
Dental service mix among working‐age adults in the U nited S tates, 1999 and 2009
Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends
Patterns of Older Americans’ Health Care Utilization Over Time
Objectives. We analyzed correlates of older Americans’ continuous and transitional health care utilization over 4 years. Methods. We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004–2008 sur…
Response Error in Reporting Dental Coverage by Older Americans in the Health and Retirement Study
The aim of this research was to analyze the inconsistency in responses to survey questions within the Health and Retirement Study (HRS) regarding insurance coverage of dental services. Self-reports of dental coverage in the dental services section were compared with those in the insurance section of the 2002 HRS to identify inconsistent responses. Logistic regression identified characteristics of persons reporting discrepancies and assessed the e…
Dental service mix among older adults aged 65 and over, U nited S tates, 1999 and 2009
Findings point to a shift in the mix of dental services received by older adults during the two periods. The predominance of diagnostic and preventive procedures has important access and workforce implications. An expanded role for dental hygienists in helping to meet the oral health needs of older adults is possible given a hygienist's current scope of practice
Dental procedures among children age birth to 20, U nited S tates, 1999 and 2009
The vast majority of procedures received by children from birth to 20 years were diagnostic and preventive. Most children with at least one dental visit received a diagnostic or preventive service. Between 1999 and 2009, the proportion of all services received accounted for by diagnostic or preventive services increased. However, the proportion in which each type of procedure was received by children who made at least one visit who received did n…
Dental Care Coverage and Use
Objectives. We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage. Methods. We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use. Results. C…
Increasing Access to Dental and Medical Care by Allowing Greater Flexibility in Scope of Practice
In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do more oral health care, and both professions to collaborate. State practice acts, standards of care, and professional school curricula …
Differences Among Older Adults in the Types of Dental Services Used in the United States
The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services. The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals aged 55 years and older in the United States. We analyze these data and explore patterns of service use by …
Diversity in the use of specialized dental services by older adults in the United States
Our study identifies diversity in the use of specialized dental services among an older adult population and suggests that more widespread use of routine dental services could potentially improve oral health and limit the need for expensive specialized dental care for this population
Medicine (27 works) · Dental Health and Care Utilization (24 works) · Family medicine (21 works) · Health care (20 works) · Dental care (17 works) · Environmental health (17 works) · Gerontology (16 works) · Healthcare Policy and Management (16 works) · Gerontology (15 works) · Dental insurance (14 works)