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Insurance Plan Effects on Dental Provider Treatment Patterns for Elderly Patients

An Experimental Economics Approach

Bibliographic Data

ID9104844
AuthorsDouglas A Conrad (University of Washington), Paul Milgrom (0000-0003-0784-9181, University of Washington), Peter Milgrom, Asuman Kiyak (University of Washington)
Year1984
Volume22
Issue5
Pages430-446
Publication date1984-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198405000-00007
PMID6717123
OpenAlexW2032105808
LanguageEN
Citations received2
References cited2

Three hundred forty-six dentists, randomly selected from the population of Washington State Dental Association members, volunteered to participate in a controlled experiment of treatment planning for elderly patients. Experimental oral health problems were designed that conform to the prevailing actual distribution of dental and related systemic disease among the elderly population of the United States. Each volunteer dentist constructed two treatment plans for the presenting dental problem: 1) a treatment plan to optimize oral health, ignoring the hypothetical patient's financial status and insurance coverage; and 2) a treatment plan given the particular dental insurance plan and patient financial status incorporated in the case. Results suggest that increasingly comprehensive insurance coverage does not necessarily lead to uniform, monotonic increases in total dental expenditures. Rather, the incremental substitution of different services for one another appears to be the dominant effect of increased coverage, with the singular exception of coverage for fixed prosthodontia . The key implication of these findings is that careful design of improved insurance benefit plans for the elderly could widen the range of dental services provided without necessarily increasing total treatment cost

Actuarial science · Business · Dental insurance · Economics · Environmental health · Family medicine · Geography · Health care · Health insurance · Oral health · Plan (archaeology) · Population · Dental Health and Care Utilization · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine

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    Open Access•Gerardo Maupome, E Angeles Martínez-Mier et al.•Cadernos de Saude Publica•2013

  • Statistical principles in experimental design.

    B J Winer•1962

  • Controlling the cost of dental care

    Howard L Bailit, M Raskin et al.•American Journal of Public Health•1979

Unique citing works2
Citations per year0,05
Citation span1988 - 2013 (26)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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