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ARTICLE COMPARATIVE EFFECTIVENESS RESEARCH Cost-effectiveness of Preventive Oral Health Care in Medical Offices for Young Medicaid Enrollees Sally C. Stearns, PhD; R. Gary Rozier, DDS, MPH; Ashley M. Kranz, BA; Bhavna T. Pahel, BDS, MPH, PhD; Rocio B. Quin˜onez, DMD, MS, MPH Objective: To estimate the cost-effectiveness of a medi- Main Outcome Measures: Dental treatments and Med- cal office–based preventive oral health program in North icaid payments for children up to age 6 years enabled as- Carolina called Into the Mouths of Babes (IMB). sessment of the likelihood of whether IMB was cost- saving and, if not, the additional payments per hospital episode avoided. Design: Observational study using Medicaid claims data (2000-2006). Results: Into the Mouths of Babes is 32% likely to be cost-saving, with discounting of benefits and payments. Setting: Medical staff delivered IMB services in medical On average, IMB visits cost $11 more than reduced den- offices, and dentists provided dental services in offices or tal treatment payments per person. The program almost hospitals. breaks even if future benefits from prevention are not dis- counted, and it would be cost-saving with certainty if IMB Participants: A total of 209 285 children enrolled in services could be provided
JAMA Pediatrics – American Medical Association
Published: Oct 1, 2012
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