Evidence map›Paper›PMID 32718490›Full record

ArticleJournal of the American Dental Association (1939)2020

Should Medicaid include adult coverage for preventive dental procedures? What evidence is needed?

Shulamite S Huang

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Shulamite S Huang

Funding

Statewide implementation and evaluation of a rural, school-based, caries prevention programR01MD011526 · NIMHD · NEW YORK UNIVERSITY · PI NIEDERMAN, RICHARD, RUFF, RYAN RICHARD · 2017 to 2021
$3.6M
Economic Evaluation of School-Based Caries Prevention ProgramsK25DE028584 · NIDCR · NEW YORK UNIVERSITY · PI HUANG, SHULAMITE S · 2019 to 2023
$902k
NIDCR NIH HHS K25 DE028584NIMHD NIH HHS R01 MD011526
6 · The paper itself

Abstract

backgroundMedicaid programs may have a salient financial incentive to provide adult coverage for cost-effective preventive dental procedures because they face responsibility for catastrophic costs of dental disease. Whether there is sufficient evidence to support adult Medicaid coverage of preventive dental services is unclear.

methodsUsing an optimal insurance model, the author examines what evidence there is to support coverage of cost-effective preventive dental services in Medicaid and what evidence gaps remain.

resultsThere is insufficient evidence to support adult Medicaid coverage for preventive dental procedures.

conclusionsMore research is needed to identify preventive dental procedures that are cost-effective from a Medicaid perspective, quantify the impact dental prevention has on dental-related health care costs and overall health care costs, and quantify the impact patient-side and provider-side financial incentives have on take-up of specific preventive dental treatments. PRACTICAL IMPLICATIONS: Although Medicaid programs may have an interest in preventing catastrophic costs of dental disease (that is, dental-related emergency department visits), there is insufficient evidence for Medicaid programs to provide coverage for preventive dental procedures.

Indexed as

Insurance CoverageMedicaidAdultEmergency Service, HospitalHealth Care CostsHealth Services AccessibilityHumansUnited Statesaccess to careDental insuranceinsurance

Identifiers

PMID32718490
PMCPMC7392117
OpenAlexW3044996842

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.