LDA - Louisiana Dental Association

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LDA from the editor Dr. David N. Austin Editor, LDA Journal Emergency Room Dental Care It Doesn't Make Dollars and Sense According to an article in The Shreveport Times on January 29, 2012, Louisiana spent $1.7 million on Medicaid patients who visited statewide emergency rooms seeking relief from toothaches during the fiscal year 2010-2011. The year before, the state paid $1.66 million for the same reason, according to the Department of Health and Hospitals data quoted in this article. And surprise, emergency physicians can’t extract teeth, so those patients only received palliative care and a referral to (usually) an oral surgeon. It is a rare 12-hour shift when an ER physician does not see an emergency patient with a dental problem. It is also noted that the vast majority are toothaches as the result of caries. A 2010 Health Resources and Services Administration-funded report (nationwide) found that between 1.3 percent and 2.7 percent of ER visits that do not result in hospitalization are dental complaints. Although Medicaid pays for ER visits for adult dental emergencies, it won’t cover the cost of an extraction. It also doesn’t cover dental care for most adults enrolled under the program. Federally mandated dental care for Medicaid patients usually ends at age 18. States are left on their own after that to decide what if any dental care expense is covered. In Louisiana, dental care for Medicaid patients ends at age 21. Also found in the article was that in Louisiana, there were 13,125 ER visits in fiscal year 2010-2011 involving Medicaid enrollees seeking care for dental problems. Each visit averaged about $130 according to DHH. If these same patients could go directly to a dental office, the problem can be solved for less than the total cost for ER services and the resulting dental office cost. A recent South Carolina study actually found that if the same patient went directly to a dentist’s office and had the diseased tooth extracted, the actual cost would be closer to $107. (South Carolina’s costs seem more than Louisiana. Their average Medicaid reimbursement for an ER dental visit was $236.) What is also key is that the dental problem is not solved when visiting the emergency room. Louisiana does offer extended dental benefits to qualifying pregnant women. It is because research showed that providing dental care during pregnancies helps prevent pre-term births. In dollars and sense, you get a better cost-effective return on investing state funds. Hello, is anyone listening Failing to offer at least emergency dental care to Medicaid patients is NOT cost effective and WILL jeopardize the health of the patient. And how much does that actually cost our state It doesn’t take a rocket scientist to realize the tremendous savings and better use of our health dollars from this aspect alone. You cannot separate the health of the patient from the health of their teeth. We know that, physicians know that, and our government officials know that as well. It is past time for Louisiana to offer to Medicaid enrollees emergency adult dental care and limited adult dental coverage. It is a wise investment for the limited funds available. It is a wise investment for the health of many of our citizens. It is time for the LDA to continue to see this go forward. Bath, Alison. “Dental Care Sought in ER.” The Shreveport Times 29 Jan. 2012. 24 March 2012. . 2 LDA Journal
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Page 1: VOL. 71, NO. 1 SPRING 2012 Journal
Page 6 and 7: LDA feature Interview with the Pres
Page 8: Dr. Hooton (center) and his four da
Page 11 and 12: LDA ladpac Dr. David Kestel Chair,
Page 13 and 14: Dr. George T. Comeaux, Jr. Dr. Bria
Page 15 and 16: Dr. Gwen Corbett, a Fortress Dentis
Page 17 and 18: Third-year student Brendan Mack (to
Page 19 and 20: The Hottest Hands On Topics in Dent
Page 21 and 22: LDA benefits byline Stormy Blair Se
Page 23 and 24: WHEN FACED WITH A MALPRACTICE CLAIM
Page 25 and 26: federal Anti-Kickback statute prohi
Page 27 and 28: LDA nodc/lda annual session Dr. Cla
Page 29 and 30: LDA wealth management Chad Olivier,
Page 31 and 32: Stephen A. Chapman Stephen R. Hoope
Page 33 and 34: DENTAL PRACTICE TRANSITIONS Justin
Page 35 and 36: Madie Jones, a member of the LSU vo
Page 37 and 38: Louisiana Dental Advertising Consul
Page 39 and 40: Celebrating 50 and 25 Years OF MEMB
Page 41 and 42: Visit www.ladental.org for more inf
Page 43 and 44: 2012 Spring/Summer Courses For upda
Page 45 and 46: DATE: COURSE TITLE: SPONSOR: LOCATI
Page 47 and 48: LDA/LDS Endorsed Companies As you l

LDA - Louisiana Dental Association

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