Data on Managed Care Reported by Researchers at Marquette University (Estimation of Oral Disease Burden From Claims and Self-reported Data): Managed Care

2022 NOV 09 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Researchers detail new data in Managed Care. According to news reporting originating in Milwaukee, Wisconsin, by NewsRx journalists, research stated, “To compare the use of Medicaid and commercial claims data with self-reported survey data in estimating the prevalence of oral disease burden. We analyzed 2018 Medicaid claims from the IBM Watson Medicaid Marketscan database, commercial claims from the IBM Dental Database, and Medical Expenditure Panel Survey (MEPS) data.”

The news reporters obtained a quote from the research from Marquette University, “The estimate of oral disease burden was based on standard metrics using periodontal and caries-related Current Dental Terminology (CDT) procedure codes. A direct comparison between the data sets was also done. Unweighted Medicaid and commercial enrollees were 11.6 and 10.5 million, respectively. The weighted proportion from MEPS for Medicaid and commercial plans ranged from 80 to 208 million people. Estimates of caries-related treatments were calculated from IBM Watson and MEPS data for Medicaid enrollees (13% vs. 12%, respectively) and commercial claims (25% vs. 17%, respectively). Prevalence of periodontal related treatments for those with a dental visit was estimated for IBM Watson and MEPS enrollees for Medicaid (0.7% vs. 0.5%, respectively) and commercial claims (7% vs. 1.6%, respectively). Dental disease estimates were higher in individuals with at least one dental visit across cohorts. Prevalence of disease for those with a dental visit based on specific procedures were higher in commercial plans than in Medicaid.”

According to the news reporters, the research concluded: “Claims data has the potential to serve as a proxy measure for the estimate of dental disease burden in a population.”

This research has been peer-reviewed.

For more information on this research see: Estimation of Oral Disease Burden From Claims and Self-reported Data. Journal of Public Health Dentistry, 2022. Journal of Public Health Dentistry can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of Public Health Dentistry - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1752-7325)

Our news correspondents report that additional information may be obtained by contacting Christopher Okunseri, Marquette University, School of Dentistry, Dept. of Clinical Services, Room 356, Pob 1881, Milwaukee, WI 53201, United States. Additional authors for this research include Julie Frantsve-Hawley, Madhuli Thakkar-Samtani, IIya Okunev, Lisa J. Heaton and Eric P. Tranby.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/jphd.12550. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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