Embed Size (px)
DESCRIPTION
Citation preview
Berrien County Dental Clinic
Presented to
Berrien County Board of Commissioners, PHSBy: Theresa Green
Berrien County Health Department
April 9, 2009
The Need for Dental Care
Poor oral health has been associated with cardiovascular risk, higher risk of coronary heart disease, increased risk of cancer mortality and exacerbated systemic conditions, such as diabetes and respiratory diseases.
Oral health is critical for good quality of life and acceptable social support
Behavior Risk Factor Survey 2005
% of Residents with No Dental Insurance
57%
27%
75%
0%
20%40%
60%
80%
<$20,000 $20,000 -$34,999
>$35,000
Income
% N
o D
enta
l In
sura
nce
Reason for Not Visiting Dentist(of those who had not – 32.4% of Berrien)
Reason for not visiting dentist, Berrien County 2005
37.5%
20.1%18.4%
0
5
10
15
20
25
30
35
40
Cost No Reason to Go Dentures
Most Common Reasons
Per
cen
tag
e o
f B
erri
en C
ou
nty
Berrien BRFS 2005
Dental Survey – Berrien Health Plan-B Enrollees (<150% of Poverty)
Berrien Health Plan B Enrollees Reporting Last Dental Visit
25.6%
55.8%
0%
10%
20%
30%
40%
50%
60%
Within Past Year 5 or more years
Family Size150% FPL 1 $16,2452 $21,8553 $27,4654 $33,075
Dental Survey – BHP-B Enrollees
90.7% survey respondents claimed that they wanted or needed dental care at this time
Main Reason BHPB Enrollees Had Not Visited the Dentist in Past Year
0.0%
0.0%
2.6%
0.0%
0.0%
100.0%
0% 20% 40% 60% 80% 100%
Fear, pain, dislike
Cost
Don't have/know a dentist
Cannot get to office
No reason to go
Other priorities
The Need for Dental Services
In 2005, 48.6% of Berrien County adults reported not having dental insurance
Cost is the number 1 reason residents of Berrien give for not visiting a dentist
There are only three dental practices in Berrien County that serve Medicaid adults
Only 22% of the 27,375 Medicaid participants (adults and children) are getting dental care
Need for Providers Accepting Medicaid
There are 83 dentists in Berrien CountyOf those, 19 saw a Medicaid client in 2007
Of those, 9 had > 50 Medicaid visits Of those, only 5 provide preventive care on adult
Medicaid clients (10,016 eligible) 3 of those are at InterCare
Impact to
Providers
Benton Harbor Total Adults ChildrenInterCare 2,663 1,486 1,179
Dentist A 1,359 697 663Dentist B 978 551 427Dentist C Robert 326 238 89
Harbor Dental ?? 0 ??Dentist D 427 9 418Dentist E (new)Dentist F (new)Dentist G (gone) 1,757 106 1652
IndependentDentist H 1,141 395* 746Dentist I 71 0 71Dentist J 20 0 20
NilesDentist K 1,094 542 554Dentist L 612 342 272
Berrien SpringsDentist M 685 108^ 577
Saint JosephDentist N 15 14 1Dentist O 39 11 28Dentist P 28 10 18Dentist Q 7 5 2
*extractions only^treats children only
TotalTotal: 83 BC Dentists; 10 cover all Medicaid
5,924 unduplicated visits of 27,375 eligible = 22%
Berrien County Licensed Dentists Participating in MedicaidProvider # Duplicated Visits 2007
Berrien County Dental Clinic
The clinic will serve adults and children on Medicaid and low-income (<200% of poverty) who do not have dental insurance using a reduced fee schedule (about 40% of usual rates)
Family Size200% FPL 1 $21,6602 $29,1403 $36,6204 $44,100
Berrien County has 53,854 Individuals <200% of Poverty
Expenses to Berrien
Need a building Need equipment ($150,000) Start up costs
$35,000 non-refundable for IT, $40,000 refundable for salaries and benefits (??)
Maintenance, personnel, dentists, etc…
How does it work? Full Cost Reimbursement (IGT Match) LHD submits the total Medicaid Fee for
Service Payments MI Medicaid calculates a payment based on
total average commercial rates (Delta Dental) The difference is what is owed LHD
60% paid by federal match 40% submitted from local health department
(we pay this and Medicaid provides the match)
Location of the ClinicCurrent Southwest MI Clinics
Existing Clinic in Hartford sees 30% Berrien Clients; Watervliet, Coloma and BH
Existing Clinic in Dowagiac sees 30% Berrien Clients; Niles, Eau Claire, BH
InterCare
Cass/Van Buren
Location of ClinicWhere is the Need?
4,473 Individuals <200% of poverty; 2,339 Medicaid
6,928 <200% Individuals; 2,108 Medicaid
17,178 <200% Individuals; 5,955 Medicaid
3,128 <200% Individuals; 1,035 Medicaid
23,330 <200% Individuals; 14,151 Medicaid
Location of ClinicWhere is the Need?
4,473 Individuals <200% of poverty; 2,339 Medicaid
6,928 <200% Individuals; 2,108 Medicaid
17,178 <200% Individuals; 5,955 Medicaid
3,128 <200% Individuals; 1,035 Medicaid
23,330 Individuals; 14,151 Medicaid
Benton Harbor to Niles is 30.2 Miles
Existing Clinic
Questions??
Theresa Green, AA-C, MBA
Berrien County Health Department
Director of Community Health Planning
269-927-5607
