Over 14 million adults enrolled in Medicaid in the United States are at risk of losing their dental health coverage now that the Covid public health emergency has ended, according to exclusive data obtained by NBC News. The end of the emergency declaration allows states to review Medicaid recipients’ eligibility and potentially disenroll them from the program. As a result, around 15.7 million people are expected to lose health coverage, including 14.2 million adults who will also lose dental health coverage. This could have a disproportionate impact on lower-income individuals, those in rural areas, and people of color. The loss of dental care could have significant implications for overall health, self-image, employment opportunities, and the healthcare system as a whole.
Millions at Risk of Losing Dental Care Coverage After Medicaid Review
Introduction
Millions of adults across the United States who receive Medicaid are in danger of losing their dental health coverage after a recent review of the program. As the Covid public health emergency has ended, states now have the ability to review Medicaid recipients’ eligibility and potentially remove them from the program. This has raised concerns about the significant impact it will have on dental care coverage, with an estimated 14 million adults, or 28% of those enrolled, at risk of losing access to dental health services.
Background Information
The Covid public health emergency concluded on April 1, allowing states to conduct a review of Medicaid recipients’ eligibility and potentially disenroll them from the program. Over the past three years, Medicaid programs have expanded rapidly due to the emergency declaration preventing states from removing enrollees. However, the end of the emergency has brought attention to the potential consequences, including the loss of dental health coverage for millions of individuals. CareQuest Institute for Oral Health, a think tank dedicated to oral health, compiled data revealing the scale of the issue.
Data on Medicaid Recipients’ Dental Health Coverage
According to the data from CareQuest Institute for Oral Health, approximately 14.2 million adults, constituting 28% of those currently enrolled in Medicaid, are expected to lose their dental health coverage. This loss of coverage stems from the redetermination of Medicaid eligibility after the public health emergency. It is crucial to ensure that individuals are aware of this change and have access to other programs or private market coverage that includes dental care.
States Facing the Biggest Drop in Coverage
Among the states expected to face the most significant drop in dental health coverage are Hawaii, Wyoming, Indiana, Florida, and Illinois. While some states provide limited forms of dental coverage through Medicaid, Texas stands alone as the state program without any dental coverage. The redetermination of Medicaid eligibility poses a significant challenge for state agencies as they grapple with the potential loss of coverage for millions.
Challenges in Redetermining Medicaid Eligibility
The process of redetermining Medicaid eligibility is complex and time-consuming. State agencies must carefully reassess each individual’s eligibility based on their financial situation and other qualifying factors. This task requires significant resources and staff to ensure accurate and efficient redetermination. Moreover, individuals who are removed from Medicaid may face difficulties navigating alternative coverage options or may not be aware of the need to seek new coverage.
The Disproportionate Impact on Vulnerable Populations
The loss of dental health coverage resulting from Medicaid redetermination will have a disproportionate impact on vulnerable populations, including lower-income individuals, those living in rural areas, and people of color. These populations already face disparities in access to healthcare, and the potential loss of dental care exacerbates these inequities. It is crucial for states and public health agencies to prioritize maintaining oral health care coverage for these populations.
Effects of Losing Dental Health Coverage
The loss of dental health coverage can have significant consequences for individuals and their overall well-being. Poor dental health can lead to various health issues and increase the risk of other chronic conditions. Additionally, individuals who lack access to dental care may experience negative impacts on their self-image and find it challenging to secure employment opportunities. The importance of maintaining dental health coverage extends beyond oral health and has broader implications for individuals’ quality of life.
The Link Between Dental Health and Overall Health
Numerous studies have established a strong link between oral health and overall health. Poor dental hygiene can contribute to an increased risk of various health problems, including cardiovascular disease, diabetes, and respiratory infections. The U.S. surgeon general published a landmark study in 2000, emphasizing the impact of oral health on overall well-being. Recognizing this connection highlights the urgency of maintaining dental health coverage and ensuring individuals have access to comprehensive oral care.
Impact on Self-Image and Employment
Dental health issues can significantly affect an individual’s self-image and confidence. Problems with teeth and oral health can impact how people interact with others and feel about themselves. Moreover, individuals with dental issues may experience difficulties with nutrition intake and daily pain, further compromising their quality of life. Research has shown that individuals with limited access to dental care, particularly during childhood, may face long-term economic consequences due to the impact on their appearance and how others perceive them.
Prevalence of Dental Health Issues in the U.S.
Dental health issues are prevalent among adults in the United States. According to a study by the Centers for Disease Control and Prevention, only 48% of individuals between the ages of 20 and 64 have a full set of permanent teeth. This highlights the widespread need for dental care and the potential consequences of losing coverage. Access to preventative dental care can prevent emergency room visits and reduce the burden on healthcare systems, both for patients and providers.
Balancing Long-term Cost Saving and Immediate Budget Reductions
While maintaining dental coverage under Medicaid has long-term cost-saving benefits, states often face immediate budget constraints that lead them to consider cutting dental benefits. However, these short-term budget reductions may result in higher healthcare costs in the long run. States must weigh the potential savings from cutting dental coverage against the potential financial burden of increased emergency room visits and other healthcare expenses resulting from inadequate dental care.
Increase in Dental Expenditures and Out-of-pocket Costs
Dental expenditures in the United States have seen a significant increase over the years. From 2000 to 2021, dental expenditures rose from $95 billion to $162 billion, according to the American Dental Association. A considerable portion of these costs is paid through out-of-pocket expenses, amounting to $63 billion in 2021. Government programs cover a smaller portion, approximately $25 billion. These figures demonstrate the growing financial burden on individuals and the healthcare system as dental care costs continue to rise.
Cuts to Dental Benefits and Increased Use of Emergency Departments
Historically, dental benefits have been vulnerable to budget cuts, particularly during economic downturns. The aftermath of the 2008 recession saw significant cuts to Medicaid dental benefits, with subsequent economic downturns often leading to dental coverage being targeted for reductions. However, such cuts have been found to result in increased use of emergency departments for dental issues. This highlights the unintended consequences of cutting dental benefits and the importance of prioritizing oral health care within healthcare budgets.
Dental Coverage as a Budget Cut Target
Despite the evident need for dental care, dental coverage often becomes a target for budget cuts. Many states have only recently expanded dental coverage, and it remains a discretionary area that can be easily reduced to address short-term budget constraints. However, cutting dental benefits can have long-term implications for individuals’ health and well-being, as well as the overall healthcare system. Sustained investment in dental coverage is crucial to ensure individuals have access to comprehensive oral health care.
The Need for Oral Health Care and Affordability Issues
Oral health care is a fundamental component of overall health and well-being. However, many individuals face affordability issues that prevent them from seeking necessary dental care. A report from the CareQuest Institute found that 55% of adults reported some type of oral health problem, but more than half of them did not seek care, often due to financial constraints. It is essential to address these affordability issues and ensure that dental care remains accessible and affordable for all individuals, regardless of their financial situation.
Call for Proactive Government Actions
To prevent the loss of dental health coverage and address the disparities in access to dental care, proactive actions from federal and state governments are necessary. These actions should focus on maintaining and expanding dental coverage under Medicaid, increasing awareness and education about available dental care programs, and addressing the affordability barriers that prevent individuals from seeking necessary oral health care. By prioritizing oral health and implementing proactive measures, governments can improve overall health outcomes and reduce healthcare disparities.
Importance of Understanding the Cost of Not Providing Oral Health Care
It is crucial for governments to recognize the cost of not providing oral health care. Failing to prioritize dental coverage can result in increased healthcare costs, reduced quality of life for individuals, and perpetuation of healthcare disparities. By understanding and acknowledging the importance of oral health care, governments can make informed decisions that prioritize the well-being of their constituents and allocate resources effectively.
Correction
Correction made to the article about the number of states that don’t offer dental coverage as part of their Medicaid plans. The correct information is that only one state, Texas, does not provide dental coverage under its Medicaid program, not a total of six states.
In conclusion, the potential loss of dental care coverage for millions of Medicaid recipients is a pressing issue with far-reaching consequences. It is essential for governments, healthcare providers, and advocates to prioritize oral health and work towards maintaining comprehensive dental coverage under Medicaid. By recognizing the link between dental health and overall health, addressing affordability issues, and proactively supporting access to oral health care, we can ensure that millions of individuals do not lose critical dental care coverage and improve overall health outcomes for all.
