ArticleHealth services research2021
Medicaid healthy behavior incentives and use of dental services.
Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed.
- Barriers and Facilitators of Medicaid Participation Among Dentists.JAMA health forum · 2025Article
- Impact of sending vouchers for a community-based oral screening program on dental service usage promotion among adults: a difference-in-difference analysis.BMC health services research · 2024Observational
- Dental Coverage and Care When Transitioning From Medicaid to Medicare.JAMA health forum · 2024Article
- Comparison of Dental Care Visits Before and After Adoption of a Policy to Expand the Dental Workforce in Minnesota.JAMA health forum · 2022Article
- Medicaid healthy behavior incentives and use of dental services.Health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine changes in access to dental care in states using Section 1115 waivers to implement healthy behavior incentive (HBI) programs in their Medicaid expansion under the ACA, compared to traditional expansion states and nonexpansion states. DATA SOURCES: Behavioral Risk Factor Surveillance System from 2008 to 2018. STUDY
designWe used difference-in-differences analysis to compare changes in three Medicaid expansion states with HBI (Iowa, Indiana, Michigan) to traditional expansion (Minnesota, North Dakota, Ohio) and nonexpansion states (Nebraska, South Dakota, Wyoming) in the same mid-Western region of the country. The sample included 32 556 low-income adults. DATA COLLECTION/EXTRACTION
methodsNA. PRINCIPAL
findingsWe found no significant changes in dental visits associated with HBI or traditional expansion relative to nonexpansion states. HBI expansion was associated with an increase of 2.2 percentage points in reporting a dental visit in the past year for adults in urban areas (P < 0.05) while the traditional expansion was associated with a reduction of 8.5 percentage points (P < 0.01) in utilization in rural areas relative to nonexpansion states. However, after adjustment for preexisting trends, the coefficients were no longer significant, suggesting that these differences are likely due to preexisting trends.
conclusionsWe did not find evidence of increased utilization of routine dental care associated with HBI programs.
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Registered trials
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