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Open Access The Affordable Care Act and Health Insurance Exchanges: Advocacy Efforts for Children's Oral Health

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Purpose: To evaluate legislative differences in defining the Affordable Care Act's (ACA) pediatric dental benefit and the role of pediatric advocates across states with different health insurance Exchanges. Methods: Data were collected through public record investigation and confidential health policy expert interviews conducted at the state and federal level. Results: Oral health policy change by the pediatric dental profession requires advocating for the mandatory purchase of coverage through the Exchange, tax subsidy contribution toward pediatric dental benefits, and consistent regulatory insurance standards for financial solvency, network adequacy and provider reimbursement. Conclusions: The pediatric dental profession is uniquely positioned to lead change in oral health policy amidst health care reform through strengthening state-level formalized networks with organized dentistry and commercial insurance carriers.

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Keywords: ADVOCACY; AFFORDABLE CARE ACT; PEDIATRIC DENTISTRY

Document Type: Research Article

Affiliations: 1: Private practice, Tulsa, Okla, USA. [email protected] 2: Division of Pediatric Dentistry and Community Oral Health, College of Dentistry, The Ohio State University, Columbus, Ohio, USA 3: Department of Pediatric Dentistry, Texas A&M Baylor College of Dentistry, Dallas, Texas, USA 4: American Academy of Pediatric Dentistry, Chicago, Ill, USA 5: Private practice, Huntington Beach, Calif., USA

Publication date: 2015-01-01

More about this publication?
  • Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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