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- W1569200430 abstract "We agree that the implementation of evidence-based clinical guidelines in dental practice and the integration of those guidelines into reimbursement mechanisms can contribute to the improvement of oral health outcomes. America's Health Insurance Plans (AHIP) actively promotes evidence-based care in both medicine and dentistry. In 2007, we created our Evidence-based Dental Coverage Task Force to specifically focus on this important issue. That Task Force published the Guiding Principles for the Development of Quality Affordable Dental Coverage Based on Evidence in January 2008. The document cites similar arguments and rationales presented by Dr. Tinanoff as reasons why we need to move toward evidence-based care. AHIP continues to support the movement toward improving quality of care in dentistry by its membership in the Dental Quality Alliance (DQA) formed at the request of the Centers for Medicare and Medicaid Services and through the leadership of the American Dental Association. The chair of the AHIP Task Force on Evidence-based Dental Coverage serves as one of five people chosen to serve on the DQA's Committee for the Research and Development of Performance Measures. It is important that we begin to develop measures for quality care and measure provider performance against them. Michael Leavitt, Secretary of Health and Human Services during the Bush administration, said when addressing the American Dental Association in 2007,1“If you desire to do business with the Federal Government you need to adopt quality standards” and “We intend to begin moving to a system where at least part of the payment structure is a reward for high quality.” When Centers for Medicare & Medicaid Services developed its Quality Strategy,2 it identified among its five key strategies “Evidence-based care and quality management” and “Payment aligned with quality.” Our current reimbursement models do not address the disparity between the quantity of care and its quality. In many areas of dental practice, dentists do not have a set of diagnostic terms or clinical pathways to attain dental health for their patients based on the best available evidence and accurate risk assessment. Until this obstacle is overcome, dentistry cannot accurately be characterized as evidence-based, and reimbursement mechanisms cannot be structured to encourage treatments that are evidence-based. Changes in the current reimbursement systems to reward the delivery of evidence-based care can provide much-needed incentives, but not until there is further movement by the profession to identify and publish more evidence-based clinical guides, where usage can be tracked and measured. AHIP continues its efforts to advance the movement toward evidence-based care, and we look forward to partnering with the profession toward these goals. The author declares no conflict of interest." @default.
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- W1569200430 date "2012-01-01" @default.
- W1569200430 modified "2023-09-25" @default.
- W1569200430 title "Commentary on “Potential to improve oral health care through evidence, protocols, and payment models”" @default.
- W1569200430 doi "https://doi.org/10.1111/j.1752-7325.2012.00319.x" @default.
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