Longitudinal assessment of Indiana dentists’ participation in Medicaid before and after expansion

Maxey, Hannah; Vaughn, Sierra; Medlock, Courtney R; Dickinson, Analise; Wang, Yumin

doi:10.1016/j.adaj.2022.01.005

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Many of these findings are consistent with previous research that utilized state-level workforce data to explore the relationship between provider characteristics and their practice, highlighting the value of state-level data to provide insights and inform related workforce assessments, planning, and policymaking. 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

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Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Maxey,

Vaughn,

Dickinson

et al. 2024

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Integration of medication-assisted treatment (MAT) for opioid use disorder in primary care settings is an emerging health care delivery model that supports increased access to specialized care but requires primary care provider engagement. Examining the characteristics of providers who provide this service is key to informing targeted recruitment. Using administrative and supplemental data collected during license renewal, this study aimed to identify the characteristics of primary care physicians and nurse practitioners (NPs) associated with greater odds of providing MAT in their practice. A retrospective observational study was conducted using a descriptive correlational design. The analysis included 5259 physicians and 3486 NPs who renewed their licenses electronically in 2021 and specialized in primary care or psychiatry. Chi-square and logistic regression analyses were conducted to identify the demographic and clinical characteristics of physicians and NPs associated with MAT participation in their practice. Physicians had a higher odds ratio (OR) of providing MAT if they were younger than 35 years (OR = 1.334; P = .0443), practiced in a federally qualified health center (OR = 3.101, P < .0001), and offered a sliding fee scale in their practice (OR = 2.046; P < .0001). Likewise, NPs had higher odds of providing MAT if they practiced in a public or community health center (OR = 3.866; P < .0001). The results of this study highlight the personal and professional characteristics of physicians and NPs associated with higher odds of providing MAT. These findings may have implications for the recruitment and sustainability of MAT integration in primary care.

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Section: Discussionmentioning

confidence: 99%

“… 27 Beyond demographic characteristics, other studies have found a relationship between a provider’s specialty, the settings they practice in and corresponding geographic locations with their likelihood of engagement in certain safety net programs. 28 , 29 …”

Section: Introductionmentioning

confidence: 99%

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Maxey,

Vaughn,

Dickinson

et al. 2024

INQUIRY

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Variation in dentist participation between dental medicaid managed care organizations

Nwachukwu,

Damiano,

Levy

et al. 2024

J Public Health Dent

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ObjectivesDentists' Medicaid participation is a critical factor affecting dental care access for Medicaid beneficiaries. An important gap in existing literature is the variation in participation across Medicaid dental Managed Care Organizations (MCOs) in states with more than one. This study examined the variation in participation overall and in predictors of dentist participation between two MCOs in Iowa's Dental Medicaid program.MethodsData were obtained from a survey of Iowa private practice dentists (n = 1256). Responding general dentists (n = 497) were included in the final analytic sample. Univariate, bivariate, and multivariable logistic regression analyses were conducted to examine demographic and practice characteristics associated with dentist participation (acceptance of new Medicaid patients) between MCOs and by age category.ResultsAmong respondents, the proportions accepting new adults with Medicaid were 26% (MCO 1) and 7% (MCO 2); for children, they were 40% (MCO 1) and 11% (MCO 2). For adults, dentists who were too busy (MCO1) and solo practice dentists (MCO2) were positively significantly associated with the acceptance of new patients. For children, group and rural practice dentists, as well as dentists who worked <32 h/week were positively significantly associated with acceptance of new patients with MCO1.ConclusionsThere was considerable variation in dentist‐reported acceptance of new adult and child Medicaid patients, and in the factors affecting acceptance of new patients between MCOs in Iowa dental Medicaid. Future studies of Medicaid participation should consider variations by MCO in states with more than one dental MCO so as not to miss important factors affecting Medicaid participation.

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Longitudinal assessment of Indiana dentists’ participation in Medicaid before and after expansion

Cited by 2 publications

References 17 publications

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Variation in dentist participation between dental medicaid managed care organizations

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