Comparison of Compliance and Treatment Outcome between Medicaid and Non-medicaid Patients Treated in a University Setting

  • Jeffrey N. Berndt
  • Published 2010


JEFF BERNDT: Comparison of compliance and treatment outcome between Medicaid and non-medicaid patients treated in a university setting (Under the direction of Dr. Ceib Phillips) The objective of this study was to compare the compliance and treatment outcomes of Medicaid and fee for service patients who were treated by the same orthodontist in the same clinic setting. Twenty three patients, enrolled in Medicaid who had completed treatment between 2000 and May 2009 were identified. For each provider a matching number of fee for service patients who met the same inclusion/exclusion criteria were randomly selected from the provider's patient pool. Initial and final models were scored using the Peer Assessment Rating (PAR) Index to assess initial and post-treatment orthodontic outcome. Compliance was measured by reviewing chart entries and recording dates for the following: missed, rescheduled, cancelled and emergency appointments and appointments where the patient presented with a broken appliance. The model analysis of PAR scores showed that there was no difference between Medicaid patients in post-treatment PAR, after adjusting for age, gender and pretreatment PAR. No statistically significant difference between the Medicaid and non-Medicaid groups on compliance. With respect to effectiveness of treatment and compliance, there does not appear to be substantial differences between patients enrolled in Medicaid and those patients that pay privately. iv ACKNOWLEGEMENTS I would like to thank the following for their contribution, support and dedication: Dr. Ceib Phillips, for her mentorship, support and encouragement throughout the development and completion of this project Dr. Jessica Lee, for her enthusiasm; for her insight into public health Dr. Lorne Koroluk, for his advice and editorial comments Ms. Debbie Price and Ms. LeAnn Long, for your time and assistance with statistical analysis v The Medicaid program in the United States funds dental and orthodontic treatment for minors with severe orthodontic problems and few resources. Established in 1965, Medicaid was created under Title XIX of the Social Security Act as a safety net; it has become the largest source of funding for medical and health-related services for the American poor. The amount of federal funding each state receives is determined by comparing each state's average per capita income to the national average. 1 While each state is allowed to establish its own policies and guidelines as to what services are covered and who is eligible to receive benefits, each guideline must fit within the government's broad regulations. In North Carolina orthodontic treatment …

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@inproceedings{Berndt2010ComparisonOC, title={Comparison of Compliance and Treatment Outcome between Medicaid and Non-medicaid Patients Treated in a University Setting}, author={Jeffrey N. Berndt}, year={2010} }