An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population

Abstract

Background: Chronic medical conditions have been associated with periodontal disease. This study examined if periodontal treatment can contribute to changes in overall risk and medical expenditures for three chronic conditions [Diabetes Mellitus (DM), Coronary Artery Disease (CAD), and Cerebrovascular Disease (CVD)].

Association between tooth loss and medical costs related to stroke in healthy older adults aged over 75 years in Japan

“…One study reported that subjective assessment of oral health was related to medical costs . Other epidemiological studies reported the association between periodontitis and medical costs . These studies, however, had methodological limitations, including lack of control for potential confounders, such as socioeconomic and serum values.…”

“…Besides the direct costs of providing medical care to stroke patients, there are also indirect costs associated with lost productivity. Because we could not obtain data to estimate the cost of recovery period care or the cost of reduced productivity, as was the case of earlier research showing the possible effect of periodontitis on disease‐specific (including cerebrovascular disease) medical costs, it was assumed that the economic burden of stroke was underestimated in the current analyses . Additionally, stroke‐related medical care costs vary according to their types (e.g.…”

“…24 Other epidemiological studies reported the association between periodontitis and medical costs. 25,26 These studies, however, had methodological limitations, including lack of control for potential confounders, such as socioeconomic and serum values. In the current study, we were able to obtain wider information on health status, health behavior and socioeconomic status than previous studies.…”

“…Because we could not obtain data to estimate the cost of recovery period care or the cost of reduced productivity, as was the case of earlier research showing the possible effect of periodontitis on disease-specific (including cerebrovascular disease) medical costs, it was assumed that the economic burden of stroke was underestimated in the current analyses. 25,26 Additionally, stroke-related medical care costs vary according to their types (e.g. subarachnoid hemorrhage, intracerebral hemorrhage and ischemic stroke), which affect the necessity for and/or types of surgery and the duration of hospital stays.…”

Plan Selection in the Non-Group Market in the First Year of the Health Insurance Marketplace

“…Risk scores have been used to represent health status [7,8]. We used an episode-based health risk score generated by an Ingenix Symmetry algorithm accounting for age, sex, and health care claims from the previous 12 months [9].…”