Dental Coverage Transistions, Utilization and Retirement

Summary

Principal Investigator: RICHARD MANSKI
Abstract: The long-range goal for this research team is to build a foundation of information to enable the formulation of recommendations for changes in governmental policies, such as an extension of Medicare, the inclusion of adult dental coverage in Medicaid and coverage options within the private sector. This project builds upon several studies previously conducted by this research team. We will test the hypothesis and conduct this study using longitudinal secondary data available from the Health and Retirement Study (HRS). We will estimate the level of use for dental services among non-instutionalized Americans aged 51 and above and determine the degree to which that use is influenced by the presence or absence of dental care coverage. Specific Aims: 1. Estimate the number and characteristics of persons age 51 and above who stay covered after retirement, stay uninsured after retirement, lose coverage after retirement, or gain coverage after retirement. The working hypothesis for this specific aim is that persons are less likely to have dental care coverage after retirement. 2. Estimate dental care use as a function of dental care coverage status and transitions controlling for individual and household characteristics and adverse selection. The working hypothesis for this specific aim is that persons are less likely to have a dental visit without dental care coverage. 3. Estimate dental care out-of-pocket expenditures as a function of dental care coverage status and transitions controlling for individual and household characteristics and adverse selection. The working hypothesis for this specific aim is that persons with a dental visit will have higher out-of-pocket expenditures without dental care coverage.This proposed project is innovative in its use of longitudinal secondary data available from the HRS to specifically study transitions in dental care coverage, dental use and retirement. Results obtained from this project will establish the independent effect of dental coverage on dental use and as a consequence provide important and timely information for policy makers.
Funding Period: 2007-02-01 - 2010-01-31
more information: NIH RePORT

Top Publications

  1. pmc Dental care coverage and retirement
    Richard J Manski
    Department of Health Promotion and Policy, Division of Health Services Research, Dental School, University of Maryland, Baltimore, MD 21201, USA
    J Public Health Dent 70:1-12. 2010
  2. pmc Dental care utilization and retirement
    Richard J Manski
    Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore St, Baltimore, MD 21201, USA
    J Public Health Dent 70:67-75. 2010
  3. pmc Dental care expenditures and retirement
    Richard J Manski
    Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore Street Room 2209, Baltimore, MD 21201, USA
    J Public Health Dent 70:148-55. 2010
  4. pmc The influence of changes in dental care coverage on dental care utilization among retirees and near-retirees in the United States, 2004-2006
    Richard J Manski
    Division of Health Services Research, University of Maryland Dental School, 650 West Baltimore St, Baltimore, MD 21201, USA
    Am J Public Health 101:1882-91. 2011
  5. pmc Dental care coverage transitions
    Richard J Manski
    Division of Health Services Research, University of Maryland Dental School, Baltimore, MD 21201, USA
    Am J Manag Care 15:729-35. 2009

Scientific Experts

Detail Information

Publications5

  1. pmc Dental care coverage and retirement
    Richard J Manski
    Department of Health Promotion and Policy, Division of Health Services Research, Dental School, University of Maryland, Baltimore, MD 21201, USA
    J Public Health Dent 70:1-12. 2010
    ..To examine the convergence of an aging population and a decreased availability of dental care coverage using data from the Health and Retirement Study (HRS)...
  2. pmc Dental care utilization and retirement
    Richard J Manski
    Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore St, Baltimore, MD 21201, USA
    J Public Health Dent 70:67-75. 2010
    ..The authors examine the relationship of dental care coverage, retirement, and utilization in an aging population using data from the Health and Retirement Study (HRS)...
  3. pmc Dental care expenditures and retirement
    Richard J Manski
    Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore Street Room 2209, Baltimore, MD 21201, USA
    J Public Health Dent 70:148-55. 2010
    ..To examine the relationship of dental care coverage, retirement, and out-of-pocket (OOP) dental expenditures in an aging population, using data from the Health and Retirement Study (HRS)...
  4. pmc The influence of changes in dental care coverage on dental care utilization among retirees and near-retirees in the United States, 2004-2006
    Richard J Manski
    Division of Health Services Research, University of Maryland Dental School, 650 West Baltimore St, Baltimore, MD 21201, USA
    Am J Public Health 101:1882-91. 2011
    ..We examined dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status...
  5. pmc Dental care coverage transitions
    Richard J Manski
    Division of Health Services Research, University of Maryland Dental School, Baltimore, MD 21201, USA
    Am J Manag Care 15:729-35. 2009
    ..To examine dental insurance transition dynamics in the context of changing employment and retirement status...