The DOI matches its Crossref record; 13 of the 16 references it cites were found in a registry or an index.
Dental Use and Expenditures for Older Uninsured Americans: The Simulated Impact of Expanded Coverage
Open accessAbstract
Objective: To determine if providing dental insurance to older A mericans would close the current gaps in dental use and expenditure between insured and uninsured older Americans. Data Sources/Study Setting: We used data from the 2008 Health and Retirement Survey (HRS) supplemented by data from the 2006 Medical Expenditure Panel Survey (MEPS). Study Design: We compared the simulated dental use and expenditures rates of newly insured persons against the corresponding rates for those previously insured. Data Collection/Extraction Methods: The HRS is a nationally representative survey administered by the Institute for Social Research (ISR). The MEPS is a nationally representative household survey sponsored by the Agency for Healthcare Research and Quality (AHRQ). Principal Findings: We found that expanding dental coverage to older uninsured Americans would close previous gaps in dental use and expense between uninsured and insured noninstitutionalized A mericans 55 years and older. Conclusions: Providing dental coverage to previously uninsured older adults would produce estimated monthly costs net of markups for administrative costs that comport closely to current market rates. Estimates also suggest that the total cost of providing dental coverage targeted specifically to nonusers of dental care may be less than similar costs for prior users.
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“This finding reinforces the persistent policy gap in dental coverage, especially for those not covered by employer-based insurance or public programs (26).”
From Access to oral health care and its social determinants across the lifespan in the United States (2025) · cites this paper as [26]
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Cites
Oral Health in America: A Report of the Surgeon General
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Murphy, L. (2012) · BDJ · doi:10.1038/sj.bdj.2012.660 · Cited by 147
A Decade in Dental Care Utilization among Adults and Children (2001–2010)
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Dental Insurance Visits and Expenditures Among Older Adults
Manski, R. J., Goodman, H. S., Reid, B. C., & Macek, M. D. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.5.759 · Cited by 85
Self-citationEpidemiology of Dental Diseases in the Elderly
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THE DEMAND FOR PREVENTIVE AND RESTORATIVE DENTAL SERVICES
Meyerhoefer, C. D., Zuvekas, S. H., & Manski, R. J. (2013) · Health Economics · doi:10.1002/hec.2899 · Cited by 46
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Cited by
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Prevention and management of periodontal diseases and dental caries in the older adults
Alnasser, L. A., & Lamster, I. B. (2020) · Periodontology 2000 · doi:10.1111/prd.12338 · Cited by 136
Marchini, L., Hartshorn, J. E., Cowen, H. J., Dawson, D. V., & Johnsen, D. C. (2017) · Journal of Dental Education · doi:10.21815/jde.017.086 · Cited by 48
Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment
Halasa‐Rappel, Y. A., Tschampl, C. A., Foley, M., Dellapenna, M., & Shepard, D. S. (2019) · Journal of Public Health Dentistry · doi:10.1111/jphd.12317 · Cited by 45
Barriers to oral health across selected European countries and the USA
Manski, R. J., & Moeller, J. (2017) · International Dental Journal · doi:10.1111/idj.12283 · Cited by 42
Self-citationDental Care Use, Edentulism, and Systemic Health among Older Adults
Meyerhoefer, C. D., Pepper, J. V., Manski, R. J., & Moeller, J. F. (2021) · Journal of Dental Research · doi:10.1177/00220345211019018 · Cited by 31
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Metadata
- Authors
- Manski, R. J., Moeller, J. F., Chen, H., Schimmel, J., Pepper, J. V., & St. Clair, P. A.
- Affiliations
- University of Maryland, Baltimore (US)
- Mathematica Policy Research (US)
- University of Virginia (US)
- Leonard D. Schaeffer Center for Health Policy and Economics RAND Corporation Center for the Study of Aging Los Angeles CA
- Corresponding author
- Manski, Richard J.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2014-07-15
- Volume
- 50
- Issue
- 1
- Pages
- 117-135
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC4295003
- OpenAlex
- W1987296021
- Cited by
- 18
- References
- 16
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 4 · 2017: 2 · 2015: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Services Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (U01AG009740)
- National Institute of Dental and Craniofacial Research (R01DE021678)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Keywords
- dental insurance, older adults, uninsured population, dental care utilization, dental care costs, health insurance expansion, insurance coverage gaps
- MeSH terms
- Aged, Dental Health Services, Health Expenditures, Female, Humans, Insurance, Dental, Male, Middle Aged, Surveys and Questionnaires, United States, Medically Uninsured
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