States Have New Flexibility to Add Grownup Dental Care to Important Well being Advantages

By JoAnn Volk and Tara Straw*

Within the ultimate 2025 Notice of Benefit and Payment Parameters, the Facilities for Medicare & Medicaid Providers (CMS) offered a new option for states to replace their important well being advantages (EHB) benchmark plan to require protection of routine grownup dental advantages. Analysis has highlighted important disparities in oral health outcomes for adults relying on their insurance coverage standing, race and revenue. For instance, Black adults are twice as likely to have untreated dental caries as White adults. Whereas there are a number of drivers of inequities in oral well being, together with limited access to dental providers, a major barrier to accessing dental providers is the cost of care, a barrier that may be decreased with dental insurance coverage. 

Of their newest Skilled Perspective for the State Health & Value Strategies program, CHIR’s JoAnn Volk and Manatt Well being’s Tara Straw present an outline of the newly out there flexibility and talk about issues for states weighing whether or not so as to add a requirement that plans topic to EHB cowl routine grownup dental care.

You’ll be able to learn the total article here.

*Tara Straw is a Senior Advisor at Manatt Well being.