Tag Archives: pediatric

Uncertain outlook for pediatric dental benefits in a post-ACA world

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Oral health advocates are closely watching Capitol Hill.

Many are worried about the future of children’s dental benefits under proposed Republican plans to repeal or replace the Patient Protection and Affordable Care Act (ACA). Continue reading

New Fla. case alleges Medicaid dental fraud targeting frail, elderly

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Photo: Rob via Flickr

Photo: Rob via Flickr

Back in May, reporters in Florida stayed busy covering the nightmarish story of a Jacksonville dentist under investigation for Medicaid fraud by the state attorney general’s office.

Howard S. Schneider, who made nearly $4 million from Medicaid over five years, according to state records, gave up his license in the wake of allegations that he had overtreated and abused children. Continue reading

Despite ‘essential’ designation, dental benefits lacking under ACA

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

State and federal policymakers should take steps to make dental benefits less costly and more widely available under the Affordable Care Act (ACA) according to a panel of experts convened by the nonprofit National Academy for State Health Policy.

While oral health advocates were heartened to see pediatric dental benefits included among the health reform law’s essential health benefits (EHB), the task of making them available on state marketplaces and getting consumers to buy them has proven to be complicated.

Dental benefits have traditionally been sold separately from other types of health insurance, and the “ACA and subsequent federal guidance treat pediatric dental benefits differently from the other EHB categories, creating unique challenges in implementing the vision of a guaranteed pediatric dental benefit,” concludes the experts’ report, released today. Continue reading

Dentist under investigation after sedated child dies

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

A Hawaiian pre-schooler died after lapsing into a coma in a dentist’s chair. Now state authorities are investigating her dentist, according to a report by Susan Essoyan of the Honolulu Star-Advertiser. (The articles are behind a paywall but AHCJ has been given permission to republish them here.)

“The state Department of Commerce and Consumer Affairs has begun an investigation of Kailua dentist Dr. Lilly Geyer after a 3-year-old girl fell into a coma while she was in the dentist’s chair and later died,” Essoyan reported on Jan. 8.

“Finley Puleo Boyle, the only child of Ashley and Evan Boyle of Kai­lua, never awoke after losing consciousness and suffering massive brain damage following heavy sedation at the dentist’s office Dec. 3, her mother said.”

The little girl died Jan. 3 at a local hospice. Continue reading

National look reveals gap in access to pediatric dental care

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Dental hygenist

Image by The National Guard via flickr.

Catherine Saint Louis of The New York Times took a hard national look at the pediatric dental benefits being offered on the state exchanges under the Affordable Care Act.

Her reporting led her to the troubling gulf that oral health advocates have been warning about.

While kids’ dental coverage is included as one of the 10 essential health benefits under the nation’s health care reform law, “pediatric dental care is handled differently” from other coverage on the federal and state exchanges, she wrote in her Dec. 16 story, “A Gap In the Affordable Care Act.”

Dental plans “are often sold separately from medical insurance, and dental coverage for children is optional,” she noted. “People shopping on the exchanges are not required to buy it and do not receive financial support for buying it.”

Experts have cautioned that the problems could leave millions of children without access to dental care. Continue reading