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Comparison of Procedures Performed and Costs between an Outsourced Dental Health Plan with Fee-For-Service Payment and an Evidence-Based, In-House Dental Health Service with Salaried Professionals

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Open Access
Article Type Original Article
Subject Medicine Group
OCLC 9509945311
Luiz Cesar Da Costa Filho*, Carolina Covolo Da Costa, Carisi Anne Polanczyk and Bruce Bartholow Duncan
Issue: Volume3-Issue5
Pages: 501-508
Received: 2022-04-20
Accepted: 2022-05-06
Published: 2022-05-07

Abstract

Aim: Evaluate the change in terms of levels and mixes of services rendered and costs resulting from the change from an outsourced dental health plan with fee-for-service payment to an in-house health service provided by salaried dentists.

Method: We evaluated dental care services provided to almost 4,000 users (employees and their families) of a big company (Moinhos de Vento Hospital, Brazil). The analysis was divided into two periods of time: from January 2000 to December 2002, during which time the dental care provided to employees (and families) was outsourced to a dental plan which operates with an accredited network, and from March 2003 to June 2005, when the dental care was provided by an in-house dental care service with preventive and evidence-based dentistry guidelines. Economic data were collected, as well as the type and number of procedures performed.

Results: There was a significant increase in the number of preventive and oral environment adequacy procedures performed by the in-house service in relation to the outsourced dental plan. There also was a significant decrease in the number of restorative procedures with the implementation of the in-house service. Expenses were reduced by 36%, while the number of procedures increased by 30% and customer satisfaction did not decrease with the adoption of the in-house service.

Conclusion: An in-house service with evidence-based clinical protocols, as compared with an accredited network, decreased costs and also increased the number of procedures done, changed the profile of care for a less invasive dentistry and one more geared toward the causes of diseases, while still preserving the customers’ satisfaction.

FullText HTML FullText PDF DOI: 10.37871/jbres1471 Crossmark

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Copyright

© 2022 Da Costa Filho LC, et al. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

Da Costa Filho LC, Da Costa CC, Polanczyk CA, Duncan BB. Comparison of Procedures Performed and Costs between an Outsourced Dental Health Plan with Fee-For-Service Payment and an Evidence-Based, In-House Dental Health Service with Salaried Professionals. J Biomed Res Environ Sci. 2022 May 07; 3(5): 501-508. doi: 10.37871/jbres1471, Article ID: JBRES1471, Available at: https://www.jelsciences.com/articles/jbres1471.pdf

Subject area(s)

Public HealthEpidemiologyDentistry

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