Teresa Duncan, founder of Odyssey Management, has a great
blog post on health care reform and dentistry.
It's an even-handed look at the good and bad in the bill for the
dental community. She writes:
Education wise - it's looking good. Grant money will
become available (separate from the $60 million) to provide
sealants to children, conduct studies on caries disease management
and keep school-based clinics running.....
[Legislators] changed the requirement for Medicaid so more will be
eligible but no consideration was given to increasing Medicaid
reimbursement. Dentists that offer Medicaid limit the numbers
within their practice - for good reason. You can easily lose money
treating Medicaid patients. It's not a selfish, motivated by big
bucks reason - it's a business decision. Maintaining quality with
increased quantity can only happen when you can scale the business.
Since most dentists are solo practitioners this is impractical so
they have to limit the Medicaid quantity.