Oral Health
Oral health is an important but often overlooked part of health and health coverage. Inadequate access to oral health services is a persistent problem for low-income populations, but states have developed innovative strategies to address it. NASHP’s work highlights how oral health intersects with Medicaid coverage, ACA marketplaces, and state strategies to improve health and reduce costs.
State Medicaid and CHIP programs are required to cover children’s dental services – and children’s access to care has been improving in recent years as a result of state efforts – but coverage for adults is optional. This can lead individuals to turn to costly emergency rooms for preventable dental problems; these visits may result in up to $2 billion in spending annually. Moreover, the effects of poor oral health are not limited to the mouth – studies have associated oral diseases with systemic health conditions like diabetes.
The resources available in this section include briefs, reports, and case studies that explore how oral health fits into states’ broader coverage health strategies, on topics including: Medicaid benefit design and reimbursement strategies to increase access to care; Affordable Care Act provisions related to pediatric and adult dental coverage through health insurance marketplaces; ways that oral health can help states work toward their goals of improving health, improving care, and reducing costs; and strategies for broadening the oral health workforce and integrating oral health and primary care.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































