Aetna's Dental Medical Integration Program May Help Lower Costs and Result in Better Health

Aetna's Dental Medical Integration Program May Help Lower Costs and Result in Better Health

-- Medical claims costs lowered by an average of 17 percent among members in the program --

HARTFORD, Conn.--(BUSINESS WIRE)-- Aetna (NYSE: AET) today announced results of an analysis of the Dental Medical Integration (DMI) program. Program outcomes show that good dental health may reduce medical costs and improve overall health. To date, DMI program members who visited the dentist have:

  • Lowered their medical claim costs by an average of 17 percent,1
  • Improved diabetes control by 45 percent,2
  • Used 42 percent less major and basic dental services,1 and
  • Required 3.5 percent fewer hospital admissions year-over-year compared to a 5.4 percent increase for non-members.1

"The mission of our DMI program is to keep our members healthy and reduce their cost of health care," said Mary Lee Conicella, DMD and Chief Dental Officer for Aetna. "We've proactively reached over 1.5 million members since the program began. The results show that members with coordinated dental and medical care are healthier."

The DMI program launched in 2007. It was the result of research Aetna completed with Columbia University College of Dental Medicine that found:

  • Members who received preventive dental treatment while pregnant had 25 percent lower pre-term delivery rates and 34 percent fewer incidents of low birth weight,3 and
  • Members with diabetes or cardiovascular disease who received dental care had an average of 27 percent lower risk scores.4

The DMI program uses technology to automatically identify members with diabetes, cardiovascular disease, or who are pregnant. Members with those medical conditions who have not recently seen the dentist receive education by mail and phone on the importance of regular dental care. Aetna dental coordinators are available to help DMI members choose a dentist and schedule an appointment. DMI members qualify for enhanced dental benefits such as an extra cleaning and periodontal services covered at 100 percent to help prevent more serious and costly issues. The enhanced dental benefits are not subject to deductible or coinsurance and do not count toward annual plan maximums. There is no added cost to members or plan sponsors for the DMI program.

About Aetna

Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 44 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com.

1Ongoing statistically valid analysis of Aetna DMI customers. Aetna Informatics, 2010 - 2012.

2Of the diabetic members in DMI program who started going to the dentist, 17.8% are poorly controlled. For diabetic members in comparable group with no DMI program, 32.6% are poorly controlled.

3Of the members in the DMI program who received dental treatment while pregnant, including three months before and three months after pregnancy, only 7.6% had pre-term delivery. For pregnant members in a comparable group with no preventive dental care, 10.1% had pre-term delivery; David A. Albert, Melissa D. Begg, Howard F. Andrews, Sharifa Z. Williams, Angela Ward, Mary Lee Conicella, Virginia Rauh, Janet L. Thomson, and Panos N. Papapanou. An Examination of Periodontal Treatment, Dental Care, and Pregnancy Outcomes in an Insured Population in the United States. American Journal of Public Health: January 2011, Vol. 101, No. 1, pp. 151-156. doi: 10.2105/ AJPH.2009.185884.

4Joint study with Columbia University College of Dental Medicine and Albert DAA, Sadowsky D, Papapanou P, Conicella ML, Ward A. An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population. BMC Health Services Research 2006; 6:103. Continued analysis of retrospective study shows sustained correlation, Aetna Health Analytics, August 2008.



Aetna
Trasee Carr, 614-855-6254
carrt@aetna.com

KEYWORDS:   United States  North America  Connecticut

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