North Carolina: A Value-Based Approach to Equitable Oral Health Care
In North Carolina, misallocations of workforce and care have caused widespread inequities in oral health care, particularly among rural and low-income populations. Dental care remains “carved out” of the state’s value-based Medicaid transformation ― meaning it remains fee-for-service and disconnected from the system’s emerging focus on whole-person care.
A partnership between the North Carolina Oral Health Collaborative, CareQuest Institute, and Blue Cross Blue Shield of North Carolina Foundation, the initiative is establishing a learning community of safety-net dental clinics to share best practices, support a network of champions for change management, and advance policy change.
Michigan: Building Confidence and Capacity in Value-Based Care
In Michigan, the Community Oral Health Transformation initiative will bring together executive and clinical leadership of three health centers to use their resources to deliver comprehensive patient care, inclusive of oral health, and increase confidence and capacity to engage in value-based care.
An initial assessment will identify opportunities and gaps in each clinic’s readiness for value-based care. The learning community will then focus on developing sustainable business models that prioritize oral health, expanding patient engagement and community partnerships, and elevating the utilization of data and oral health measures.