About CHRT

Demonstrating the value of dental and vision benefits integration

December 2022 – May 2023
Client(s): Blue Cross Blue Shield of Michigan
Funder: Blue Cross Blue Shield of Michigan

Nationally, 42.2 percent of adults aged 30 to 79 have periodontal disease , or serious gum infection. Research indicates that periodontitis is linked to systemic diseases such as cardiovascular disease, diabetes, adverse pregnancy outcomes, and Alzheimer’s disease . Exams by dentists and optometrists can provide early identification of conditions such as diabetes and high blood pressure, with symptoms that may manifest in the mouth or eyes. When health care benefits (including medical, dental and/or vision), claims data, gaps in care, and care coordination are more fully integrated, health plans gain a holistic understanding of members’ health. Several industry studies have found that programs that integrated medical and dental benefits achieved improved member health outcomes and greater cost savings.

CHRT’s role:

CHRT is producing three white papers for BCBSM. One is a national landscape analysis of health plan dental-medical and vision-medical benefits integration programs. The other two papers will analyze the clinical research and the value of integrating dental and medical benefits, and vision and medical benefits, respectively. CHRT will also develop infographics to highlight the benefits of integration. Findings from an analysis of BCBSM’s claims data study will be incorporated to enhance the white papers and infographics with actual BCBSM member outcomes.

Topics: Integration