An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population

摘要: Chronic medical conditions have been associated with periodontal disease. This study examined if treatment can contribute to changes in overall risk and expenditures for three chronic [Diabetes Mellitus (DM), Coronary Artery Disease (CAD), Cerebrovascular (CVD)]. 116,306 enrollees participating a preferred provider organization (PPO) insurance plan continuous dental coverage between January 1, 2001 December 30, 2002, exhibiting one of (DM, CAD, or CVD) were examined. was population-based retrospective cohort study. Aggregate costs services used as proxy disease burden. The cost care measured Per Member Month (PMPM) dollars by aggregating all diagnoses that corresponded the International Classification Diseases, 9th Edition, (ICD-9) codebook. To control differences burden each group, previously calculated score utilizing Symmetry Health Data Systems, Inc. Episode Risk Groups™ (ERGs) utilized DM, CAD CVD diagnosis groups within distinct including; (periodontitis gingivitis), maintenance (DMS), other services, no group. group means tested statistical significance using log-transformed values individual total paid amounts. condition who received periodontitis incurred significantly higher PMPM than gingivitis treatment, DMS, (p < .001). had lower scores two-year examination large company database revealed possible association costs. findings suggest (a presence periodontitis) has an impact on CVD). Additional studies are indicated examine this relationship is maintained after adjusting confounding factors such smoking SES.