Total HealthSolutionJoseph V. Errante, D.D.S.Executive Director of Dental ProgramsBlue Cross Blue Shield of Massachusetts Research demonstrates connections between Oral Infections and several Systemic Diseases Diabetes Coronary Artery Disease Pre-Term Pregnancies Oral Healthand Overall HealthOral Health and Overall Health How Prevalent are Oral Infections? How Prevalent are Oral Infections? Periodontal Disease The most common infectious disease in the adult population Most significant dental disease affecting adults Affects 3 out of 4 persons at some point in their life 75% of adults over age 35 affected by periodontal diseaseOral Health and Overall Health Diabetes Study of BCBSMA00 membership shows medical cost greater in members with Oral Health issues Columbia University study periodontal care had a positive effect on the cost of medical care in this two-year study for diabetes, CVD and CADOral Healthand Overall HealthOral Health and Overall Health Partial treatment of oral infection due to benefit limitations of Calendar Year Maximum Often have inadequate ongoing maintenance because of benefit restrictions on the number of cleanings that will be covered Ongoing Infection and related issues for the diabetic member Complete and definitive treatment of the infection Appropriate ongoing maintenance to prevent reoccurrence of infection Oral Health restored and reoccurrence of infection prevented Infection Free Member with better Overall HealthTomorrowTodayDiabetic Member00 Oral Health Coronary Artery Disease (CAD) 1.2 to 2 fold increased risk for heart disease in people with untreated periodontal disease Cerebrovascular Disease (CVD) StrokeOral Healthand Overall HealthOral Health and Overall Health Pre-Term Pregnancies (PTLBW) 7 fold increase in Pre-Term Low Birth Weight Babies with women with periodontal disease If treated with non surgical periodontal treatment the increased risk is reduced by 70% National Institute of Dental and Craniofacial Research (NIDCR) estimates that 18% of PTLBW babies born in US may be attributed to oral infectionsOral Health and Overall HealthOral Health and Overall Health Members00 lack of knowledge about the connection between Oral Health and having a healthy pregnancy Members don00 access periodontal care because of inadequate coverage PTLBW pregnancy rates of 12% Integration of educational materials into our Living Healthy Babies Program Higher levels of Members accessing periodontal care when appropriate Decrease in the number of PTLBW pregnanciesTomorrowTodayPre-NatalOral Health Connecting the interrelationships of health to provide the best outcome for members Education to members Claims Data Mining to Intervene in disease path Predictive Modeling utilizing claims dataTotalHealth SolutionMedicalDentalEvidenceof Risk and NeedMiningof Medicaland Dental DataPHA DataFocusedActionTranslatescience into actions that keep Members from transitioning into at-riskor complex statusEvidence BasedNeed + Focused Action = Long Term ValueTotal HealthSolution: A formula for successLower costs of care overthelife of a memberIncreased productivityLower absenteeismLower total costsHigh quality, focusedcare that leads to a healthier lifeBCBSMAEmployerMemberLong Term ValueTotalHealth SolutionTotalHealth Solution Risk Assessment for Disease Genomics Early Diagnosis Lung Cancer Oral Cancer Cortisol (stress indicator) Osteoporosis Saliva DiagnosticsTheFuture of the Total Health SolutionThank You

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