DOI
https://doi.org/10.25772/WVZ8-7C32
Defense Date
2025
Document Type
Thesis
Degree Name
Master of Science in Dentistry
Department
Dentistry
First Advisor
Steven Lindauer
Second Advisor
Bhavna Shroff
Third Advisor
Caroline Carrico
Fourth Advisor
Tegwyn Brickhouse
Abstract
Introduction: This study aimed to assess the sentiment of orthodontists toward adopting a value-based care model of compensation. In addition, the study sought to compare the difference in sentiment of orthodontists between those that accept insurance and providers that do not. The study also evaluated whether orthodontists felt that a new outcome assessment tool would be needed if value-based care were implemented in orthodontics. Methods: An original 26-question survey was sent by email to a randomized and geographically proportionate selection of orthodontists practicing within the United States of America. The data were analyzed using analysis of variance and chi-square tests. Results: Two-hundred twenty-five providers responded to the survey (11.2% response rate). Overall, 13% of providers agreed with the sentiment that changing to value-based care in orthodontics would be a good thing. There was no difference in sentiment toward adopting value-based care between orthodontists who accept insurance versus those that do not. Eighty-two percent of providers felt that a new outcome assessment tool would be needed if value-based care were adopted. Age was found to be associated with the sentiment toward adopting value-based care, with the 36-45-year-old and 65+ age groups being more in favor of adopting value-based care. The percent fee-for-service of the provider’s practice was also associated with the sentiment toward adopting value-based care, with the 0-25% fee-for-service group being more open to adopting value-based care. Conclusions: Orthodontists were skeptical of adopting value-based care. Older orthodontists (65+), and young-middle career orthodontists (36-44 year-olds) were more likely to be in favor of adopting value-based care. Providers whose practices are majority insurance based were more likely to be open to adopting value-based care than orthodontists whose practices were more than 25% fee-for-service. Orthodontists felt that a new outcome assessment tool should be developed if value-based care were adopted.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
5-6-2025