Current Oral Health Reports

, Volume 3, Issue 3, pp 131–139 | Cite as

Rise of Managed Care in the USA: Lessons for Dentistry

  • Raymond A. KuthyEmail author
  • Julie C. Reynolds
  • Susan C. McKernan
  • Peter C. Damiano
Dental Public Health (R Collins, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Dental Public Health


Since the 1960s, the USA has experienced rapid growth in national health care expenditures, outpacing growth in other sectors of the economy. As a result, the late 1970s experienced a rise in the use of mechanisms designed to control the cost and utilization of health care. These mechanisms have come to be known as managed care. Various models of managed care have used different approaches to contain costs and improve health care quality, including capitation payments, restricted provider networks, and, more recently, financial incentives to reduce cost and improve health outcomes. In dentistry during the past two decades, the majority of the payment system has moved from primarily fee-for-service to one model of managed care called Dental Preferred Provider Organizations (DPPOs), which now accounts for more than 80 % of the market share for commercial plans. Despite a lack of recent growth in national expenditures for dental care, dentistry will need to become increasingly involved in new types of managed care due to emphasis on reducing costs and improving health care quality in the US health care system as a whole.


Managed care programs Managed health care insurance plans Insurance case management Health maintenance organizations Preferred provider organizations Patient care management 


Compliance with Ethical Standards

Conflict of Interest

Raymond A. Kuthy, Julie C. Reynolds, Susan C. McKernan, and Peter C. Damiano declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2016

Authors and Affiliations

  • Raymond A. Kuthy
    • 1
    Email author
  • Julie C. Reynolds
    • 1
  • Susan C. McKernan
    • 1
  • Peter C. Damiano
    • 1
  1. 1.Preventive and Community Dentistry and Public Policy CenterUniversity of IowaIowa CityUSA

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