Oral Health and the Triple Aim Toolkit

Oral health is linked to overall health, and mounting evidence suggests that addressing oral health can help states move toward the Triple Aim goals of improving the patient experience, improving the health of populations, and reducing per-capita health care spending. Poor oral health—including high rates of tooth decay, missing teeth, and gum disease—and inadequate access to oral health services are persistent problems for low-income populations. This can lead individuals to turn to costly emergency rooms for preventable dental problems; one study estimates that these visits result in up to $2 billion in spending annually. Moreover, the effects of poor oral health are not limited to the mouth – studies have associated oral diseases with systemic health conditions including diabetes.

This toolkit contains a variety of resources for states to learn how an oral health strategy could help them work toward their goals of improving health and reducing costs. The toolkit builds on a NASHP brief, Oral Health and the Triple Aim: Evidence and Strategies to Improve Care and Reduce Costs. It summarizes research articles and policy briefs on the links between oral health and diabetes, maternal and child health, and avoidable emergency room utilization; provides case studies on state and local initiatives to bring together oral health and primary care; and provides information on policy solutions that states have implemented to improve oral health coverage and access.

Medicaid Adult Dental Coverage map


NASHP also has resources on a range of oral health policy topics. You may also be interested in:

This toolkit was made possible with support from the Washington Dental Service Foundation.