Effects of the Affordable Care Act on Private Insurance Coverage and Treatment of Behavioral Health Conditions in Young Adults

Bibliographic Data

ID11039180
AuthorsMark Olfson (0000-0002-3958-5662, At the time of the study, Mark Olfson was with the Department of Psychiatry of the Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Melanie Wall and Christine Mauro were with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Colleen L. Barry was with Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Ramin Mojtabai was with the Department of Mental Health,...), Melanie Wall (0000-0002-1665-9403, At the time of the study, Mark Olfson was with the Department of Psychiatry of the Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Melanie Wall and Christine Mauro were with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Colleen L. Barry was with Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Ramin Mojtabai was with the Department of Mental Health,...), Melanie M Wall (0000-0001-6673-3467, Johns Hopkins University), Colleen L Barry (0000-0001-8211-5036, At the time of the study, Mark Olfson was with the Department of Psychiatry of the Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Melanie Wall and Christine Mauro were with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Colleen L. Barry was with Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Ramin Mojtabai was with the Department of Mental Health,...), Christine Mauro (0000-0001-6065-8128, At the time of the study, Mark Olfson was with the Department of Psychiatry of the Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Melanie Wall and Christine Mauro were with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Colleen L. Barry was with Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Ramin Mojtabai was with the Department of Mental Health,...), Ramin Mojtabai (0000-0002-2134-4043, At the time of the study, Mark Olfson was with the Department of Psychiatry of the Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Melanie Wall and Christine Mauro were with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Colleen L. Barry was with Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Ramin Mojtabai was with the Department of Mental Health,...)
Year2018
Volume108
Issue10
Pages1352-1354
Publication date2018-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304574
PMID30138071
OpenAlexW2888296042
LanguageEN
Citations received2
References cited7

Objectives. To assess changes in private insurance coverage and behavioral treatment of people aged 19 to 25 years and 26 to 35 years following the 2010 Affordable Care Act (ACA) dependent care provision and 2014 insurance reforms. Methods. We extracted data from the 2008 to 2016 US National Surveys on Drug Use and Health. We used an adjusted difference-in-differences approach to assess effects of age group on change in coverage. Replications in subgroups with serious psychological distress or substance use disorders also assessed change in mental health and substance use treatment. Results. Between 2008 to 2010 and 2011 to 2013, the increase in coverage of the younger group significantly differed from the decrease in the older group, but the 2 groups did not significantly differ between 2011 to 2013 and 2014 to 2016 (+3.2 percentage points; P Conclusions. Although implementation of the ACA provisions coincided with coverage gains for young adults, challenges persist in engaging those with mental health and substance use problems in treatment

Actuarial science · Business · Economic growth · Economics · Environmental health · Health care · Health insurance · Patient Protection and Affordable Care Act · Private insurance · Economic and Financial Impacts of Cancer · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Gerontology

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