The Effect of Public Insurance Expansions on Substance Use Disorder Treatment
Evidence from the Affordable Care Act
Dados Bibliográficos
| ID | 11680324 |
|---|---|
| Autores | Johanna C Maclean (0000-0002-8581-0672, Johns Hopkins University), Brendan Saloner (0000-0001-9013-3023, National Bureau of Economic Research, autor correspondente) |
| Ano | 2018 |
| Volume | 38 |
| Fascículo | 2 |
| Páginas | 366-393 |
| Data de publicação | 2018-12-05 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Journal of Policy Analysis and Management (JOURNAL) |
| Identificadores do periódico | ISSN: 0276-8739 • E-ISSN: 1520-6688 |
| Editora | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/pam.22112 |
| PMID | 30882195 |
| OpenAlex | W2609651361 |
| Idioma | EN |
| Citações recebidas | 29 |
| Referências citadas | 54 |
We examine the effect of Medicaid expansion under the Affordable Care Act (ACA) on substance use disorder (SUD) treatment utilization and financing. We combine data on admissions to specialty facilities and Medicaid-reimbursed prescriptions for medications commonly used to treat SUDs in nonspecialty outpatient settings with an event-study design. Several findings emerge from our study. First, among patients receiving specialty care, Medicaid coverage and payments increased. Second, the share of patients who were uninsured and who had treatment paid for by state and local government payments declined. Third, private insurance coverage and payments increased. Fourth, expansion also increased prescriptions for SUD medications reimbursed by Medicaid. Fifth, we find suggestive evidence that admissions to specialty treatment may have increased one or more years post-expansion. However, this finding is sensitive to specification and we observe differential pretrends between the treatment and comparison groups. Thus, our finding for admissions should be interpreted with caution
Actuarial science · Business · Economic growth · Economics · Family medicine · Government (linguistics · Health care · Health insurance · Medicaid · Medical prescription · Payment · Private insurance · Specialty · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Finance
Changes in health care coverage and sexually transmitted infection testing following expansion of health care coverage options among people with diagnosed HIV – Medical Monitoring Project, Virginia, 2015–2022
Medicaid Expansion and Prescription Trends
A Public Health Strategy for the Opioid Crisis
Development of the Enthusiastic Substance Use Attitudes Scale
State Medicaid Policies Governing Access to Medications for Opioid Use Disorder (Moud) and Moud Treatment Use in a Large Sample of People Who Inject Drugs in 20 U.S. States
Excessive Overdoses Where Treatment Centers Are Concentrated
Beyond “pains” and “gains”
Performance Metrics of Substance Use Disorder Care Among Medicaid Enrollees in New York, New York
The effects of Medicaid expansion on job loss induced mental distress during the Covid-19 pandemic in the US
The Cumulative Effect of Expanding the Breadth and Scope of Coverage for Substance Use Disorder Treatment on Behavioral Health Acute Inpatient Admissions
Illegal Drug Use and Risk of Hearing Loss in the United States
National trends and characteristics of inpatient detoxification for drug use disorders in the United States
The impact of Medicaid expansion on mental health and substance use related inpatient visits
Simulated impact of medicaid expansion on the economic burden of opioid use disorder in North Carolina
Better Late Than Never
The Social, Political, and Economic Effects of the Affordable Care Act
The Full Impact of the Affordable Care Act on Political Participation
Pandemic‐era changes to medicaid enrollment and funding
Access to Healthcare and Criminal Behavior
Child Support and the Affordable Care Act's Medicaid Expansions
A Reevaluation of the Effects of State and ACA Dependent Coverage Mandates on Health Insurance Coverage
The Affordable Care Act's Effects on Patients, Providers, and the Economy
The re‐emerging suicide crisis in the U.S
The Effect of Public Health Insurance on Criminal Recidivism
The impact of state-level prenatal substance use policies on infant foster care entry in the United States
Medications for Opioid Use Disorder and Retention in Non-Intensive Outpatient Treatment
Worker-Driven Social Responsibility and Infant Health
Changes in Medicaid Acceptance by Substance Abuse Treatment Facilities After Implementation of Federal Parity
Linking Organizational Capacity and Performance
DSM-5 Criteria for Substance Use Disorders
Early Coverage, Access, Utilization, and Health Effects Associated With the Affordable Care Act Medicaid Expansions
The cost of crime to society
Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions
Welfare Reform, Substance Use, and Mental Health
Premium subsidies, the mandate, and Medicaid expansion
Medical Marijuana Laws, Traffic Fatalities, and Alcohol Consumption
Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century
Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States
The Effect of the Affordable Care Act Medicaid Expansion on Migration
The Impact of Health Insurance on Preventive Care and Health Behaviors
Assessing the Effects of Medical Marijuana Laws on Marijuana Use
Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply
National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment
Impact of Medicaid Expansion on Medicaid-covered Utilization of Buprenorphine for Opioid Use Disorder Treatment
Medicaid Coverage Expansions and Cigarette Smoking Cessation Among Low-income Adults
| Obras citantes distintas | 29 |
|---|---|
| Citações por ano | 3,63 |
| Intervalo de citações | 2018 - 2026 (9) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 27 |