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Medicaid Expansion and Low-Income Adults with Substance Use Disorders.

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Title: Medicaid Expansion and Low-Income Adults with Substance Use Disorders.
Authors: Olfson, Mark (AUTHOR), Wall, Melanie (AUTHOR), Barry, Colleen L. (AUTHOR), Mauro, Christine (AUTHOR), Feng, Tianshu (AUTHOR), Mojtabai, Ramin (AUTHOR)
Source: Journal of Behavioral Health Services & Research. Jul2021, Vol. 48 Issue 3, p477-486. 10p. 5 Charts.
Subjects: Substance abuse, Medicaid, Adults, Insurance, Health services accessibility
Abstract: Problems accessing affordable treatment are common among low-income adults with substance use disorders. A difference-in-differences analysis was performed to assess changes in insurance and treatment of low-income adults with common substance use disorders following the 2014 ACA Medicaid expansion, using data from the 2008-2017 National Surveys on Drug Use and Health. Lack of insurance among low-income adults with substance use disorders in expansion states declined from 34.8% (2012-2013) to 20.0% (2014-2015) to 13.5% (2016-2017) while Medicaid coverage increased from 24.8% (2012-2013) to 48.0% (2016-2017). In nonexpansion states, lack of insurance declined from 44.8% (2012-2013) to 34.2% (2016-2017) and Medicaid coverage increased from 14.3% (2012-2013) to 23.4% (2016-2017). Treatment rates remained low and little changed. Medicaid expansion contributed to insurance coverage gains for low-income adults with substance use disorders, although persistent treatment gaps underscore clinical and policy challenges of engaging these newly insured adults in treatment. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Medicaid Expansion and Low-Income Adults with Substance Use Disorders.
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  Data: <searchLink fieldCode="AR" term="%22Olfson%2C+Mark%22">Olfson, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wall%2C+Melanie%22">Wall, Melanie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barry%2C+Colleen+L%2E%22">Barry, Colleen L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mauro%2C+Christine%22">Mauro, Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Feng%2C+Tianshu%22">Feng, Tianshu</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mojtabai%2C+Ramin%22">Mojtabai, Ramin</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Jul2021, Vol. 48 Issue 3, p477-486. 10p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Insurance%22">Insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink>
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  Data: Problems accessing affordable treatment are common among low-income adults with substance use disorders. A difference-in-differences analysis was performed to assess changes in insurance and treatment of low-income adults with common substance use disorders following the 2014 ACA Medicaid expansion, using data from the 2008-2017 National Surveys on Drug Use and Health. Lack of insurance among low-income adults with substance use disorders in expansion states declined from 34.8% (2012-2013) to 20.0% (2014-2015) to 13.5% (2016-2017) while Medicaid coverage increased from 24.8% (2012-2013) to 48.0% (2016-2017). In nonexpansion states, lack of insurance declined from 44.8% (2012-2013) to 34.2% (2016-2017) and Medicaid coverage increased from 14.3% (2012-2013) to 23.4% (2016-2017). Treatment rates remained low and little changed. Medicaid expansion contributed to insurance coverage gains for low-income adults with substance use disorders, although persistent treatment gaps underscore clinical and policy challenges of engaging these newly insured adults in treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151915434
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        Value: 10.1007/s11414-020-09738-w
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        Text: English
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      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Medicaid
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      – SubjectFull: Insurance
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              Text: Jul2021
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