Changes In US Spending On Mental Health And Substance Abuse Treatment, 1986–2005, And Implications For Policy

The Supply of Physicians Waivered to Prescribe Buprenorphine for Opioid Use Disorders in the United States: A State-Level Analysis

“…It may seem counterintuitive that Medicaid coverage is viewed as an indicator of environmental richness, given its role as a safety net for low-income individuals. However, Medicaid is an increasingly signifi cant funder of treatment services for SUDs (Buck, 2011;Mark et al, 2011), and by 2013, all state Medicaid programs included at least some coverage for buprenorphine treatment (Rinaldo & Rinaldo, 2013).…”

“…Greater rates of Medicaid coverage at the state level may actually provide crucial resources to help residents access needed services. SUDs are prevalent within the Medicaid population (Buck, 2011), and Medicaid is an increasingly signifi cant source of payment for treatment services (Mark et al, 2011).…”

A Review of Health Consequences of Recessions Internationally and a Synthesis of the US Response during the Great Recession

“…21,25,[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59] While there is evidence of a decrease in overall alcohol consumption during recessions, 5,53 studies also consistently find an increase in alcohol related traffic accidents 55 (despite an overall decline in deaths from road traffic accidents), binge drinking, 5 and alcohol related hospitalization during economic contractions. 25 In other words, while on average some people reduce their drinking of alcohol, a subpopulation increases its use to potentially dangerous levels, reflecting that the hypotheses above may apply variously to different groups.…”

The Impact of Medicaid Peer Support Utilization on Cost

“…The purpose of this study was to fill gaps in the literature related to peer support programs and cost: lack of comparison groups, small sample sizes (Forchuk, Martin, Chan, & Jensen, 2005), and the availability of research examining mental health utilization paid for by Medicaid (Mark et al, 2011). This study extends the author's previous analysis of the Georgia peer support program by examining the relationships between the utilization of peer support services and cost.…”

“…The literature also indicates why consumer delivered mental health services may have implications for public payers: Medicaid's share of total U.S. mental health spending was 27 percent in 2005 (Mark, Levit, Vandivort-Warren, Buck, & Coffey, 2011) and Medicaid reimbursement has facilitated the transition from institutional to community care in recent years (Walker & Osterhaus, 2010). However, knowledge on the relationship between peer support and the cost to public programs is just emerging.…”