Insurance Coverage and Treatment Use Under the Affordable Care Act Among Adults With Mental and Substance Use Disorders

Saloner, Brendan; Bandara, Sachini; Bachhuber, Marcus A.; Barry, Colleen L.

doi:10.1176/appi.ps.201600182

Cited by 71 publications

(44 citation statements)

References 19 publications

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“…Our findings contribute to the emerging literature on the impact of the ACA (Gonzales et al 2016; Saloner et al 2017), whose findings suggest that access to health insurance and utilization of services has increased (Wherry and Miller 2016), health care related financial burdens have decreased (Ali et al 2016b), and barriers to paying for health services have been reduced (Chen et al 2016). Our findings are consistent with this, in that we found that adults with SPD were more likely to have health insurance coverage and experience lower barriers in accessing treatments after 2014.…”

Section: Discussionsupporting

confidence: 58%

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act

Novak

Anderson

Chen

2018

Adm Policy Ment Health

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The Affordable Care Act (ACA) aims to expand health insurance coverage and minimize financial barriers to receiving health care services for individuals. However, little is known about how the ACA has impacted individuals with mental health conditions. This study finds that the implementation of the ACA is associated with an increase in rate of health insurance coverage among nonelderly adults with serious psychological distress (SPD) and a reduction in delaying and forgoing necessary care. The ACA also reduced the odds of an individual with SPD not being able to afford mental health care. Mental health care access among racial and ethnic minority populations and people with low income has improved during 2014-2016, but gaps remain.

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Section: Discussionsupporting

confidence: 58%

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act

Novak

Anderson

Chen

2018

Adm Policy Ment Health

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“…These changes may have helped reduce financial barriers to treatment for persons with opioid use disorders. One study found that the prevalence of uninsured decreased among persons with any substance use or mental health disorder in 2014 following the PPACA insurance expansion (Saloner et al, 2017). The present study examines insurance coverage and treatment access among persons with opioid use disorders, who may differ from the larger population of persons with substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

Trends in insurance coverage and treatment among persons with opioid use disorders following the Affordable Care Act

Feder

Mojtabai

Krawczyk

et al. 2017

Drug and Alcohol Dependence

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Purpose This short communication examines the impact of the Patient Protection and Affordable Care Act (PPACA) on insurance coverage and substance use treatment access among persons with opioid use disorders. Methods Data came from the 2010–2015 National Surveys on Drug Use and Health. Among persons with heroin and opioid pain-reliever use disorders, measures of insurance coverage and treatment access were compared before and after the implementation of major PPACA provisions that expanded access to insurance in 2014. Results The prevalence of uninsured persons among those with heroin use disorders declined dramatically following PPACA implementation (OR 0.59, 95% CI 0.39–0.89), largely due to an increase in the prevalence of Medicaid coverage (OR 1.96, 95% CI 1.21–3.18). There was no evidence of an increase in the prevalence of treatment, but among persons who received treatment, there was an increase in the proportion whose treatment was paid for by insurance (OR 3.75, 95% CI 2.13–3.18). By contrast, there was no evidence the uninsured rate declined among persons with pain-reliever use disorders. Conclusions The PPACA Medicaid expansion increased insurance coverage among persons with heroin use disorders, and likely plays an essential role in protecting the health and financial security of this high-risk group. More research is needed on the relationship between insurance acquisition and utilization of substance use treatment.

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“…Underfunding is a legacy of the historical marginalization of drug treatment, where limited funding for treatment has come primarily from state and local funding grants rather than insurance programs (Buck, ). The 2008 Mental Health Parity and Addiction Equity Act in tandem with Affordable Care Act of 2010 have had the positive effects of increasing the number of individuals in addiction treatment financed through health insurance through private insurance or the Medicaid program (Saloner et al., ). These recent policy changes have also facilitated broader access to evidence‐based treatment for OUD through regulatory changes in benefit design (Horgan et al., ).…”

Section: Approaches To Broaden Use Of Pharmacological Treatments For Oudmentioning

confidence: 99%

Ending the Opioid Epidemic Requires a Historic Investment in Medication‐assisted Treatment

Saloner

Barry

2018

J Policy Anal Manage

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Insurance Coverage and Treatment Use Under the Affordable Care Act Among Adults With Mental and Substance Use Disorders

Cited by 71 publications

References 19 publications

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act

Trends in insurance coverage and treatment among persons with opioid use disorders following the Affordable Care Act

Ending the Opioid Epidemic Requires a Historic Investment in Medication‐assisted Treatment

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