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The Journal of Behavioral Health Services & Research

Erschienen in:

06.09.2023

Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010–2017

verfasst von: Sarah A. Lieff, PhD, MPH, Tod Mijanovich, PhD, Lawrence Yang, PhD, Diana Silver, PhD, MPH

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 1/2024

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Abstract

This study examines whether the Affordable Care Act (ACA) Medicaid expansion (ME) was associated with changes in racial/ethnic disparities in insurance coverage, utilization, and quality of mental health care among low-income adults with probable mental illness using the National Survey on Drug Use and Health with state identifiers. This study employed difference-in-difference models to compare ME states to non-expansion states before (2010–2013) and after (2014–2017) expansion and triple difference models to examine these changes across non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic/Latino racial/ethnic subgroups. Insurance coverage increased significantly for all racial/ethnic groups in expansion states relative to non-expansion states (DD: 9.69; 95% CI: 5.17, 14.21). The proportion low-income adults that received treatment but still had unmet need decreased (DD: −3.06; 95% CI: −5.92, −0.21) and the proportion with unmet need and no mental health treatment increased (DD: 2.38; 95% CI: 0.03, 4.73). ME was not associated with reduced disparities.

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Titel: Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010–2017
verfasst von: Sarah A. Lieff, PhD, MPH
Tod Mijanovich, PhD
Lawrence Yang, PhD
Diana Silver, PhD, MPH
Publikationsdatum: 06.09.2023
Verlag: Springer US
Erschienen in: The Journal of Behavioral Health Services & Research / Ausgabe 1/2024
Print ISSN: 1094-3412
Elektronische ISSN: 1556-3308
DOI: https://doi.org/10.1007/s11414-023-09861-4

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Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010–2017

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