ArticleThe American journal of psychiatry2015
Effect of the Affordable Care Act's young adult insurance expansions on hospital-based mental health care.
Article in The American journal of psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings.Health services research · 2016Pooled it
- Improving perinatal depression screening uptake: The impact of Medicaid reimbursement policy in Massachusetts.Health services research · 2025Article
- Association of Medicaid coverage with emergency department utilization after self-harm in Korea: A nationwide registry-based study.PloS one · 2024Article
- Association of Follow-Up After an Emergency Department Visit for Mental Illness with Utilization Based Outcomes.Administration and policy in mental health · 2021Article
- Insurance expansions and adolescent use of substance use disorder treatment.Health services research · 2021Observational
- The Affordable Care Act and Recent Reforms: Policy Implications for Equitable Mental Health Care Delivery.Health care analysis : HCA : journal of health philosophy and policy · 2020Article
- Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis.Psychiatric services (Washington, D.C.) · 2019Article
- Impacts of the Dependent Care Expansion on the Allocation of Mental Health Care.Administration and policy in mental health · 2019Article
- Higher Benefit for Greater Need: Understanding Changes in Mental Well-being of Young Adults Following the ACA Dependent Coverage Mandate.The journal of mental health policy and economics · 2018Article
- Impact of the Affordable Care Act's Dependent Coverage Expansion on the Health Care and Health Status of Young Adults: What Do We Know So Far?Medical care research and review : MCRR · 2018Review
- Young Adults' Selection and Use of Dependent Coverage under the Affordable Care Act.Frontiers in public health · 2018Article
- Healthcare Access Among Young Adults: Impact of the Affordable Care Act on Young Adults With Hypertension.American journal of preventive medicine · 2017Article
- Reducing Young Adults' Health Care Spending through the ACA Expansion of Dependent Coverage.Health services research · 2017Article
- The Affordable Care Act: Disparities in emergency department use for mental health diagnoses in young adults.World journal of emergency medicine · 2017Article
- The ACA: Impacts on Health, Access, and Employment.Forum for health economics & policy · 2016Article
- The ACA's Dependent Coverage Expansion and Out-of-Pocket Spending by Young Adults With Behavioral Health Conditions.Psychiatric services (Washington, D.C.) · 2016Article
- The Effects of the Affordable Care Act Adult Dependent Coverage Expansion on Mental Health.The journal of mental health policy and economics · 2016Article
- The Effects of Medicaid Eligibility on Mental Health Services and Out-of-Pocket Spending for Mental Health Services.Health services research · 2015Article
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Authors and funding
6 authors.
Funding
Abstract
objectiveInsurance coverage for young adults has increased since 2010, when the Affordable Care Act (ACA) required insurers to permit children to remain on parental policies until age 26 as dependents. This study estimated the association between the dependent coverage provision and changes in young adults' use of hospital-based services for substance use disorders and non-substance use psychiatric disorders.
methodThe authors conducted a quasi-experimental comparison of a national sample of non-childbirth-related inpatient admissions to general hospitals (a total of 2,670,463 admissions, 430,583 of which had primary psychiatric diagnoses) and California emergency department visits with psychiatric diagnoses (N=11,139,689), using data spanning 2005 to 2011. Analyses compared young adults who were targeted by the ACA dependent coverage provision (19- to 25-year-olds) and those who were not (26- to 29-year-olds), estimating changes in utilization before and after implementation of the dependent coverage provision. Primary outcome measures included quarterly inpatient admissions for primary diagnoses of any psychiatric disorder per 1,000 population; emergency department visits with any psychiatric diagnosis per 1,000 population; and payer source.
resultsDependent coverage expansion was associated with 0.14 more inpatient admissions for psychiatric diagnoses per 1,000 for 19- to 25-year-olds (targeted by the ACA) than for 26- to 29-year-olds (not targeted by the ACA). The coverage expansion was associated with 0.45 fewer psychiatric emergency department visits per 1,000 in California. The probability that inpatient admissions nationally and emergency department visits in California were uninsured decreased significantly.
conclusionsACA dependent coverage provisions produced modest increases in general hospital psychiatric inpatient admissions and higher rates of insurance coverage for young adults nationally. Lower rates of emergency department visits were observed in California.
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