Evidence map›Paper›PMID 25941285›Full record

ArticleHealth affairs (Project Hope)2015

Despite Resources From The ACA, Most States Do Little To Help Addiction Treatment Programs Implement Health Care Reform.

Christina Andrews, Amanda Abraham, Colleen M Grogan, Harold A Pollack, Clifford Bersamira, Keith Humphreys, Peter Friedmann

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Article
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  3. Medicaid Expansion and Low-Income Adults with Substance Use Disorders.The journal of behavioral health services & research · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christina AndrewsChristina Andrews (candrews@mailbox.sc.edu) is an assistant professor of social work at the University of South Carolina, in Columbia.
Amanda AbrahamAmanda Abraham is an assistant professor of health policy and management at the University of Georgia, in Athens.
Colleen M GroganColleen M. Grogan is a professor of health policy at the University of Chicago, in Illinois.
Harold A PollackHarold A. Pollock is an associate professor of health policy at the University of Chicago.
Clifford BersamiraClifford Bersamira is a doctoral student in social work at the University of Chicago.
Keith HumphreysKeith Humphreys is a professor of psychiatry and behavioral sciences at the Veterans Affairs and Stanford University Medical Centers, both in Stanford, California.
Peter FriedmannPeter Friedmann is a professor of medicine at the Providence Veteran Affairs Medical Center, the Rhode Island Hospital, and the Alpert Medical School of Brown University, all in Providence, Rhode Island.

Funding

Impact of health reform on outpatient substance abuse treatment programsR01DA034634 · NIDA · RHODE ISLAND HOSPITAL · PI FRIEDMANN, PETER D · 2013 to 2017
$4.0M
NIDA NIH HHS R01 DA034634NIDA NIH HHS R01DA034634
6 · The paper itself

Abstract

The Affordable Care Act (ACA) dramatically expands health insurance for addiction treatment and provides unprecedented opportunities for service growth and delivery model reform. Yet most addiction treatment programs lack the staffing and technological capabilities to respond successfully to ACA-driven system change. In light of these challenges, we conducted a national survey to examine how Single State Agencies for addiction treatment--the state governmental organizations charged with overseeing addiction treatment programs--are helping programs respond to new requirements under the ACA. We found that most Single State Agencies provide little assistance to addiction treatment programs. Most agencies are helping programs develop collaborations with other health service programs. However, fewer than half reported providing help in modernizing systems to support insurance participation, and only one in three provided assistance with enrollment outreach. In the absence of technical assistance, it is unlikely that addiction treatment programs will fully realize the ACA's promise to improve access to and quality of addiction treatment.

Indexed as

Community-Institutional RelationsHealth Care RationingHealth Plan ImplementationHealth Services AccessibilityHealth Services Needs and DemandHumansInsurance CoverageIntersectoral CollaborationPatient Protection and Affordable Care ActResource AllocationSafety-net ProvidersState Health PlansSubstance Abuse Treatment CentersSubstance-Related DisordersUnited StatesHealth ReformInsuranceMedicaidMental Health/Substance AbuseSafety-Net Systems

Identifiers

PMID25941285
PMCPMC4706741

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.