Evidence map›Paper›PMID 26445915›Full record

ArticleHealth services research2015

The Effects of Medicaid Eligibility on Mental Health Services and Out-of-Pocket Spending for Mental Health Services.

Ezra Golberstein, Gilbert Gonzales

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
13.7field-weighted citation impact, top 2% of its field
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

15 citing papers in PubMed, 29 citations in OpenAlex.

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  5. 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 · 2020
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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

2 authors at 1 institution in 1 country.

Ezra GolbersteinDivision of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St. SE, MMC 729, Minneapolis, MN, 55455.
Gilbert GonzalesDepartment of Health Policy at the Vanderbilt University School of Medicine.
University of Minnesota · US

Funding

Spatial Analysis CoreR24HD041023 · NICHD · UNIVERSITY OF MINNESOTA TWIN CITIES · PI RUGGLES, STEVE · 2001 to 2016
$4.1M
NICHD NIH HHS 5R24HD041023NICHD NIH HHS R24 HD041023
6 · The paper itself

Abstract

objectiveMillions of low-income Americans will gain health insurance through Medicaid under the Affordable Care Act. This study assesses the impact of previous Medicaid expansions on mental health services utilization and out-of-pocket spending. DATA SOURCES: Secondary data from the 1998-2011 Medical Expenditure Panel Survey Household Component merged with National Health Interview Survey and state Medicaid eligibility rules data. STUDY

designInstrumental variables regression models were used to estimate the impact of expanded Medicaid eligibility on health insurance coverage, mental health services utilization, and out-of-pocket spending for mental health services. DATA EXTRACTION

methodsPerson-year files were constructed including adults ages 21-64 under 300 percent of the Federal Poverty Level. PRINCIPAL

findingsMedicaid expansions significantly increased health insurance coverage and reduced out-of-pocket spending on mental health services for low-income adults. Effects of expanded Medicaid eligibility on out-of-pocket spending were strongest for adults with psychological distress. Expanding Medicaid eligibility did not significantly increase the use of mental health services.

conclusionsPrevious Medicaid eligibility expansions did not substantially increase mental health service utilization, but they did reduce out-of-pocket mental health care spending.

Indexed as

Insurance, HealthAdultEligibility DeterminationFemaleFinancing, PersonalHealth Services AccessibilityHealth Services ResearchHumansIncomeInsurance CoverageMaleMedicaidMental Health ServicesMiddle AgedPatient Protection and Affordable Care ActSocioeconomic Factorsinstrumental variablesMedicaidMental health servicesout-of-pocket spending

Identifiers

PMID26445915
PMCPMC4693850
OpenAlexW1910652022

What OpenQuestion holds

Textmetadata
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.