Evidence map›Paper›PMID 26551430›Full record

ArticleHealth services research2015

Effect of Medicaid Expansions on Health Insurance Coverage and Access to Care among Low-Income Adults with Behavioral Health Conditions.

Hefei Wen, Benjamin G Druss, Janet R Cummings

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 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
33.5field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 71 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Medicaid Expansion and Veterans' Reliance on the VA for Depression Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  12. Article
  13. Health insurance coverage and access to care in China.BMC health services research · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. 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
    Article
  20. Article
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

3 authors at 2 institutions in 1 country.

Hefei WenDepartment of Health Management & Policy, University of Kentucky College of Public Health, Lexington, KY.
Benjamin G DrussDepartment of Health Policy & Management, Emory University Rollins School of Public Health, Atlanta, GA.
Janet R CummingsDepartment of Health Policy & Management, Emory University Rollins School of Public Health, Atlanta, GA.
Emory University · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effect of Medicaid expansions on health insurance coverage and access to care among low-income adults with behavioral health conditions. DATA SOURCES/STUDY

settingNine years (2004-2012) of individual-level cross-sectional data from a restricted-access version of National Survey on Drug Use and Health. STUDY

designA quasi-experimental difference-in-differences design comparing outcomes among residents in 14 states that implemented Medicaid expansions for low-income adults under the Section §1115 waiver with those residing in the rest of the country. DATA COLLECTION/EXTRACTION

methodsThe analytic sample includes low-income adult respondents with household incomes below 200 percent of the federal poverty level who have a behavioral health condition: approximately 28,400 low-income adults have past-year serious psychological distress and 24,900 low-income adults have a past-year substance use disorder (SUD). PRINCIPAL

findingsAmong low-income adults with behavioral health conditions, Medicaid expansions were associated with a reduction in the rate of uninsurance (p < .05), a reduction in the probability of perceiving an unmet need for mental health (MH) treatment (p < .05) and for SUD treatment (p < .05), as well as an increase in the probability of receiving MH treatment (p < .01).

conclusionsThe ongoing implementation of Medicaid expansions has the potential to improve health insurance coverage and access to care for low-income adults with behavioral health conditions.

Indexed as

Insurance, HealthAdultAge FactorsCross-Sectional StudiesEligibility DeterminationFemaleHealth Services AccessibilityHealth Services ResearchHumansInsurance CoverageMaleMedicaidMedically UninsuredMental DisordersMiddle AgedPatient Protection and Affordable Care Actaccess/demand/utilization of servicesMedicaidmental healthsubstance abuse

Identifiers

PMID26551430
PMCPMC4693853
OpenAlexW2127973382

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.