Evidence map›Paper›PMID 30080460›Full record

ArticleHealth affairs (Project Hope)2018

Medicaid Benefits For Addiction Treatment Expanded After Implementation Of The Affordable Care Act.

Christina M Andrews, Colleen M Grogan, Bikki Tran Smith, Amanda J Abraham, Harold A Pollack, Keith Humphreys, Melissa A Westlake, Peter D Friedmann

Open access · bronzeAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.6field-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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  15. Developmental Considerations for the Use of Naltrexone in Children and Adolescents.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
  16. Assessing public behavioral health services data: a mixed method analysis.Substance abuse treatment, prevention, and policy · 2020
    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

8 authors at 8 institutions in 4 countries.

Christina M AndrewsChristina M. Andrews ( candrews@mailbox.sc.edu ) is an assistant professor in the College of Social Work, University of South Carolina, in Columbia.
Colleen M GroganColleen M. Grogan is a professor in the School of Social Service Administration, University of Chicago, in Illinois.
Bikki Tran SmithBikki Tran Smith is a PhD student in the School of Social Service Administration, University of Chicago.
Amanda J AbrahamAmanda J. Abraham is an assistant professor in the School of Public and International Affairs, University of Georgia, in Athens.
Harold A PollackHarold A. Pollack is the Helen Ross Professor in the School of Social Service Administration, University of Chicago.
Keith HumphreysKeith Humphreys is a professor of psychiatry and behavioral sciences in the Department of Psychiatry, Stanford School of Medicine, and a senior research career scientist at the Veterans Affairs Palo Alto Health Care System, both in California.
Melissa A WestlakeMelissa A. Westlake is a PhD student in College of Social Work, University of South Carolina.
Peter D FriedmannPeter D. Friedmann is chief research officer for academic affairs at Baystate Health, in Springfield, Massachusetts.
Baystate Health · USDepartment of Administration · GUInstitute of Social Work · TZRoss School · USSmith Institute · GBUniversity of Georgia · USUniversity of South Carolina · USVA Palo Alto Health Care System · US

Funding

The University of Chicago and Northwestern University Predoctoral Health Services Research Program-RenewalT32HS000084 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA, MELTZER, DAVID O · 1998 to 2024
$7.6M
Impact of health reform on outpatient substance abuse treatment programsR01DA034634 · NIDA · RHODE ISLAND HOSPITAL · PI FRIEDMANN, PETER D · 2013 to 2017
$4.0M
AHRQ HHS T32 HS000084NIDA NIH HHS R01 DA034634
6 · The paper itself

Abstract

The Affordable Care Act (ACA) established a minimum standard of insurance benefits for addiction treatment and expanded federal parity regulations to selected Medicaid benefit plans, which required state Medicaid programs to make changes to their addiction treatment benefits. We surveyed Medicaid programs in all fifty states and the District of Columbia regarding their addiction treatment benefits and utilization controls in standard and alternative benefit plans in 2014 and 2017, when plans were subject to ACA parity requirements. The number of state plans that provided benefits for residential treatment and opioid use disorder medications increased substantially. States imposing annual service limits on outpatient addiction treatment decreased by over 50 percent. Fewer states required preauthorization for services, with the largest reductions for medications treating opioid use disorder. The ACA may have prompted state Medicaid programs to expand addiction treatment benefits and reduce utilization controls in alternative benefit plans. This trend was also observed among standard Medicaid plans not subject to ACA parity laws, which suggests a potential spillover effect.

Indexed as

Insurance CoverageMedicaidPatient Protection and Affordable Care ActSubstance-Related DisordersUnited StatesHealth ReformMedicaidMental Health/Substance Abuse

Identifiers

PMID30080460
PMCPMC6501794
OpenAlexW2887386573

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.