Evidence map›Paper›PMID 31035894›Full record

ArticlePsychiatric services (Washington, D.C.)2019

The Affordable Care Act and Opioid Agonist Therapy for Opioid Use Disorder.

Ramin Mojtabai, Christine Mauro, Melanie M Wall, Colleen L Barry, Mark Olfson

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

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  13. Medicaid Expansion and Low-Income Adults with Substance Use Disorders.The journal of behavioral health services & research · 2021
    Article
  14. Article
  15. Changes in Buprenorphine Treatment After Medicaid Expansion.Psychiatric services (Washington, D.C.) · 2021
    Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ramin MojtabaiDepartment of Mental Health (Mojtabai, Barry) and Department of Health Policy and Management (Barry), Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine (Mojtabai), Johns Hopkins University, Baltimore; Mailman School of Public Health (Mauro, Wall Olfson), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Wall, Olfson), Columbia University, New York.
Christine MauroDepartment of Mental Health (Mojtabai, Barry) and Department of Health Policy and Management (Barry), Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine (Mojtabai), Johns Hopkins University, Baltimore; Mailman School of Public Health (Mauro, Wall Olfson), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Wall, Olfson), Columbia University, New York.
Melanie M WallDepartment of Mental Health (Mojtabai, Barry) and Department of Health Policy and Management (Barry), Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine (Mojtabai), Johns Hopkins University, Baltimore; Mailman School of Public Health (Mauro, Wall Olfson), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Wall, Olfson), Columbia University, New York.
Colleen L BarryDepartment of Mental Health (Mojtabai, Barry) and Department of Health Policy and Management (Barry), Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine (Mojtabai), Johns Hopkins University, Baltimore; Mailman School of Public Health (Mauro, Wall Olfson), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Wall, Olfson), Columbia University, New York.
Mark OlfsonDepartment of Mental Health (Mojtabai, Barry) and Department of Health Policy and Management (Barry), Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine (Mojtabai), Johns Hopkins University, Baltimore; Mailman School of Public Health (Mauro, Wall Olfson), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Wall, Olfson), Columbia University, New York.

Funding

Health Care Policy and Substance Abuse Treatment AccessR01DA039137 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOJTABAI, RAMIN, OLFSON, MARK · 2017 to 2022
$1.9M
NIDA NIH HHS R01 DA039137
6 · The paper itself

Abstract

objectiveThe study examined whether the use of opioid agonist therapy (OAT) for treatment of opioid use disorder in specialty substance use treatment settings increased following Medicaid expansion.

methodsAdministrative data on 943,430 admissions from the Treatment Episodes Data Set-Admissions (2010-2016) were used to examine the association between Medicaid expansion and the use of OAT and to assess whether this association was mediated by increased proportion of admissions with Medicaid in expansion states.

resultsFrom 2010-2013 to 2014-2016, OAT use among patients with opioid use disorder increased in both expansion (39.1% and 50.2%, respectively) and nonexpansion (39.9% and 40.5%, respectively) states. The effect of Medicaid expansion on OAT use was mainly mediated through a larger proportion of admissions with Medicaid in expansion states.

conclusionsAs the nation grapples with the opioid epidemic, expanding Medicaid coverage has the potential to promote greater access to evidence-based treatment.

Indexed as

Analgesics, OpioidEvidence-Based MedicineHumansMedicaidOpiate Substitution TreatmentOpioid-Related DisordersPatient Protection and Affordable Care ActUnited StatesAnalgesics, OpioidMedication-assisted treatmentMethadoneOpioid agonist therapyOpioid use disorder in the United States

Identifiers

PMID31035894
PMCPMC6602831

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.