ArticleHealth affairs (Project Hope)2020
Specialty Substance Use Disorder Treatment Admissions Steadily Increased In The Four Years After Medicaid Expansion.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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.
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.
Who cites it
33 citing papers in PubMed.
- Medicaid Expansion and Mortality Among Formerly Incarcerated Individuals.JAMA health forum · 2026Article
- Article
- Associations between past-year receipt of government assistance, Medicaid, and substance use treatment utilization among adults with substance use disorder in the United States.Addictive behaviors reports · 2025Article
- Medicaid Expansion Boosted Specialty Treatment Episodes For Substance Use Disorder In Expansion States, 2010-22.Health affairs (Project Hope) · 2025Article
- Trends and disparities in alcohol screening and brief counseling following the U.S. Affordable Care Act.Drug and alcohol dependence · 2025Article
- Telehealth Disparities in Outpatient Substance Use Disorder (SUD) Treatment among Medicaid Beneficiaries during COVID-19.Substance use & misuse · 2025Article
- Disparities in Alcohol Treatment Use at the Intersection of Race, Ethnicity, Gender, and Insurance.Substance use & addiction journal · 2025Article
- Medicaid expansion and medications to treat opioid use disorder in outpatient specialty care from 2010 to 2020.Journal of substance use and addiction treatment · 2025Article
- Changes in legal referrals to specialty substance use disorder treatment from 2015-2019.Health & justice · 2024Article
- The Impact of Medicaid Institutions for Mental Disease Exclusion Waivers on the Availability of Substance Abuse Treatment Services and the Varying Effect by Ownership Type.The Milbank quarterly · 2024Article
- Availability of Medications for Opioid Use Disorder in Community Mental Health Facilities.JAMA network open · 2024Article
- Association of Medicaid expansion with health insurance, unmet need for medical care and substance use disorder treatment among people who inject drugs in 13 US states.Addiction (Abingdon, England) · 2024Article
- The effect of cigarette and e-cigarette taxes on prescriptions for smoking cessation medications.Health services research · 2023Article
- Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion.Psychiatric services (Washington, D.C.) · 2023Article
- Residence in a Medicaid-expansion state and receipt of alcohol screening and brief counseling by adults with lower incomes: Is increased access to primary care enough?Alcohol, clinical & experimental research · 2023Article
- Assessing Sustainability of State-Led Action Plans for the Opioid Use Disorder, Maternal Outcomes, and Neonatal Abstinence Syndrome Initiative Learning Community, 2018-2021.Journal of women's health (2002) · 2023Article
- A Widening Divide: Cigarette Smoking Trends Among People With Substance Use Disorder And Criminal Legal Involvement.Health affairs (Project Hope) · 2023Article
- Gaps and barriers in drug and alcohol treatment following implementation of the affordable care act.Drug and alcohol dependence reports · 2022Article
- Patterns in Geographic Distribution of Substance Use Disorder Treatment Facilities in the US and Accepted Forms of Payment From 2010 to 2021.JAMA network open · 2022Article
- Consumer Knowledge of Insurance Coverage of Alcohol Treatment Services in the United States: Changes Since 2015.Journal of studies on alcohol and drugs · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The Affordable Care Act's Medicaid expansion provided insurance coverage to many low-income adults with substance use disorders, but it is unclear whether this led to more people receiving treatment. We used the Treatment Episode Data Set and a difference-in-differences approach to compare annual rates of specialty treatment admissions in expansion versus nonexpansion states in the period 2010-17. We found that admissions to treatment steadily increased in the four years after Medicaid expansion, with 36 percent more people entering treatment by the fourth expansion year in expansion states compared to nonexpansion states. Changes were largest for people entering intensive outpatient programs and those seeking medication treatment for opioid use disorder. The share of admissions paid for by Medicaid increased 23 percentage points in expansion states compared to nonexpansion states, largely displacing treatment paid for by state and local governments. The gradual increase in specialty substance use disorder treatment admissions after Medicaid expansion may reflect improving capacity and access to care.
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Registered trials
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.