Evidence map›Paper›PMID 32323396›Full record

ArticleHealth economics2020

Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes.

Chandler McClellan, Johanna Catherine Maclean, Brendan Saloner, Emma E McGinty, Michael F Pesko

Abstract read
In one paragraph

Article in Health economics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Medicaid health home design and buprenorphine receipt, 2009-2020.Journal of substance use and addiction treatment · 2025
    Article
  4. Balancing Privacy, Trust, and Equity: Patient Perspectives on Substance Use Disorder Data Sharing.International journal of environmental research and public health · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. 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

5 authors.

Chandler McClellanAgency for Healthcare Research and Quality, Center for Financing, Access, and Trends, Rockville, Maryland, USA.ORCID 0000-0002-9439-9002
Johanna Catherine MacleanDepartment of Economics, Temple University, Research Associate, National Bureau of Economic Research, Research Affiliate, Institute of Labor Economics, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-8581-0672
Brendan SalonerDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Emma E McGintyDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Michael F PeskoDepartment of Economics, Andrew Young School of Policy Studies, Georgia State University, Atlanta, Georgia, USA.ORCID 0000-0002-9247-9703

Funding

Improving Access and Quality of care for Medicaid-Eligible Adults with Opioid Use DisorderK01DA042139 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SALONER, BRENDAN K · 2017 to 2021
$917k
Improving Evidence-based Behavioral, Somatic and Social Service Delivery for SMIK01MH106631 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCGINTY, EMMA ELIZABETH · 2015 to 2018
$711k
NIDA NIH HHS K01 DA042139NIMH NIH HHS K01 MH106631
6 · The paper itself

Abstract

Integration of behavioral and general medical care can improve outcomes for individuals with behavioral health conditions-serious mental illness (SMI) and substance use disorder (SUD). However, behavioral health care has historically been segregated from general medical care in many countries. We provide the first population-level evidence on the effects of Medicaid health homes (HH) on behavioral health care service use. Medicaid, a public insurance program in the United States, HHs were created under the 2010 Affordable Care Act to coordinate behavioral and general medical care for enrollees with behavioral health conditions. As of 2016, 16 states had adopted an HH for enrollees with SMI and/or SUD. We use data from the National Survey on Drug Use and Health over the period 2010 to 2016 coupled with a two-way fixed-effects model to estimate HH effects on behavioral health care utilization. We find that HH adoption increases service use among enrollees, although mental health care treatment findings are sensitive to specification. Further, enrollee self-reported health improves post-HH.

Indexed as

Delivery of Health Care, IntegratedSubstance-Related DisordersHumansMedicaidPatient Acceptance of Health CarePatient Protection and Affordable Care ActUnited Statesintegrated careMedicaidserious mental illnesssubstance use disorder

Identifiers

PMID32323396
PMCPMC7863583

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Registered trials

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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.