ArticleHealth services research2020
Public insurance expansions and mental health care availability.
Article in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Barriers to outpatient mental health services experienced by adult Medicaid recipients: a scoping review protocol.JBI evidence synthesis · 2026Article
- What Is the Effect of Medicaid Expansions on Preexposure Prophylaxis for HIV Prevention Use among Women?AIDS and behavior · 2025Article
- Medicaid Expansion Boosted Specialty Treatment Episodes For Substance Use Disorder In Expansion States, 2010-22.Health affairs (Project Hope) · 2025Article
- Article
- Inpatient psychiatric bed capacity within CMS-certified U.S hospitals, 2011-2023: A cross-sectional study.PLoS medicine · 2025Article
- "The place it puts us in emotionally and relationally with our child, it's damaging": understanding the real-world psychosocial needs of caregivers of childhood cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
- Article
- Relationship between Perceived Pain Interference and Poor Psychological Wellbeing among United States Adults.Behavioral sciences (Basel, Switzerland) · 2023Article
- Poor mental health days is associated with higher odds of poor oral health outcomes in the BRFSS 2020.BMC oral health · 2022Article
- Addressing the critical need for long-term mental health data during the COVID-19 pandemic: Changes in mental health from April to September 2020.Preventive medicine · 2021Article
- Public insurance expansions and mental health care availability.Health services research · 2020Article
- Effects of the Affordable Care Act Medicaid Expansions on Mental Health During the COVID-19 Pandemic in 2020-2021.Inquiry : a journal of medical care organization, provision and financingArticle
- Characteristics of Mental Health and Substance Use Service Facilities for Older Adults: Findings from U.S. National Surveys.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo provide new evidence on the effects of large-scale public health insurance expansions, associated with the Affordable Care Act (ACA), on the availability of specialty mental health care treatment in the United States. We measure availability with the probability that a provider accepts Medicaid. DATA SOURCE/STUDY
settingThe National Mental Health Services Survey (N-MHSS) 2010-2018. STUDY
designA quasi-experimental differences-in-differences design using observational data. DATA COLLECTION: The N-MHSS provides administrative data on the universe of specialty mental health care providers in the United States. Response rates are above 90 percent in all years. Data cover 85 019 provider/year observations. PRINCIPAL
findingsACA-Medicaid expansion increases the probability that a provider accepts Medicaid by 1.69 percentage points, 95 percent confidence interval: [0.0017,0.0321], which corresponds to an increase from 87.27 percent pre-expansion to 90.27 percent postexpansion in expansion states or a 1.94 percent increase. We observe spillovers to Medicare, although this finding is sensitive to specification.
conclusionsThis study provides evidence on the impact of ACA-Medicaid expansion on accepted forms of payment for specialty mental health care treatment. Findings suggest that expansion increases availability of providers who deliver valuable care for enrollees with severe mental illness. These findings may help policy makers reflecting on the future directions of the US health care delivery system.
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