ArticleMedical care2020
Impact of the Affordable Care Act Medicaid Expansion on Utilization of Mental Health Care.
Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Mental Health Service use and Expenditures among Medicare Beneficiaries with Depression, Diabetes and Heart Disease after Cost-sharing Parity.Journal of general internal medicine · 2026Article
- Racial and Ethnic Disparities in Mental Health Service Utilization During COVID-19.Journal of racial and ethnic health disparities · 2026Article
- Medicaid Expansion and Mortality Among Formerly Incarcerated Individuals.JAMA health forum · 2026Article
- Projected Deficiencies in the Child and Adolescent Psychiatrist Workforce in the USA: A Call to Action.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- Prevalence, adherence, and health care resource utilization in schizophrenia: A national and state-level analysis of US Medicaid Beneficiaries.Journal of managed care & specialty pharmacy · 2026Article
- Insurance-Related Disparities in Mental Health Status and Care Among Low-Income U.S. Adults, 2019-2023.Community mental health journal · 2026Article
- Mental Health Service Disparities in Persistent Poverty Counties versus Non-Persistent Poverty Counties.The journal of behavioral health services & research · 2026Article
- Trends in Adult Outpatient Psychotherapy Use in the United States, 2019-2023.Psychiatric services (Washington, D.C.) · 2026Article
- Medicaid expansion and inpatient hospital charges among women with major depressive disorders.PloS one · 2026Article
- Examining the Impact of ACA Medicaid Expansion on Insurance Coverage, Access to Care and Health of Low-Income Parents.Health services research · 2025Article
- Treatment Approaches and Growth Parameters in Pediatric ADHD: Examining Differences Across Race.Child psychiatry and human development · 2025Article
- When inequity impacts clinical care: an analysis of length of stay and reimbursement rates for medical stabilization for anorexia nervosa based on insurance coverage.Journal of eating disorders · 2025Article
- Impact of insurance type on outpatient mental health treatment of US adults.PLOS mental health · 2025Article
- Barriers to 12-month treatment of common anxiety, mood, and substance use disorders in the World Mental Health (WMH) surveys.International journal of mental health systems · 2025Article
- Mental health care-seeking and barriers: a cross-sectional study of an urban Latinx community.BMC public health · 2024Article
- Medicaid Expansion and Mortality Among Persons Who Were Formerly Incarcerated.JAMA network open · 2024Article
- Prescription Drug Dispensing and Patient Costs After Implementation of a No Behavioral Health Cost-Sharing Law.JAMA health forum · 2024Article
- The impact of the affordable care act on perinatal mood and anxiety disorder diagnosis and treatment rates among Michigan Medicaid enrollees 2012-2018.BMC health services research · 2024Article
- Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010-2017.The journal of behavioral health services & research · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe Affordable Care Act's Medicaid expansions (ME) increased insurance coverage for low-income Americans, among whom unmet need for mental health care is high. Empirical evidence regarding the impact of expanding insurance coverage on use of mental health services among low income and minority populations is lacking.
methodsData on mental health service use collected between 2007 and 2015 by the Medical Expenditures Panel Survey from nationally representative cross-sectional samples of low income (income<138% of the federal poverty line) adults were analyzed. Use trends among people in states that expanded Medicaid (ME states; n=29,827) were compared with concurrent trends among people in states that did not (non-ME states; n=22,873), with statistical adjustment for demographic characteristics and psychological distress.
resultsAnnual outpatient visits for mental health conditions increased by 0.513 (0.053-0.974) visits per person, from a baseline rate in ME states of 0.894 visits per person. However, no significant changes were observed in number of mental health related hospital stays, emergency department visits or prescription fills. The increase outpatient visits was limited to Hispanics and non-Hispanic Whites, with no increase in service use observed among non-Hispanic Blacks. There was no apparent increase in the number of users of outpatient mental health care (AOR=0.992, P=0.942) and a marginally significant (P=0.096) increase of 3.144 visits per user. DISCUSSION: ME had a limited but positive impact on use of mental health services by low income Americans, although it may also have increased racial/ethnic disparities.
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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.