Evidence map›Paper›PMID 33156464›Full record

ArticleThe journal of behavioral health services & research2021

Medicaid Expansion and Low-Income Adults with Substance Use Disorders.

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

Abstract read
In one paragraph

Article in The journal of behavioral health services & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

6 authors.

Mark OlfsonDepartment of Psychiatry, College of Physicians and Surgeon, Columbia University, and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, USA. Mark.Olfson@nyspi.columbia.edu.
Melanie WallDepartment of Psychiatry, College of Physicians and Surgeon, Columbia University, and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, USA.
Colleen L BarryDepartment of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Christine MauroDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Tianshu FengDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Ramin MojtabaiDepartment of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

Funding

Towards a Comprehensive Developmental Model of Substance Use DisordersR01DA019606 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OLFSON, MARK · 2006 to 2016
$2.6M
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 DA019606NIDA NIH HHS R01 DA039137
6 · The paper itself

Abstract

Problems accessing affordable treatment are common among low-income adults with substance use disorders. A difference-in-differences analysis was performed to assess changes in insurance and treatment of low-income adults with common substance use disorders following the 2014 ACA Medicaid expansion, using data from the 2008-2017 National Surveys on Drug Use and Health. Lack of insurance among low-income adults with substance use disorders in expansion states declined from 34.8% (2012-2013) to 20.0% (2014-2015) to 13.5% (2016-2017) while Medicaid coverage increased from 24.8% (2012-2013) to 48.0% (2016-2017). In nonexpansion states, lack of insurance declined from 44.8% (2012-2013) to 34.2% (2016-2017) and Medicaid coverage increased from 14.3% (2012-2013) to 23.4% (2016-2017). Treatment rates remained low and little changed. Medicaid expansion contributed to insurance coverage gains for low-income adults with substance use disorders, although persistent treatment gaps underscore clinical and policy challenges of engaging these newly insured adults in treatment.

Indexed as

MedicaidSubstance-Related DisordersAdultHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthPatient Protection and Affordable Care ActUnited States

Identifiers

PMID33156464
PMCPMC8099922

What OpenQuestion holds

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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.