Evidence map›Paper›PMID 34448985›Full record

ArticleCommunity mental health journal2022

Patterns in Medicaid Coverage and Service Utilization Among People with Serious Mental Illnesses.

Amy Blank Wilson, Jonathan Phillips, Anna Parisi, Karen J Ishler, Melissa Villodas, Annie Francis

Abstract read
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In one paragraph

Article in Community mental health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Amy Blank WilsonSchool of Social Work, University of North Carolina At Chapel Hill, 325 Pittsboro St., Campus Box 3550, Chapel Hill, NC, 27599-3550, USA. Amyblank@email.unc.edu.ORCID 0000-0002-5030-3451
Jonathan PhillipsSchool of Social Work, University of North Carolina At Chapel Hill, 325 Pittsboro St., Campus Box 3550, Chapel Hill, NC, 27599-3550, USA.
Anna ParisiSchool of Social Work, University of North Carolina At Chapel Hill, 325 Pittsboro St., Campus Box 3550, Chapel Hill, NC, 27599-3550, USA.
Karen J IshlerJack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH, 44106, USA.
Melissa VillodasSchool of Social Work, University of North Carolina At Chapel Hill, 325 Pittsboro St., Campus Box 3550, Chapel Hill, NC, 27599-3550, USA.
Annie FrancisSchool of Social Work, University of North Carolina At Chapel Hill, 325 Pittsboro St., Campus Box 3550, Chapel Hill, NC, 27599-3550, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disruptions in Medicaid adversely affect service use and outcomes among individuals with serious mental illnesses (SMI). A retrospective longitudinal study examined Medicaid coverage and service utilization patterns among individuals with SMI (N = 8358) from 2007 to 2010. Only 36% of participants were continuously enrolled in Medicaid and 20% experienced multiple enrollment disruptions. Mental health diagnosis did not predict continuous coverage; however, individuals with schizophrenia were 19% more likely to have multiple coverage disruptions than those with depression (b = - 0.21; p < 0.01). Single and multiple coverage disruptions were associated with decreased rates of outpatient service days utilized (IRR = 0.77 and 0.65, respectively, p < 0.001) and decreased odds of not using acute care services (OR  0.26 and 0.19, respectively, p < 0.001). Future research should explore mechanisms underlying Medicaid stability and develop interventions that facilitate insurance stability and service utilization.

Indexed as

MedicaidSchizophreniaAmbulatory CareHumansInsurance CoverageLongitudinal StudiesRetrospective StudiesUnited StatesCommunity Mental Health ServicesMedicaidMental disorders

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.