ArticleHealth affairs (Project Hope)2023
Geographical Variations In Emergency Department Visits For Mental Health Conditions For Medicaid Beneficiaries.
Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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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Who cites it
8 citing papers in PubMed.
- Primary Care Follow-Up After Mental Health and Substance Use Emergency Department Visits in Medicaid.JAMA network open · 2026Article
- Medicare appointment availability and wait times vary considerably across four large US urban markets.Health affairs scholar · 2026Article
- Effects of Psychiatric Inpatient or Residential Care on Service Use After Psychiatric Emergency Department Boarding.Psychiatric services (Washington, D.C.) · 2026Article
- Mental health care utilization among middle-aged and older U.S. adults: Findings from the National Health Interview Survey.PLOS mental health · 2026Article
- Prevalence of diagnosed mental health conditions among US children with public and commercial insurance.BMC public health · 2025Article
- Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services.The Milbank quarterly · 2025Article
- Trends and Predictors of Antihypertensive Medication Adherence in Commercially Insured Adults under 65 (2018-2023).Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Depressive Symptoms in Adolescence and Young Adulthood.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Despite Medicaid's importance as a payer and source of coverage for mental health care, relatively little is known about how prevalence, access, and quality might vary among Medicaid beneficiaries. This study used national Medicaid data from 2018 to assess regional variations in emergency department (ED) visits for mental health conditions, a measure that may reflect unmet needs for behavioral health care. We found substantial variations, with rates in the region with the highest visit rates eight times higher than those in the region with the lowest rates. Many regions with high rates of ED visits for mental health conditions also had high rates of outpatient mental health use. Regional patterns differed substantially, with some regions exhibiting high rates of ED visits related to anxiety but low rates for schizophrenia and vice versa. The presence of large variations in ED visits for mental health conditions, with substantial differences in the composition across regions, suggests a need for context-specific solutions, including assessments of the ways in which mental health benefits are structured at the state Medicaid agency level and of differences in provider accessibility and an understanding of the types of mental illness underlying high rates of use.
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