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Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (4)
- (-) Behavioral Health (8)
- Disparities (3)
- Healthcare Costs (1)
- Healthcare Utilization (1)
- Health Insurance (4)
- Health Services Research (HSR) (1)
- Medicaid (2)
- Medical Expenditure Panel Survey (MEPS) (3)
- (-) Policy (8)
- Racial and Ethnic Minorities (1)
- Substance Abuse (3)
- Uninsured (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedGonzales G, Golberstein E, Hill SC
AHRQ Author: Hill, SC; Zuvekas, SH
Psychological distress and enrollment in Medicaid.
Adults with poor mental health may want and need insurance to obtain care, but symptoms may impede enrollment into public health insurance. The enrollment response to Medicaid expansions prior to the Affordable Care Act was stronger for adults symptomatic of psychological distress compared with adults without distress and compared to adults with chronic physical health problems.
AHRQ-authored.
Citation: Gonzales G, Golberstein E, Hill SC .
Psychological distress and enrollment in Medicaid.
J Behav Health Serv Res 2017 Oct;44(4):523-35. doi: 10.1007/s11414-016-9532-9.
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Keywords: Access to Care, Policy, Medicaid, Medical Expenditure Panel Survey (MEPS), Behavioral Health
Friedman S, Xu H, Harwood JM
The Mental Health Parity and Addiction Equity Act evaluation study: impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders.
The purpose of this study was to determine whether Mental Health Parity and Addiction Equity Act (MHPAEA) was associated with increased behavioral health expenditures and utilization among a population with substance use disorder (SUD) diagnoses. The investigators found that MHPAEA was associated with modest increases in total, plan, and patient out-of-pocket spending and outpatient and inpatient utilization.
AHRQ-funded; HS024866.
Citation: Friedman S, Xu H, Harwood JM .
The Mental Health Parity and Addiction Equity Act evaluation study: impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders.
J Subst Abuse Treat 2017 Sep;80:67-78. doi: 10.1016/j.jsat.2017.06.006..
Keywords: Behavioral Health, Healthcare Costs, Healthcare Utilization, Health Insurance, Policy, Health Services Research (HSR), Substance Abuse
Cook BL, Zuvekas SH, Chen J
AHRQ Author: Zuvekas SH
Assessing the individual, neighborhood, and policy predictors of disparities in mental health care.
This study assessed individual- and area-level predictors of racial/ethnic disparities in mental health care episodes for adults with psychiatric illness. It found that racial/ethnic disparities arise because minorities are more likely to live in neighborhoods where treatment initiation is low, rather than because of a differential influence of neighborhood disadvantage on treatment initiation for minorities compared with whites.
AHRQ-authored; AHRQ-funded; HS021486.
Citation: Cook BL, Zuvekas SH, Chen J .
Assessing the individual, neighborhood, and policy predictors of disparities in mental health care.
Med Care Res Rev 2017 Aug;74(4):404-30. doi: 10.1177/1077558716646898.
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Keywords: Disparities, Medical Expenditure Panel Survey (MEPS), Behavioral Health, Policy, Racial and Ethnic Minorities
Novak P, Williams-Parry KF, Chen J
AHRQ Author: Novak P
Racial and ethnic disparities among the remaining uninsured young adults with behavioral health disorders after the ACA expansion of dependent coverage.
The objective of this study is to explore the population characteristics of the remaining uninsured individuals with and without behavioral health disorders (BHDs) and to examine whether the factors that contribute to racial and ethnic disparities in the likelihood of being uninsured were different after ACA. The major factor associated with the ethnic disparity among those with BHDs was the immigrant status of Latinos, and the major factor associated with racial disparity was geographic location.
AHRQ-authored; AHRQ-funded; HS022135.
Citation: Novak P, Williams-Parry KF, Chen J .
Racial and ethnic disparities among the remaining uninsured young adults with behavioral health disorders after the ACA expansion of dependent coverage.
J Racial Ethn Health Disparities 2017 Aug;4(4):607-14. doi: 10.1007/s40615-016-0264-6.
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Keywords: Behavioral Health, Disparities, Policy, Medical Expenditure Panel Survey (MEPS), Uninsured
Thalmayer AG, Friedman SA, Azocar F
The Mental Health Parity and Addiction Equity Act (MHPAEA) evaluation study: impact on quantitative treatment limits.
This study assessed Mental Health Parity and Addiction Equity Act’s (MHPAEA) effect on the prevalence of behavioral health quantitative treatment limits (QTLs). It concluded that, before MHPAEA, QTLs were common. Postimplementation, virtually all plans dropped such limits, suggesting that MHPAEA was effective at eliminating QTLs.
AHRQ-funded; HS024866.
Citation: Thalmayer AG, Friedman SA, Azocar F .
The Mental Health Parity and Addiction Equity Act (MHPAEA) evaluation study: impact on quantitative treatment limits.
Psychiatr Serv 2017 May;68(5):435-42. doi: 10.1176/appi.ps.201600110.
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Keywords: Access to Care, Health Insurance, Policy, Behavioral Health
Creedon TB, Cook BL
Access to mental health care increased but not for substance use, while disparities remain.
The researchers assessed whether early implementation of Affordable Care Act (ACA) Medicaid expansion and state health insurance exchanges increased access to mental health and substance use treatment among those in need and whether these changes differed by racial/ethnic group. They found that mental health treatment rates increased significantly but found no evidence of a reduction in the wide racial/ethnic disparities in mental health treatment that preceded ACA expansion from 2005 to 2013.
AHRQ-funded; HS021486.
Citation: Creedon TB, Cook BL .
Access to mental health care increased but not for substance use, while disparities remain.
Health Aff 2016 Jun;35(6):1017-21. doi: 10.1377/hlthaff.2016.0098.
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Keywords: Access to Care, Disparities, Health Insurance, Policy, Medicaid, Behavioral Health, Substance Abuse
Kennedy-Hendricks A, Huskamp HA, Rutkow L
Improving access to care and reducing involvement in the criminal justice system for people with mental illness.
The authors summarized current knowledge about the involvement of people with mental illness in the criminal justice system and considered the recent opportunities presented by national and local policies that aim to lower the proportion of such people who are incarcerated.
AHRQ-funded; HS000029.
Citation: Kennedy-Hendricks A, Huskamp HA, Rutkow L .
Improving access to care and reducing involvement in the criminal justice system for people with mental illness.
Health Aff 2016 Jun;35(6):1076-83. doi: 10.1377/hlthaff.2016.0006.
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Keywords: Access to Care, Policy, Behavioral Health
Montz E, Layton T, Busch AB
Risk-adjustment simulation: plans may have incentives to distort mental health and substance use coverage.
The authors examined health plan incentives to limit covered services for mental health and substance use disorders under the risk-adjustment system used in the health insurance Marketplaces. They documented how Marketplace risk adjustment does not remove incentives for plans to limit coverage for services associated with mental health and substance use disorders.
AHRQ-funded; HS000055.
Citation: Montz E, Layton T, Busch AB .
Risk-adjustment simulation: plans may have incentives to distort mental health and substance use coverage.
Health Aff 2016 Jun;35(6):1022-8. doi: 10.1377/hlthaff.2015.1668.
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Keywords: Health Insurance, Policy, Behavioral Health, Substance Abuse