Psychiatr Serv 2021 May 7:appips202000377. Epub 2021 May 7.
Vagelos College of Physicians and Surgeon, Columbia University, New York (Olfson, Wall); New York State Psychiatric Institute, New York (Olfson, Wall, Mauro, Choi); Departments of Mental Health (Mojtabai and Barry) and Health Policy and Management (Barry), Johns Hopkins Bloomberg School of Public Health, and Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore (Mojtabai).
Objective: The authors assessed changes in health care coverage in nationally representative samples of low- and middle-income adults with and without substance use disorders following the 2014 Affordable Care Act marketplace launch and Medicaid expansion.
Methods: Data from the 2012-2018 (N=407,985) National Survey on Drug Use and Health identified low- and middle-income nonelderly adults with alcohol, marijuana, cocaine, or heroin use disorders. A sociodemographically adjusted difference-in-differences analysis assessed the trends in Medicaid and individually purchased private insurance between adults with and without substance use disorders. Read More