| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w23342 |
| 来源ID | Working Paper 23342 |
| The Effect of Public Insurance Expansions on Substance Use Disorder Treatment: Evidence from the Affordable Care Act | |
| Johanna Catherine Maclean; Brendan Saloner | |
| 发表日期 | 2017-04-24 |
| 出版年 | 2017 |
| 语种 | 英语 |
| 摘要 | We examine Medicaid expansion under the Affordable Care Act (ACA) on substance use disorder (SUD) treatment utilization and financing. We couple administrative data on admissions to specialty SUD treatment and prescriptions for medications used to treat SUDs with a differences-in-differences design, comparing expanding and non-expanding states. Post-expansion, admissions did not significantly change in expanding states relative to non-expanding states. We find that in expanding states Medicaid insurance and use of Medicaid to pay for treatment increased by 13.9 percentage points (71%) and 12.9 percentage points (75%) following the expansion. Post expansion, Medicaid-reimbursed prescriptions for medications used to treat SUDs in outpatient settings increased by 43% in expanding states relative to non-expanding states. We find no statistically significant evidence that Medicaid expansions affected fatal alcohol poisonings or drug-related overdoses. Overall, our findings imply that ACA Medicaid expansion had a large impact on the financing of SUD treatment and medication receipt. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w23342 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/581016 |
| 推荐引用方式 GB/T 7714 | Johanna Catherine Maclean,Brendan Saloner. The Effect of Public Insurance Expansions on Substance Use Disorder Treatment: Evidence from the Affordable Care Act. 2017. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w23342.pdf（617KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
