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Published Online: 2 January 2015

National Estimates of Behavioral Health Conditions and Their Treatment Among Adults Newly Insured Under the ACA

Tami L. Mark, Ph.D., Lauren M. Wier, M.P.H., Kevin Malone, Michael Penne, M.P.H., and Alexander J. Cowell, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 66, Number 4
https://doi.org/10.1176/appi.ps.201400078
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Abstract

Objective:

Approximately 25 million individuals are projected to gain insurance as a result of the Affordable Care Act (ACA). This study estimated the prevalence of behavioral health conditions and their treatment among individuals likely to gain coverage.

Methods:

Pooled 2008–2011 National Survey on Drug Use and Health data for adults (ages 18–64) were used. Estimates were created for all adults, current Medicaid beneficiaries, and uninsured adults with incomes that might make them eligible for the Medicaid expansion or tax credits for use in the health insurance marketplace.

Results:

Individuals who may gain insurance under the ACA had lower rates of serious mental illnesses (5.4%, Medicaid expansion; 4.7%, marketplace) compared with current Medicaid beneficiaries (9.6%). They had higher rates of substance use disorders (13.6%, Medicaid expansion; 14.3%, marketplace) compared with Medicaid recipients (11.9%).

Conclusions:

There is significant need for behavioral health treatment among individuals who may gain insurance under the ACA.

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Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: Breakfast in the Garden, by Frederick Carl Frieseke, circa 1911. Oil on canvas, 26 x 325/16 inches. Daniel J. Terra Collection, 1987.21. Terra Foundation for American Art, Chicago/Art Resource, New York City.

Psychiatric Services
Volume 66 • Number 4 • April 01, 2015
Pages: 426 - 429
PubMed: 25555031

History

Received: 25 February 2014
Revision received: 12 August 2014
Accepted: 26 September 2014
Published online: 2 January 2015
Published in print: April 01, 2015

Authors

Details

Tami L. Mark, Ph.D.
Dr. Mark and Ms. Wier are with Truven Health Analytics in Bethesda, Maryland, and Providence, Rhode Island, respectively. Mr. Malone is with the Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, Baltimore. At the time this work was done, he was with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Mr. Penne and Dr. Cowell are with Health, Social, and Economics Research, RTI International, Research Triangle Park, North Carolina. Send correspondence to Ms. Wier (e-mail: [email protected]).
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Lauren M. Wier, M.P.H.
Dr. Mark and Ms. Wier are with Truven Health Analytics in Bethesda, Maryland, and Providence, Rhode Island, respectively. Mr. Malone is with the Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, Baltimore. At the time this work was done, he was with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Mr. Penne and Dr. Cowell are with Health, Social, and Economics Research, RTI International, Research Triangle Park, North Carolina. Send correspondence to Ms. Wier (e-mail: [email protected]).
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Kevin Malone
Dr. Mark and Ms. Wier are with Truven Health Analytics in Bethesda, Maryland, and Providence, Rhode Island, respectively. Mr. Malone is with the Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, Baltimore. At the time this work was done, he was with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Mr. Penne and Dr. Cowell are with Health, Social, and Economics Research, RTI International, Research Triangle Park, North Carolina. Send correspondence to Ms. Wier (e-mail: [email protected]).
View all articles by this author
Michael Penne, M.P.H.
Dr. Mark and Ms. Wier are with Truven Health Analytics in Bethesda, Maryland, and Providence, Rhode Island, respectively. Mr. Malone is with the Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, Baltimore. At the time this work was done, he was with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Mr. Penne and Dr. Cowell are with Health, Social, and Economics Research, RTI International, Research Triangle Park, North Carolina. Send correspondence to Ms. Wier (e-mail: [email protected]).
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Alexander J. Cowell, Ph.D.
Dr. Mark and Ms. Wier are with Truven Health Analytics in Bethesda, Maryland, and Providence, Rhode Island, respectively. Mr. Malone is with the Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, Baltimore. At the time this work was done, he was with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Mr. Penne and Dr. Cowell are with Health, Social, and Economics Research, RTI International, Research Triangle Park, North Carolina. Send correspondence to Ms. Wier (e-mail: [email protected]).
View all articles by this author

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Substance Abuse and Mental Health Services Administration10.13039/100000058
This study was funded through a contract from SAMHSA. The opinions expressed do not necessarily reflect those of SAMHSA or the U.S. Department of Health and Human Services.

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