2022
What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?
NEWTON H, HUMENSKY J, GOLDMAN H, BUSCH S. What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings? Milbank Quarterly 2022, 100: 1166-1191. PMID: 36575952, PMCID: PMC9836237, DOI: 10.1111/1468-0009.12592.Peer-Reviewed Original ResearchConceptsSerious mental illnessCommunity mental health facilitiesMental health servicesMental health facilitiesMedicaid expansionEmergency walkPsychotropic medicationsHealth facilitiesNational Mental Health Services SurveyHealth servicesMental illnessSpecialty mental health organizationsSpecialty mental health servicesMental health service availabilityExpansion statesNon-Medicaid expansion statesAssertive community treatmentHealth service availabilityMedicaid expansion statesNew payment modelsCommunity outpatient settingsHealth Services SurveyFacility ownership typeFacility ownershipSupport services
2021
Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance
Busch SH, Kyanko K. Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance. JAMA Network Open 2021, 4: e2130770. PMID: 34677592, PMCID: PMC8536951, DOI: 10.1001/jamanetworkopen.2021.30770.Peer-Reviewed Original ResearchConceptsMental health treatmentPrimary care practitionersMental health careHealth treatmentMental healthMental health practitionersUS adultsCare practitionersHealth provider networksPrivate insuranceHealth practitionersSpecialty mental healthNon-Hispanic white individualsHealth carePrimary care practicesAddiction Equity ActInsurance-related barriersMental Health ParitySerious psychological distressMental health networkHealth plan's networkOnline research panelStudy criteriaPatients' perceptionsHealth ParityUS Smoking Trends Among Young Adults with Serious Psychological Distress: 1997–2018
Friedman AS, Tam J, Busch SH. US Smoking Trends Among Young Adults with Serious Psychological Distress: 1997–2018. Journal Of General Internal Medicine 2021, 37: 2110-2112. PMID: 34378116, PMCID: PMC9198120, DOI: 10.1007/s11606-021-07013-y.Peer-Reviewed Original Research
2020
National Trends in Outpatient Mental Health Service Use Among Adults Between 2008 and 2015
Germack HD, Drake C, Donohue JM, Golberstein E, Busch SH. National Trends in Outpatient Mental Health Service Use Among Adults Between 2008 and 2015. Psychiatric Services 2020, 71: 1127-1135. PMID: 32907475, PMCID: PMC7877566, DOI: 10.1176/appi.ps.201900576.Peer-Reviewed Original ResearchConceptsMental health outpatient visitsSpecialty mental health providersPrimary care physiciansMental health visitsOutpatient visitsPsychological distressHealth visitsOutpatient mental health service useOutpatient mental health visitsMental health service useOutpatient mental health servicesRepresentative Medical Expenditure Panel SurveyPatients' psychological distressHealth service useMedical Expenditure Panel SurveyMental health servicesBivariate logistic regressionType of treatmentHealth Workforce StudiesMental health providersHigh psychological distressPercentage of adultsProportion of respondentsCare physiciansPsychotropic medicationsSurprise Bills from Outpatient Providers: a National Survey
Kyanko KA, Busch SH. Surprise Bills from Outpatient Providers: a National Survey. Journal Of General Internal Medicine 2020, 36: 846-848. PMID: 32671720, PMCID: PMC7947118, DOI: 10.1007/s11606-020-06024-5.Peer-Reviewed Original Research
2019
Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis
Busch SH, Golberstein E, Goldman HH, Loveridge C, Drake RE, Meara E. Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis. Psychiatric Services 2019, 70: 1027-1033. PMID: 31480928, PMCID: PMC7605277, DOI: 10.1176/appi.ps.201800492.Peer-Reviewed Original ResearchConceptsDependent coverage expansionYoung adultsPrivate insuranceInsurance coverageACA dependent coverage expansionAge groupsCoverage expansionEarly psychosis treatmentEmergency department visitsHospital-based treatmentCapita admissionsHospital-based service useTargeted age groupOlder age groupsDependent coveragePrivate insurance benefitsDifferences study designDepartment visitsPsychosis treatmentAffordable Care ActPrivate health plansEarly psychosisService useOverall insurance coverageRehabilitation servicesThe Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Drake C, Busch SH, Golberstein E. The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey. Psychiatric Services 2019, 70: 287-293. PMID: 30691381, DOI: 10.1176/appi.ps.201800313.Peer-Reviewed Original ResearchConceptsMental health servicesMental health service useHealth service useMedical Expenditure Panel SurveyHealth servicesService useMental health specialty servicesAmbulatory mental health careStudy designAdults ages 26Use of outpatientFederal Mental Health ParityPrimary care servicesAddiction Equity ActFederal parity lawMental Health ParityMental health careMental health policyDifferences study designDifferent study designsFederal parityHealth ParitySpecialty servicesCare servicesAge 26
2018
Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research
Peterson E, Busch S. Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research. Annual Review Of Public Health 2018, 39: 1-15. PMID: 29328871, DOI: 10.1146/annurev-publhealth-040617-013603.Peer-Reviewed Original ResearchConceptsMental health care useMental healthMental health care coverageHealth care useAddiction Equity ActSevere mental illnessMental Health ParityHealth care coverageCare useHealth ParityParity lawsEffect of parityTreatment limitationsMental illnessCare coverageSignificant improvementCompliance issuesHealthParityIllness
2016
Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment
Cook BL, Carson NJ, Kafali EN, Valentine A, Rueda JD, Coe-Odess S, Busch S. Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment. General Hospital Psychiatry 2016, 45: 32-39. PMID: 28274336, PMCID: PMC7598773, DOI: 10.1016/j.genhosppsych.2016.12.004.Peer-Reviewed Original ResearchConceptsPsychotropic medication useMedication usePsychotropic medicationsPsychological impairmentClinical practice guidelinesHealth status characteristicsRisk-benefit ratioMedical Expenditure Panel SurveyMental health disordersLogistic regression modelsRace/ethnicityMedication prescriptionsPoor medicationPractice guidelinesMedicationsHealth disordersEthnic groupsEthnic disparitiesWhite youthImpairmentStatistical differenceCareful evaluationEthnic differencesAccurate targetingRegression modelsPatients' success in negotiating out-of-network bills.
Kyanko KA, Busch SH. Patients' success in negotiating out-of-network bills. The American Journal Of Managed Care 2016, 22: 647-652. PMID: 28557516.Peer-Reviewed Original ResearchEvidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation
Friedman AS, Schpero WL, Busch SH. Evidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation. Health Affairs 2016, 35: 1176-1183. PMID: 27385231, PMCID: PMC5589079, DOI: 10.1377/hlthaff.2015.1540.Peer-Reviewed Original ResearchConceptsExcess health care costsSmoking cessationAffordable Care ActBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemTobacco surchargesNon-tobacco usersHealth care costsInsurance statusTobacco usersCare costsMarketplace coverageCessationCare ActSmokersSignificant differencesFirst yearPocket premiumsSurveillance systemFinancial protectionHealth insurance exchangesPotential effectsInsurance exchangesEstimating demand for primary care‐based treatment for substance and alcohol use disorders
Barry CL, Epstein AJ, Fiellin DA, Fraenkel L, Busch SH. Estimating demand for primary care‐based treatment for substance and alcohol use disorders. Addiction 2016, 111: 1376-1384. PMID: 26899802, PMCID: PMC4940268, DOI: 10.1111/add.13364.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSubstance use disordersPrimary care settingPrimary careUsual careUse disordersCollaborative careCare settingsAlcohol treatmentPrimary care-based treatmentTreatment ratesSpecialty care settingsPrior treatment historyDrug treatment centersHigh societal costsDrug treatmentSUD treatmentCommon reasonDiagnostic criteriaTreatment historyTreatment centersDisorder treatmentSocietal costsCareDisordersExploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States.
Muench U, Busch SH, Sindelar J, Buerhaus PI. Exploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States. Nursing Economics 2016, 34: 214-23. PMID: 29975036.Peer-Reviewed Original Research
2015
Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services
McGinty EE, Busch SH, Stuart EA, Huskamp HA, Gibson TB, Goldman HH, Barry CL. Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services. Health Affairs 2015, 34: 1331-1339. PMID: 26240247, PMCID: PMC4607035, DOI: 10.1377/hlthaff.2014.1384.Peer-Reviewed Original ResearchSalary Differences Between Male and Female Registered Nurses in the United States
Muench U, Sindelar J, Busch SH, Buerhaus PI. Salary Differences Between Male and Female Registered Nurses in the United States. JAMA 2015, 313: 1265-1267. PMID: 25803350, DOI: 10.1001/jama.2015.1487.Peer-Reviewed Original Research
2014
ACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults
Busch SH, Golberstein E, Meara E. ACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults. Health Affairs 2014, 33: 1361-1366. PMID: 25092837, DOI: 10.1377/hlthaff.2014.0155.Peer-Reviewed Original ResearchConceptsDependent coverage provisionAffordable Care ActPrivate insurance plansYoung adultsACA dependent coverage provisionCoverage provisionPocket health care spendingHealth care spendingPocket expensesPocket expenditureCare spendingInsurance plansCare ActAdultsSignificant reductionFinancial protectionCoverage rateAge twentyNet differenceOlder peersThe effects of federal parity on substance use disorder treatment.
Busch SH, Epstein AJ, Harhay MO, Fiellin DA, Un H, Leader D, Barry CL. The effects of federal parity on substance use disorder treatment. The American Journal Of Managed Care 2014, 20: 76-82. PMID: 24512166, PMCID: PMC3987861.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentSubstance use disorder servicesFederal parityDisorder treatmentPlan enrolleesDisorder servicesHealth plansHealth plan spendingPete Domenici Mental Health ParityGeneral medical servicesProportion of enrolleesAddiction Equity ActFederal parity lawMental Health ParityManagement of careState parity lawsParity lawsTreatment initiationPlan spendingPrivate insurance coverageHealth ParityTreatment engagementSelf-insured health plansEnrollees
2013
Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA
Busch SH, Meara E, Huskamp HA, Barry CL. Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA. Psychiatric Services 2013, 64: 520-526. PMID: 23450343, PMCID: PMC3672321, DOI: 10.1176/appi.ps.201200011.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentAffordable Care ActSubstance use disordersDisorder treatmentMedicaid enrolleesUse disordersUnmet needTreatment ratesSignificant unmet needFederal poverty levelCharacteristics of adultsTreatment needsMedicaid coverageDrug useHealth statusUninsured individualsInsurance expansionDemographic characteristicsCare ActDisordersTreatmentNational surveyLow-income individualsInformal care