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 ResearchMeSH KeywordsAdultEmergency Service, HospitalFemaleHospitalizationHumansInsurance CoverageInsurance, HospitalizationLinear ModelsMaleMedically UninsuredOutcome Assessment, Health CarePatient Protection and Affordable Care ActPsychotic DisordersUnited StatesYoung AdultConceptsDependent 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 services
2016
Evidence 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 ResearchMeSH KeywordsAdultConfidence IntervalsDatabases, FactualFemaleHealth Care CostsHumansInsurance CoverageLikelihood FunctionsMaleMiddle AgedPatient Protection and Affordable Care ActPredictive Value of TestsRetrospective StudiesSmokingSmoking CessationUnited StatesYoung AdultConceptsExcess 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 exchanges
2014
Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care
Golberstein E, Busch SH, Zaha R, Greenfield SF, Beardslee WR, Meara E. Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care. American Journal Of Psychiatry 2014, 172: 182-189. PMID: 25263817, PMCID: PMC4314328, DOI: 10.1176/appi.ajp.2014.14030375.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaEmergency Service, HospitalFemaleHospitalizationHospitals, GeneralHumansInsurance CoverageInsurance, HospitalizationMaleMedically UninsuredMental DisordersMental HealthOutcome Assessment, Health CarePatient Protection and Affordable Care ActConceptsDependent coverage provisionACA dependent coverage provisionEmergency department visitsInpatient admissionsEmergency departmentPsychiatric diagnosisDepartment visitsAffordable Care ActYoung adultsCoverage provisionPsychiatric disordersNon-substance use psychiatric disordersMore inpatient admissionsCalifornia emergency departmentsInsurance coveragePrimary outcome measurePsychiatric inpatient admissionsHospital-based servicesDependent coverage expansionPsychiatric emergency departmentMental health careSubstance use disordersCoverage expansionPrimary diagnosisGeneral HospitalACA 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 ResearchMeSH KeywordsAdultHealth ExpendituresHumansInsurance CoverageInsurance, HealthParentsPatient Protection and Affordable Care ActUnited StatesYoung AdultConceptsDependent 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 peers
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 ResearchMeSH KeywordsAdultFemaleHealth Services AccessibilityHealth Services Needs and DemandHumansMaleMedicaidMiddle AgedPatient Protection and Affordable Care ActSubstance-Related DisordersUnited StatesYoung AdultConceptsSubstance 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