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Insurance Receipt and Readiness for Opportunities under the Affordable Care Act: A National Survey of Treatment Providers for Substance Use Disorders.
J Psychoactive Drugs. 2017 Apr-Jun; 49(2):141-150.JP

Abstract

This study measures the readiness of substance use disorder (SUD) treatment to use opportunities under the Affordable Care Act by examining Medicaid and private insurance acceptance between 2011 and 2013, as well as center characteristics associated with acceptance. Data for this study were from a random sample of SUD treatment centers in the United States. Interviews were conducted on site and face to face, with administrative and clinical directors. We employed logistic regression analyses to examine Medicaid acceptance and private insurance acceptance. We found that 59% of centers accepted Medicaid and 55% accepted private insurance. Accredited centers were more likely to accept Medicaid. A 12-step orientation and greater reliance on female clients were negatively associated with Medicaid acceptance. Larger centers and centers with a greater percentage of counselors with advanced degrees had greater odds of accepting private insurance. Centers that offered residential treatment had lower odds of accepting either Medicaid or private insurance. For private insurance acceptance, having a specific track for homeless patients lowered the odds of acceptance, as did having a greater percentage of Hispanic clients. Newly insured individuals under the ACA may have difficulty finding a program that accepts insurance. Future research should examine effects of Medicaid expansion on SUD treatment delivery.

Authors+Show Affiliations

a Assistant Director, Center for Research on Behavioral Health and Human Services Delivery, Owens Institute for Behavioral Research , University of Georgia , Athens , GA , USA.b Assistant Research Scientist, Center for Research on Behavioral Health and Human Services Delivery, Owens Institute for Behavioral Research , University of Georgia , Athens , GA , USA.c Director and Regents Professor of Sociology, Center for Research on Behavioral Health and Human Services Delivery, Owens Institute for Behavioral Research , University of Georgia , Athens , GA, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

28406363

Citation

Aletraris, Lydia, et al. "Insurance Receipt and Readiness for Opportunities Under the Affordable Care Act: a National Survey of Treatment Providers for Substance Use Disorders." Journal of Psychoactive Drugs, vol. 49, no. 2, 2017, pp. 141-150.
Aletraris L, Edmond MB, Roman PM. Insurance Receipt and Readiness for Opportunities under the Affordable Care Act: A National Survey of Treatment Providers for Substance Use Disorders. J Psychoactive Drugs. 2017;49(2):141-150.
Aletraris, L., Edmond, M. B., & Roman, P. M. (2017). Insurance Receipt and Readiness for Opportunities under the Affordable Care Act: A National Survey of Treatment Providers for Substance Use Disorders. Journal of Psychoactive Drugs, 49(2), 141-150. https://doi.org/10.1080/02791072.2017.1306661
Aletraris L, Edmond MB, Roman PM. Insurance Receipt and Readiness for Opportunities Under the Affordable Care Act: a National Survey of Treatment Providers for Substance Use Disorders. J Psychoactive Drugs. 2017 Apr-Jun;49(2):141-150. PubMed PMID: 28406363.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Insurance Receipt and Readiness for Opportunities under the Affordable Care Act: A National Survey of Treatment Providers for Substance Use Disorders. AU - Aletraris,Lydia, AU - Edmond,Mary Bond, AU - Roman,Paul M, Y1 - 2017/04/13/ PY - 2017/4/14/pubmed PY - 2018/3/10/medline PY - 2017/4/14/entrez KW - Affordable Care Act KW - Medicaid KW - private insurance KW - substance abuse treatment SP - 141 EP - 150 JF - Journal of psychoactive drugs JO - J Psychoactive Drugs VL - 49 IS - 2 N2 - This study measures the readiness of substance use disorder (SUD) treatment to use opportunities under the Affordable Care Act by examining Medicaid and private insurance acceptance between 2011 and 2013, as well as center characteristics associated with acceptance. Data for this study were from a random sample of SUD treatment centers in the United States. Interviews were conducted on site and face to face, with administrative and clinical directors. We employed logistic regression analyses to examine Medicaid acceptance and private insurance acceptance. We found that 59% of centers accepted Medicaid and 55% accepted private insurance. Accredited centers were more likely to accept Medicaid. A 12-step orientation and greater reliance on female clients were negatively associated with Medicaid acceptance. Larger centers and centers with a greater percentage of counselors with advanced degrees had greater odds of accepting private insurance. Centers that offered residential treatment had lower odds of accepting either Medicaid or private insurance. For private insurance acceptance, having a specific track for homeless patients lowered the odds of acceptance, as did having a greater percentage of Hispanic clients. Newly insured individuals under the ACA may have difficulty finding a program that accepts insurance. Future research should examine effects of Medicaid expansion on SUD treatment delivery. SN - 2159-9777 UR - https://www.unboundmedicine.com/medline/citation/28406363/Insurance_Receipt_and_Readiness_for_Opportunities_under_the_Affordable_Care_Act:_A_National_Survey_of_Treatment_Providers_for_Substance_Use_Disorders_ L2 - https://www.tandfonline.com/doi/full/10.1080/02791072.2017.1306661 DB - PRIME DP - Unbound Medicine ER -