AI Article Synopsis
- The report examines the effects of health reform, particularly the Affordable Care Act (ACA), on individuals with mental health conditions.
- Post-ACA, there was a significant decrease in the uninsured rate among these individuals, along with reduced reports of unmet mental health care needs and increased access to a usual source of care.
- These positive changes were observed regardless of whether states expanded Medicaid under the ACA, highlighting the reforms' overall impact on health insurance quality.
Article Abstract
Objective: This brief report explores the impact of health reform for people with mental illness.
Methods: The Health Reform Monitoring Survey was used to examine health insurance, access to care, and employment for 1,550 people with mental health conditions pre- and postimplementation of the Affordable Care Act (ACA) and by state Medicaid expansion status. Multivariate logistic regressions with predictive margins were used.
Results: Post-ACA reforms, people with mental health conditions were less likely to be uninsured (5% versus 13%; t=-6.89, df=50, p<.001) and to report unmet need due to cost of mental health care (17% versus 21%; t=-3.16, df=50, p=.002) and any health services (46% versus 51%; t=-3.71, df=50, p<.001), and they were more likely to report a usual source of care (82% versus 76%; t=3.11, df=50, p=.002). These effects were experienced in both Medicaid expansion and nonexpansion states.
Conclusions: Findings underscore the importance of ACA improvements in the quality of health insurance coverage.
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| http://dx.doi.org/10.1176/appi.ps.201700044 | DOI Listing |
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