AI Article Synopsis
- Disruptions in Medicaid coverage negatively impact service usage and outcomes for individuals with serious mental illnesses (SMI), with only 36% maintaining continuous enrollment over the study period from 2007 to 2010.
- Those diagnosed with schizophrenia were found to be 19% more likely to experience multiple coverage disruptions compared to those with depression.
- These disruptions led to significantly lower outpatient service days and reduced likelihood of using acute care services, highlighting the need for further research on ensuring Medicaid stability and improving access to mental health services.
Article Abstract
Disruptions in Medicaid adversely affect service use and outcomes among individuals with serious mental illnesses (SMI). A retrospective longitudinal study examined Medicaid coverage and service utilization patterns among individuals with SMI (N = 8358) from 2007 to 2010. Only 36% of participants were continuously enrolled in Medicaid and 20% experienced multiple enrollment disruptions. Mental health diagnosis did not predict continuous coverage; however, individuals with schizophrenia were 19% more likely to have multiple coverage disruptions than those with depression (b = - 0.21; p < 0.01). Single and multiple coverage disruptions were associated with decreased rates of outpatient service days utilized (IRR = 0.77 and 0.65, respectively, p < 0.001) and decreased odds of not using acute care services (OR 0.26 and 0.19, respectively, p < 0.001). Future research should explore mechanisms underlying Medicaid stability and develop interventions that facilitate insurance stability and service utilization.
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| http://dx.doi.org/10.1007/s10597-021-00878-7 | DOI Listing |
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