Sarah Hamersma1,2, Johanna Catherine Maclean3,4,5. 1. Department of Public Administration and International Affairs, Syracuse University, Syracuse, New York, USA. 2. Center for Policy Research, Syracuse, New York, USA. 3. Department of Economics, Temple University, Philadelphia, Pennsylvania, USA. 4. National Bureau of Economic Research, Cambridge, Massachusetts, USA. 5. Institute for the Study of Labor, Bonn, Germany.
Abstract
OBJECTIVE: To provide evidence on the effects of expansions to private and public insurance programs on adolescent specialty substance use disorder (SUD) treatment use. DATA SOURCE/STUDY SETTING: The Treatment Episodes Data Set (TEDS), 1996 to 2017. STUDY DESIGN: A quasi-experimental difference-in-differences design using observational data. DATA COLLECTION: The TEDS provides administrative data on admissions to specialty SUD treatment. PRINCIPAL FINDINGS: Expansions of laws that compel private insurers to cover SUD treatment services at parity with general health care increase adolescent admissions by 26% (P < .05). These increases are driven by nonintensive outpatient admissions, the most common treatment episodes, which rise by 30% (P < .05) postparity law. In contrast, increases in income eligibility for public insurance targeting those 6-18 years old are not statistically associated with SUD treatment. CONCLUSIONS: Private insurance expansions allow more adolescents to receive SUD treatment, while public insurance income eligibility expansions do not appear to influence adolescent SUD treatment.
OBJECTIVE: To provide evidence on the effects of expansions to private and public insurance programs on adolescent specialty substance use disorder (SUD) treatment use. DATA SOURCE/STUDY SETTING: The Treatment Episodes Data Set (TEDS), 1996 to 2017. STUDY DESIGN: A quasi-experimental difference-in-differences design using observational data. DATA COLLECTION: The TEDS provides administrative data on admissions to specialty SUD treatment. PRINCIPAL FINDINGS: Expansions of laws that compel private insurers to cover SUD treatment services at parity with general health care increase adolescent admissions by 26% (P < .05). These increases are driven by nonintensive outpatient admissions, the most common treatment episodes, which rise by 30% (P < .05) postparity law. In contrast, increases in income eligibility for public insurance targeting those 6-18 years old are not statistically associated with SUD treatment. CONCLUSIONS: Private insurance expansions allow more adolescents to receive SUD treatment, while public insurance income eligibility expansions do not appear to influence adolescent SUD treatment.
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