The Impact of the Affordable Care Act's Medicaid Expansion Provision on Access to Opioid Use Disorder Treatment
Helm, Christopher Kei
The United States has been in the midst of an opioid epidemic for over two decades. With nearly 50,000 Americans dying each year as a result of opioid overdoses and an estimated annual economic toll of over $500 billion, there is a need to understand how best to increase treatment and prevent overdoses. The most commonly reported barriers to treatment for a patient with a substance use disorder are financial and the lack of health insurance coverage. This thesis assesses the impact of Affordable Care Act (ACA) Medicaid expansion on health care access and treatment completion for patients with substance use disorders (including opioid use disorders) utilizing the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Treatment Episode Data Set - Discharges (TEDS-D) files for the years 2012 through 2018. This thesis finds that, when comparing patients in expansion states against those in non-expansion states, Medicaid expansion was associated with an increased likelihood that an individual with an opioid use disorder received medication-assisted opioid treatment and successfully completed treatment.
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The Relationship Between Medicaid Expansion Under the Affordable Care Act and Suicide Rates Among Individuals Ages 10-24 Aherne, Drew Christopher (Georgetown University, 2022)Past research on the effects of Medicaid expansion under the Patient Protection and Affordable Care Act (ACA) on suicide rates has focused on the “expansion population,” or adults up to 138 percent of the federal poverty ...