2021
Insurance Status and Continuity for Young Adults With First-Episode Psychosis
Golberstein E, Busch SH, Sint K, Rosenheck RA. Insurance Status and Continuity for Young Adults With First-Episode Psychosis. Psychiatric Services 2021, 72: 1160-1167. PMID: 33971726, PMCID: PMC8488003, DOI: 10.1176/appi.ps.201900571.Peer-Reviewed Original ResearchConceptsFirst-episode psychosisInsurance statusPeriods of uninsurancePublic insuranceMedical Expenditure Panel StudyCoordinated care interventionQuality of careSimilar age groupLevels of uninsuranceRAISE-ETPMedication adherenceTreatment continuityCare interventionsEpisode psychosisGeneral populationAge groupsStudy participantsBivariate comparisonsYoung adultsExperimental interventionSimilar ageUninsuranceLongitudinal dataAdultsInsurance changes
2020
Surprise Bills from Outpatient Providers: a National Survey
Kyanko KA, Busch SH. Surprise Bills from Outpatient Providers: a National Survey. Journal Of General Internal Medicine 2020, 36: 846-848. PMID: 32671720, PMCID: PMC7947118, DOI: 10.1007/s11606-020-06024-5.Peer-Reviewed Original Research
2019
Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis
Busch SH, Golberstein E, Goldman HH, Loveridge C, Drake RE, Meara E. Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis. Psychiatric Services 2019, 70: 1027-1033. PMID: 31480928, PMCID: PMC7605277, DOI: 10.1176/appi.ps.201800492.Peer-Reviewed Original ResearchConceptsDependent coverage expansionYoung adultsPrivate insuranceInsurance coverageACA dependent coverage expansionAge groupsCoverage expansionEarly psychosis treatmentEmergency department visitsHospital-based treatmentCapita admissionsHospital-based service useTargeted age groupOlder age groupsDependent coveragePrivate insurance benefitsDifferences study designDepartment visitsPsychosis treatmentAffordable Care ActPrivate health plansEarly psychosisService useOverall insurance coverageRehabilitation servicesThe Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Drake C, Busch SH, Golberstein E. The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey. Psychiatric Services 2019, 70: 287-293. PMID: 30691381, DOI: 10.1176/appi.ps.201800313.Peer-Reviewed Original ResearchConceptsMental health servicesMental health service useHealth service useMedical Expenditure Panel SurveyHealth servicesService useMental health specialty servicesAmbulatory mental health careStudy designAdults ages 26Use of outpatientFederal Mental Health ParityPrimary care servicesAddiction Equity ActFederal parity lawMental Health ParityMental health careMental health policyDifferences study designDifferent study designsFederal parityHealth ParitySpecialty servicesCare servicesAge 26
2018
Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research
Peterson E, Busch S. Achieving Mental Health and Substance Use Disorder Treatment Parity: A Quarter Century of Policy Making and Research. Annual Review Of Public Health 2018, 39: 1-15. PMID: 29328871, DOI: 10.1146/annurev-publhealth-040617-013603.Peer-Reviewed Original ResearchConceptsMental health care useMental healthMental health care coverageHealth care useAddiction Equity ActSevere mental illnessMental Health ParityHealth care coverageCare useHealth ParityParity lawsEffect of parityTreatment limitationsMental illnessCare coverageSignificant improvementCompliance issuesHealthParityIllness
2017
Increased Service Use Among Children With Autism Spectrum Disorder Associated With Mental Health Parity Law
Stuart EA, McGinty EE, Kalb L, Huskamp HA, Busch SH, Gibson TB, Goldman H, Barry CL. Increased Service Use Among Children With Autism Spectrum Disorder Associated With Mental Health Parity Law. Health Affairs 2017, 36: 337-345. PMID: 28167724, PMCID: PMC8320748, DOI: 10.1377/hlthaff.2016.0824.Peer-Reviewed Original Research
2016
Evidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation
Friedman AS, Schpero WL, Busch SH. Evidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation. Health Affairs 2016, 35: 1176-1183. PMID: 27385231, PMCID: PMC5589079, DOI: 10.1377/hlthaff.2015.1540.Peer-Reviewed Original ResearchConceptsExcess health care costsSmoking cessationAffordable Care ActBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemTobacco surchargesNon-tobacco usersHealth care costsInsurance statusTobacco usersCare costsMarketplace coverageCessationCare ActSmokersSignificant differencesFirst yearPocket premiumsSurveillance systemFinancial protectionHealth insurance exchangesPotential effectsInsurance exchanges
2015
Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services
McGinty EE, Busch SH, Stuart EA, Huskamp HA, Gibson TB, Goldman HH, Barry CL. Federal Parity Law Associated With Increased Probability Of Using Out-Of-Network Substance Use Disorder Treatment Services. Health Affairs 2015, 34: 1331-1339. PMID: 26240247, PMCID: PMC4607035, DOI: 10.1377/hlthaff.2014.1384.Peer-Reviewed Original Research
2014
Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care
Golberstein E, Busch SH, Zaha R, Greenfield SF, Beardslee WR, Meara E. Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care. American Journal Of Psychiatry 2014, 172: 182-189. PMID: 25263817, PMCID: PMC4314328, DOI: 10.1176/appi.ajp.2014.14030375.Peer-Reviewed Original ResearchConceptsDependent coverage provisionACA dependent coverage provisionEmergency department visitsInpatient admissionsEmergency departmentPsychiatric diagnosisDepartment visitsAffordable Care ActYoung adultsCoverage provisionPsychiatric disordersNon-substance use psychiatric disordersMore inpatient admissionsCalifornia emergency departmentsInsurance coveragePrimary outcome measurePsychiatric inpatient admissionsHospital-based servicesDependent coverage expansionPsychiatric emergency departmentMental health careSubstance use disordersCoverage expansionPrimary diagnosisGeneral HospitalACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults
Busch SH, Golberstein E, Meara E. ACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults. Health Affairs 2014, 33: 1361-1366. PMID: 25092837, DOI: 10.1377/hlthaff.2014.0155.Peer-Reviewed Original ResearchMeSH KeywordsAdultHealth ExpendituresHumansInsurance CoverageInsurance, HealthParentsPatient Protection and Affordable Care ActUnited StatesYoung AdultConceptsDependent coverage provisionAffordable Care ActPrivate insurance plansYoung adultsACA dependent coverage provisionCoverage provisionPocket health care spendingHealth care spendingPocket expensesPocket expenditureCare spendingInsurance plansCare ActAdultsSignificant reductionFinancial protectionCoverage rateAge twentyNet differenceOlder peersUse of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions
Meara E, Golberstein E, Zaha R, Greenfield SF, Beardslee WR, Busch SH. Use of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions. JAMA Psychiatry 2014, 71: 404-411. PMID: 24554245, PMCID: PMC4140186, DOI: 10.1001/jamapsychiatry.2013.3972.Peer-Reviewed Original ResearchConceptsBehavioral health diagnosesHospital-based careInpatient admission ratesBehavioral health disordersEmergency departmentYoung adultsHealth diagnosisPrimary diagnosisAdmission ratesHealth disordersEmergency department visit ratesInsurance coverageEmergency department useHospital discharge dataUse of hospitalPopulation-based sampleMassachusetts' 2006 health reformSubstance use disordersInsurance coverage expansionBehavioral health needsHealth insurance coverageHealth reformHealth insurance expansionsHospital dischargeInpatient admissionsThe effects of federal parity on substance use disorder treatment.
Busch SH, Epstein AJ, Harhay MO, Fiellin DA, Un H, Leader D, Barry CL. The effects of federal parity on substance use disorder treatment. The American Journal Of Managed Care 2014, 20: 76-82. PMID: 24512166, PMCID: PMC3987861.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentSubstance use disorder servicesFederal parityDisorder treatmentPlan enrolleesDisorder servicesHealth plansHealth plan spendingPete Domenici Mental Health ParityGeneral medical servicesProportion of enrolleesAddiction Equity ActFederal parity lawMental Health ParityManagement of careState parity lawsParity lawsTreatment initiationPlan spendingPrivate insurance coverageHealth ParityTreatment engagementSelf-insured health plansEnrollees