Patterns in Medicaid Coverage and Service Utilization Among People with Serious Mental Illnesses

Amy Blank Wilson; Jonathan Phillips; Anna Parisi; Karen J. Ishler; Melissa Villodas; Annie Francis

doi:10.1007/s10597-021-00878-7

Patterns in Medicaid Coverage and Service Utilization Among People with Serious Mental Illnesses

Amy Blank Wilson, Jonathan Phillips, Anna Parisi, Karen J. Ishler, Melissa Villodas, Annie Francis

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

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.

Original language	English (US)
Pages (from-to)	729-739
Number of pages	11
Journal	Community Mental Health Journal
Volume	58
Issue number	4
DOIs	https://doi.org/10.1007/s10597-021-00878-7
State	Published - May 2022
Externally published	Yes

Bibliographical note

Funding Information:
This project was funded by the Ohio Department of Mental Health and Addiction Services. The contents of this article are solely the responsibility of the authors and do not represent the official view of the Ohio Department of Mental Health and Addiction Services.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Community Mental Health Services
Medicaid
Mental disorders

PubMed: MeSH publication types

Journal Article
Research Support, Non-U.S. Gov't

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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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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AU - Francis, Annie

N1 - Funding Information: This project was funded by the Ohio Department of Mental Health and Addiction Services. The contents of this article are solely the responsibility of the authors and do not represent the official view of the Ohio Department of Mental Health and Addiction Services. Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Patterns in Medicaid Coverage and Service Utilization Among People with Serious Mental Illnesses

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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