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Medicaid Restructuring Under the American Health Care Act and Implications for Behavioral Health Care in the US

Issue Brief
  1. Kaiser Family Foundation analysis of the 2014 National Survey on Drug Use and Health

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  2. Garfield R: Mental Health Financing in the United States. Washington, DC, Kaiser Commission on Medicaid and the Uninsured, April 2011. Available at https://kaiserfamilyfoundation.files.wordpress.com/2013/01/8182.pdf

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  3. Mark TL, Yee T, Levit KR, et al: Insurance financing increased for mental health conditions but not for substance use disorders. Health Affairs 35:958-65, 2016.

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  4. Report to Congress on Medicaid and CHIP. Washington, DC, Medicaid and CHIP Payment and Access Commission, June 2015. Available at https://www.macpac.gov/wp-content/uploads/2015/06/June-2015-Report-to-Congress-on-Medicaid-and-CHIP.pdf

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  5. Hill SC, Abdus S, Hudson JL, et al: Adults in the income range for the Affordable Care Act’s Medicaid expansion are healthier than pre-ACA Enrollees. Health Affairs, 33:691-699, 2014.

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  6. Status of State Action on the Medicaid Expansion. Washington, DC, Kaiser Family Foundation, January 2017. Available at http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0

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  7. Rudowitz R, Artiga S, Young K: What Coverage and Financing is at Risk Under Repeal of the ACA Medicaid Expansion? Washington, DC, Kaiser Family Foundation, December 2016. Available at http://kff.org/medicaid/issue-brief/what-coverage-and-financing-at-risk-under-repeal-of-aca-medicaid-expansion/

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  8. Behavioral Health: Options for Low-Income Adults to Receive Treatment in Selected States. Pub no GAO-15-449. Washington, DC, Government Accountability Office, 2015.

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  9. DiPietro B, Artiga S, Gates A: Early Impacts of the Medicaid Expansion for the Homeless Population. Washington, DC, Kasier Family Foundation, November 2014. Available at http://kff.org/uninsured/issue-brief/early-impacts-of-the-medicaid-expansion-for-the-homeless-population/

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  10. Continuing Progress on the Opioid Epidemic: The Role of the Affordable Care Act. Washington, DC, Assistant Secretary for Planning and Evaluation, January 2017. Available at https://aspe.hhs.gov/pdf-report/continuing-progress-opioid-epidemic-role-affordable-care-act

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  11. Searing A, Hoadley J: Beyond the Reduction in Uncompensated Care: Medicaid Expansion is Having a Positive Impact on Safety Net Hospitals and Clinics. Washington, DC, Georgetown University Health Policy Institute, Center for Children and Families, June 2016. Available at http://ccf.georgetown.edu/wp-content/uploads/2016/05/Medicaid_hospitals-clinics-June-2016.pdf

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  12. Paradise J, Rosenbaum S, Markus A, et al: Community Health Centers: Recent Growth and the Role of the ACA. Washington, DC, Kaiser Family Foundation, January 2017. Available at http://kff.org/medicaid/issue-brief/community-health-centers-recent-growth-and-the-role-of-the-aca/

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  13. Shin P, Sharac J, Zur J, et al: Health Center Patient Trends, Enrollment Activities, and Service Capacity: Recent Experience in Medicaid Expansion and Non-Expansion States. Washington, DC, Kaiser Family Foundation, December 2015. Available at http://kff.org/medicaid/issue-brief/health-center-patient-trends-enrollment-activities-and-service-capacity-recent-experience-in-medicaid-expansion-and-non-expansion-states/

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  14. Bachrach D, Boozang P, Herring A, et al: States Expanding Medicaid See Significant Budget Savings and Revenue Gains. Princeton, Robert Wood Johnson Foundation, March 2016. Available at http://www.rwjf.org/en/library/research/2015/04/states-expanding-medicaid-see-significant-budget-savings-and-rev.html

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  15. Medicaid Managed Care Enrollment and Program Characteristics, 2014: Baltimore, Centers for Medicare & Medicaid Services, 2016. Available at https://www.medicaid.gov/medicaid-chip-program-information/by-topics/data-and-systems/medicaid-managed-care/downloads/2014-medicaid-managed-care-enrollment-report.pdf

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  16. Barry CL, Goldman HH, Huskamp HA: Federal parity in the evolving mental health and addiction care landscape. Health Affairs, 35:1009-16, 2015.

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  17. Smith VK, Gifford K, Ellis E, et al: Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017. Washington, DC, Kaiser Family Foundation, October 2016. Available at http://kff.org/medicaid/report/implementing-coverage-and-payment-initiatives-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2016-and-2017/

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  18. Medicaid Health Homes: Implementation Update. Hamilton, Center for Health Care Strategies, September 2015. Available at http://www.chcs.org/resource/medicaid-health-homes-implementation-update/.

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  19. Nardone M, Snyder S, Paradise J: Integrating Physical and Behavioral Health Care: Promising Medicaid Models. Washington, DC, Kaiser Family Foundation, February, 2014. Available at http://kff.org/medicaid/issue-brief/integrating-physical-and-behavioral-health-care-promising-medicaid-models/ .

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  20. O’Malley Watts M, Reaves EL, Musumeci M: Money Follows the Person: A 2015 State Survey of Transitions, Services, and Costs. Washington, DC, Kaiser Family Foundation, October 2015. Available at  http://kff.org/medicaid/report/money-follows-the-person-a-2015-state-survey-of-transitions-services-and-costs/.

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  21. O’Malley Watts M, Cornachione E, Musumeci M: Medicaid Financial Eligibility for Seniors and People with Disabilities in 2015. Washington, DC, Kaiser Family Foundation, March 2016. Available at http://files.kff.org/attachment/report-medicaid-financial-eligibility-for-seniors-and-people-with-disabilities-in-2015

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  22. Paradise J, Garfield R: What is Medicaid’s Impact on Access to Care, Health Outcomes, and Quality of Care? Setting the Record Straight on the Evidence. Washington, DC, Kaiser Family Foundation, August 2013. Available at http://kff.org/medicaid/issue-brief/what-is-medicaids-impact-on-access-to-care-health-outcomes-and-quality-of-care-setting-the-record-straight-on-the-evidence/

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  23. Kessler RC, Barber C, Birnbaum HG et al: (1999). Depression in the workplace: Effects on short-term disability. Health Affairs, 18:163-71, 1999.

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  24. Jordan N, Grissom G, Alonzo G et al: Economic benefit of chemical dependency treatment to employers. Journal of Substance Abuse Treatment, 34:311-9, 2007.

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  25. James DJ, Glaze LE: Mental Health Problems of Prison and Jail Inmates. Washington, DC, Bureau of Justice Statistics, December 2006. Available at https://www.bjs.gov/content/pub/pdf/mhppji.pdf

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  26. [26] Cherpitel CJ, Ye Y: Drug use and problem drinking associated with primary care and emergency room utilization in the US general population: data from the 2005 national alcohol survey. Drug and Alcohol Dependence, 97:226-30, 2008.

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  27. Rudowitz R, Garfield R: New Analysis Shows States with Medicaid Expansion Experienced Declines in Uninsured Hospital Discharges. Washington, DC, Kaiser Family Foundation, September 2015. Available at http://kff.org/health-reform/issue-brief/new-analysis-shows-states-with-medicaid-expansion-experienced-declines-in-uninsured-hospital-discharges/

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  28. Hinton E, Rudowitz R, Musumeci M: 3 Key Questions: Section 1115 Medicaid Demonstration Waivers. Washington DC, Kaiser Family Foundation, February 2017. Available at http://kff.org/medicaid/issue-brief/3-key-questions-section-1115-medicaid-demonstration-waivers/

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  29. Goodnough A: The Adults a Medicaid Work Requirement Would Leave Behind. New York, New York Times, February 2017. https://www.nytimes.com/2017/02/25/health/medicaid-work-requirement.html

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  30. Artiga S, Hinton E, Rudowitz R, et al: Current Flexibility in Medicaid: An Overview of Federal Standards and State Options. Washington, DC, Kaiser Family Foundation, January 2017. Available at http://kff.org/medicaid/issue-brief/current-flexibility-in-medicaid-an-overview-of-federal-standards-and-state-options/

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  31. Medicaid-to-Medicare Fee Index. Washington, DC, Kaiser Family Foundation, 2014. Available at http://kff.org/medicaid/state-indicator/medicaid-to-medicare-fee-index/?currentTimeframe=0

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  32. Goodell S, Druss BG, Walker ER: Mental Disorders and Medical Comorbidity. Princeton, Robert Wood Johnson Foundation, February 2011. Available at http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf69438/subassets/rwjf69438_1

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  33. Young K, Rudowitz R, Garfield R, et al: Medicaid’s Most Costly Outpatient Drugs. Washington, DC, Kaiser Family Foundation, July 2016. Available at http://kff.org/health-costs/issue-brief/medicaids-most-costly-outpatient-drugs/

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  34. Margerison-Zilko C, Goldman-Mellor S, Falconi A, et al: Health impacts of the great recession: A critical review. Current Epidemiology Reports, 3:81-91, 2016.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.