Substance Use Treatment Provider Behavior and Healthcare Reform: Evidence from Massachusetts
Johanna Maclean and
Brendan Saloner ()
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Brendan Saloner: Department of Health Policy and Management, Johns Hopkins University
No 1511, DETU Working Papers from Department of Economics, Temple University
Major expansions of health insurance coverage provide new revenue opportunities for safety-net providers, but may also create new capacity pressures for these providers. We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment - a type of safety net healthcare â€“ providers' behaviors using a differences-in-differences design. We test whether the reform influenced admissions, daily censuses (the number of clients in treatment on a given day), services offered, and accepted forms of payment. Our findings suggest that Massachusetts providers altered their care practices following the reform. Admissions increased by 17.1% and daily censuses increased by 4.7%. The number of services offered increased by 3.5%, programs for special populations decreased by 24.1%, and use of pharmacotherapies increased by 11.3%. Massachusetts providers increased acceptance of private insurance increased by 2.7%. We find that such providers were less likely to accept self-pay (1.7%) and provide uncompensated care (1.4%). Responsiveness was generally greater for for-profit than nonprofit providers. These findings suggest that, following major healthcare reform, Massachusetts SUD treatment providers absorbed a larger number of individuals seeking treatment, but effects on quality of care were somewhat mixed and individuals without insurance may have experienced difficulty in accessing care.
Keywords: healthcare; safety net; provider behavior; substance use disorders; healthcare reform (search for similar items in EconPapers)
JEL-codes: I1 I11 I18 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-hea and nep-ias
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http://www.cla.temple.edu/RePEc/documents/DETU_15_11.pdf First version, 2015 (application/pdf)
Journal Article: Substance Use Treatment Provider Behavior and Healthcare Reform: Evidence from Massachusetts (2018)
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Persistent link: https://EconPapers.repec.org/RePEc:tem:wpaper:1511
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