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来源类型Working Paper
规范类型报告
DOI10.3386/w23760
来源IDWorking Paper 23760
Public Insurance and Psychotropic Prescription Medications for Mental Illness
Johanna Catherine Maclean; Benjamin L. Cook; Nicholas Carson; Michael F. Pesko
发表日期2017-09-04
出版年2017
语种英语
摘要Mental illnesses are prevalent in the United States and globally. Cost is a critical barrier to treatment receipt. We study the effects of recent and major eligibility expansions within Medicaid, a public insurance system for the poor in the U.S., on psychotropic prescription medications for mental illness. We estimate differences-in-differences models using administrative data on medications for which Medicaid was a third-party payer over the period 2011 to 2017. Our findings suggest that these expansions increased psychotropic prescriptions by 22.3%. We show that Medicaid, and not patients, financed these prescriptions. For states expanding Medicaid, the total cost of these prescriptions was $30.8M. Expansion effects were experienced across most major mental illness categories and across states with different levels of patient need, system capacity, and expansion scope. We find no evidence that Medicaid expansion reduced a proxy for serious mental illness: suicide.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w23760
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/581434
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GB/T 7714
Johanna Catherine Maclean,Benjamin L. Cook,Nicholas Carson,et al. Public Insurance and Psychotropic Prescription Medications for Mental Illness. 2017.
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