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Impacts of the Dependent Care Expansion on the Allocation of Mental Health Care

  • Joshua BreslauEmail author
  • Bradley D. Stein
  • Hao Yu
  • Rachel M. Burns
  • Bing Han
Original Article

Abstract

We examine the impact of insurance expansion under the Affordable Care Act’s Dependent Care Expansion (DCE) on allocation of mental health care across illness severity, types of care and racial/ethnic groups. Evidence suggests that the increase in mental health care utilization resulting from the DCE was restricted to individuals with clinically significant mental health conditions. There is no evidence suggesting that the increase occurred disproportionately in medication-only treatment or that it increased racial/ethnic disparities. The DCE appears to have been successful in increasing utilization of mental health care among a high need group without lowering quality or increasing disparities.

Keywords

Health insurance Mental health service use Racial/ethnic disparities 

Notes

Funding

This research was supported by a Grant from the National Institute on Minority Health and Health Disparities (R01 MD010274).

Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to report.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Study procedures were approved by the Human Subjects Protection Committee of the RAND Corporation.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.RAND CorporationPittsburghUSA
  2. 2.RAND CorporationSanta MonicaUSA

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