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Recent Changes in Health Insurance Coverage and Access to Care by Mental Health Status, 2012-2015
JAMA Psychiatry ( IF 25.8 ) Pub Date : 2017-10-01 , DOI: 10.1001/jamapsychiatry.2017.2697
Elizabeth Sherrill 1 , Gilbert Gonzales 2
Affiliation  

The Patient Protection and Affordable Care Act (ACA) expanded health insurance to approximately 21 million Americans through health insurance reforms (eg, guaranteed issue, adjusted community rating, preexisting condition exclusion bans, and dependent coverage extensions), expansions in Medicaid, and subsidies for marketplace coverage.1 The ACA also expanded mental health coverage through mental health parity reforms and the provision of essential health benefits, which include mental health services. Early ACA-related research found increases in mental health treatment and reductions in uninsured adults with mental illness.2- 4 This study builds on previous research and evaluates changes in access to care for adults by mental health status using data from a national sample.



中文翻译:

2012-2015年按精神健康状况划分的健康保险覆盖率和就医机会的最新变化

《患者保护和负担得起的医疗法案》(ACA)通过医疗保险改革(例如,担保问题,调整后的社区评级,既存疾病排除禁令和受抚养人覆盖范围扩大),医疗补助计划的扩展以及对医疗保险的补贴,将医疗保险扩大到了约2100万美国人市场覆盖率。1 ACA还通过精神卫生均等改革和提供基本卫生福利(包括精神卫生服务)扩大了精神卫生覆盖面。早期与ACA相关的研究发现,精神健康治疗的增加和未投保的患有精神疾病的成年人的减少。2 - 4 这项研究建立在以前的研究的基础上,并使用来自全国样本的数据,根据心理健康状况评估了成年人获得医疗服务的变化。

更新日期:2017-10-06
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