2024
Medicare Accountable Care Organization Treatment of Serious Mental Illness: Associations Between Behavioral Health Integration Activities and Outcomes.
Newton H, Colla C, Busch S, Tomaino M, Hardy B, Brunette M, Agravat D, Meara E. Medicare Accountable Care Organization Treatment of Serious Mental Illness: Associations Between Behavioral Health Integration Activities and Outcomes. Medical Care 2024 PMID: 39616411, DOI: 10.1097/mlr.0000000000002102.Peer-Reviewed Original ResearchMedicare accountable care organizationsAccountable care organizationsFee-for-service Medicare claimsPatient-level qualityPrimary care needsMental health careMental health hospitalMental health needsTop tertileCross-sectional associationsFee-for-serviceCare needsUtilization outcomesFollow-upHealth needsCare organizationsMental illnessHealth careMedicare claimsHealth HospitalCardiovascular disease monitoringBottom tertileBeneficiary characteristicsStudy sampleCarePatients’ Reasons for Using Out-of-Network Mental and General Medical Health Providers
Busch S, Kyanko K. Patients’ Reasons for Using Out-of-Network Mental and General Medical Health Providers. Psychiatric Services 2024, 75: 812-816. PMID: 38444357, DOI: 10.1176/appi.ps.20230212.Peer-Reviewed Original ResearchOut-of-network careMedical health providersOut-of-networkHealth providersOut-of-network providersPatients' reasonsMental health careHealth care providersIn-network providersCare providersHealth careProvider directoriesMental healthNational Internet surveyPlan enrolleesCultural competenceProvidersCarePatientsHigh qualityEnrolleesHealthParticipantsMost-cited reasonReasons
2022
Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study
Kyanko KA, A. Curry L, E. Keene D, Sutherland R, Naik K, Busch SH. Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study. Journal Of General Internal Medicine 2022, 37: 1641-1647. PMID: 34993864, PMCID: PMC8734538, DOI: 10.1007/s11606-021-07260-z.Peer-Reviewed Original ResearchConceptsSpecialty mental health carePrimary care providersMental health carePrimary careMental health treatmentMental health providersHealth careHealth treatmentHealth providersOutpatient mental health providersPatient-reported barriersSerious psychological distressAddress unmet needsAdults ages 18PCP rolePCP careSpecialty careKey ResultsOfPCP engagementCare providersClinician trainingSpecialty consultantsSpecialty servicesPatient experienceUnmet need
2021
Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance
Busch SH, Kyanko K. Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance. JAMA Network Open 2021, 4: e2130770. PMID: 34677592, PMCID: PMC8536951, DOI: 10.1001/jamanetworkopen.2021.30770.Peer-Reviewed Original ResearchConceptsMental health treatmentPrimary care practitionersMental health careHealth treatmentMental healthMental health practitionersUS adultsCare practitionersHealth provider networksPrivate insuranceHealth practitionersSpecialty mental healthNon-Hispanic white individualsHealth carePrimary care practicesAddiction Equity ActInsurance-related barriersMental Health ParitySerious psychological distressMental health networkHealth plan's networkOnline research panelStudy criteriaPatients' perceptionsHealth Parity
2020
Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills
Busch SH, Kyanko KA. Incorrect Provider Directories Associated With Out-Of-Network Mental Health Care And Outpatient Surprise Bills. Health Affairs 2020, 39: 975-983. PMID: 32479225, PMCID: PMC7497897, DOI: 10.1377/hlthaff.2019.01501.Peer-Reviewed Original ResearchConceptsSpecialty mental health treatmentProvider directoriesGeneral medical servicesMental health servicesMental health treatmentMental health careHealth treatmentCommercial insuranceHealth servicesNetwork billsPatientsHealth careMedical servicesSurprise billsNational surveyAdditional monitoringProvidersPercentOutpatients
2019
The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Drake C, Busch SH, Golberstein E. The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey. Psychiatric Services 2019, 70: 287-293. PMID: 30691381, DOI: 10.1176/appi.ps.201800313.Peer-Reviewed Original ResearchConceptsMental health servicesMental health service useHealth service useMedical Expenditure Panel SurveyHealth servicesService useMental health specialty servicesAmbulatory mental health careStudy designAdults ages 26Use of outpatientFederal Mental Health ParityPrimary care servicesAddiction Equity ActFederal parity lawMental Health ParityMental health careMental health policyDifferences study designDifferent study designsFederal parityHealth ParitySpecialty servicesCare servicesAge 26
2014
Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care
Golberstein E, Busch SH, Zaha R, Greenfield SF, Beardslee WR, Meara E. Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care. American Journal Of Psychiatry 2014, 172: 182-189. PMID: 25263817, PMCID: PMC4314328, DOI: 10.1176/appi.ajp.2014.14030375.Peer-Reviewed Original ResearchConceptsDependent coverage provisionACA dependent coverage provisionEmergency department visitsInpatient admissionsEmergency departmentPsychiatric diagnosisDepartment visitsAffordable Care ActYoung adultsCoverage provisionPsychiatric disordersNon-substance use psychiatric disordersMore inpatient admissionsCalifornia emergency departmentsInsurance coveragePrimary outcome measurePsychiatric inpatient admissionsHospital-based servicesDependent coverage expansionPsychiatric emergency departmentMental health careSubstance use disordersCoverage expansionPrimary diagnosisGeneral Hospital