2023
Provision of Digital Health Technologies for Opioid Use Disorder Treatment by US Health Care Organizations
Miller-Rosales C, Morden N, Brunette M, Busch S, Torous J, Meara E. Provision of Digital Health Technologies for Opioid Use Disorder Treatment by US Health Care Organizations. JAMA Network Open 2023, 6: e2323741. PMID: 37459098, PMCID: PMC10352858, DOI: 10.1001/jamanetworkopen.2023.23741.Peer-Reviewed Original ResearchConceptsOpioid use disorderCross-sectional studyCognitive behavior therapyDigital health technologiesRecovery support programMAIN OUTCOMEMental health therapyTreatment resourcesHealth technologiesOpioid use disorder treatmentCare organizationsMultivariable logistic regression modelHealth care organizationsAddiction medicine specialistsHealth therapyAccountable care organization contractsUse disorder treatmentLogistic regression modelsACO contractsSafety net organizationsAdjusted analysisUS health care organizationsAccountable care organizationsMedicine specialistsUse disordersInternal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders
Miller-Rosales C, Busch S, Meara E, King A, D’Aunno T, Colla C. Internal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders. Medical Care Research And Review 2023, 80: 410-422. PMID: 37036056, PMCID: PMC10949918, DOI: 10.1177/10775587231162681.Peer-Reviewed Original ResearchConceptsOngoing opioid epidemicOpioid use disorderOpioid useUse disordersHealth information technology functionalityAvailability of MOUDPrimary careOpioid epidemicMOUDMultispecialty practicePhysician practicesMedicationsBehavioral cliniciansDemonstrated effectivenessDisordersPractice useScreeningCliniciansCare
2022
What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?
NEWTON H, HUMENSKY J, GOLDMAN H, BUSCH S. What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings? Milbank Quarterly 2022, 100: 1166-1191. PMID: 36575952, PMCID: PMC9836237, DOI: 10.1111/1468-0009.12592.Peer-Reviewed Original ResearchConceptsSerious mental illnessCommunity mental health facilitiesMental health servicesMental health facilitiesMedicaid expansionEmergency walkPsychotropic medicationsHealth facilitiesNational Mental Health Services SurveyHealth servicesMental illnessSpecialty mental health organizationsSpecialty mental health servicesMental health service availabilityExpansion statesNon-Medicaid expansion statesAssertive community treatmentHealth service availabilityMedicaid expansion statesNew payment modelsCommunity outpatient settingsHealth Services SurveyFacility ownership typeFacility ownershipSupport servicesPhysician response to COVID-19-driven telehealth flexibility for opioid use disorder.
Beetham T, Fiellin DA, Busch SH. Physician response to COVID-19-driven telehealth flexibility for opioid use disorder. The American Journal Of Managed Care 2022, 28: 456-463. PMID: 36121359, DOI: 10.37765/ajmc.2022.89221.Peer-Reviewed Original ResearchConceptsOpioid use disorder treatmentCOVID-19 pandemicEarly COVID-19 eraOpioid use disorderUse disorder treatmentOUD treatmentTelehealth useUse disordersPhysician responsesTelehealth effectivenessDisorder treatmentTelehealth technologyPhysiciansTelehealthCOVID-19 eraTelehealth regulationsCOVID-19Administrative dataMost respondentsTreatmentRetrospective usePandemicSurvey participationPerceptions of effectivenessRespondents' useAssociation of Access to Crisis Intervention Teams With County Sociodemographic Characteristics and State Medicaid Policies and Its Implications for a New Mental Health Crisis Lifeline
Newton H, Beetham T, Busch SH. Association of Access to Crisis Intervention Teams With County Sociodemographic Characteristics and State Medicaid Policies and Its Implications for a New Mental Health Crisis Lifeline. JAMA Network Open 2022, 5: e2224803. PMID: 35838666, PMCID: PMC9287760, DOI: 10.1001/jamanetworkopen.2022.24803.Peer-Reviewed Original ResearchConceptsMental health treatment facilitiesCrisis Intervention TeamsCounty-level accessCross-sectional studyIntervention teamMedicaid policiesAssociation of accessUS residentsUS countiesMental health issuesRisk of incarcerationUnadjusted analysesNational DirectoryState Medicaid policiesBehavioral health crisesMAIN OUTCOMEPsychiatric hospitalSociodemographic characteristicsShort-term stayHealth issuesTop quartileDemographic characteristicsMedicaidRural countiesResidents of countiesInnovations in Care Delivery for Patients With Serious Mental Illness Among Accountable Care Organizations
Newton H, Busch SH, Brunette MF, Maust DT, O'Malley AJ, Meara E. Innovations in Care Delivery for Patients With Serious Mental Illness Among Accountable Care Organizations. Psychiatric Services 2022, 73: 889-896. PMID: 35378992, PMCID: PMC9349464, DOI: 10.1176/appi.ps.202000484.Peer-Reviewed Original ResearchConceptsSerious mental illnessSpecialty mental health settingsPrimary care cliniciansMental health settingsPatient RegistryPrimary careMental illnessCare strategiesCare cliniciansHealth settingsCollaborative care strategiesCare managersTreatment of depressionAccountable care organization contractsIntegrated Primary CareCare delivery strategiesPhysical health conditionsIntegrated care strategiesNational surveySelf-reported useAccountable care organizationsNonmedical needsTreatment coordinationCare deliveryIllnessInsurance Coverage Mandates and the Adoption of Digital Breast Tomosynthesis
Richman IB, Long JB, Kyanko KA, Xu X, Gross CP, Busch SH. Insurance Coverage Mandates and the Adoption of Digital Breast Tomosynthesis. JAMA Network Open 2022, 5: e224208. PMID: 35333358, PMCID: PMC8956980, DOI: 10.1001/jamanetworkopen.2022.4208.Peer-Reviewed Original ResearchConceptsCoverage mandateCohort studyBreast cancerPocket paymentsDigital breast tomosynthesisInsurance coveragePoints 2 yearsAffordable Care ActMAIN OUTCOMEScreening mammogramsStudy periodDirect costsBreast tomosynthesisPatient ProtectionCare ActWomenCancerAssociationYearsPrivate insurersPatientsCost sharingAccess to mental health support services in Accountable Care Organizations: A national survey
Busch SH, Tomaino M, Newton H, Meara E. Access to mental health support services in Accountable Care Organizations: A national survey. Healthcare 2022, 10: 100613. PMID: 35081475, PMCID: PMC8944208, DOI: 10.1016/j.hjdsi.2022.100613.Peer-Reviewed Original ResearchConceptsMental health support servicesHealth support servicesAssertive community treatmentSerious mental illnessNational surveyAccountable care organizationsFamily psychoeducationCommunity treatmentMental illnessSupport servicesPopulation healthNew payment modelsCare organizationsPatientsAccountable careIllnessPayment modelsDelivery reformRecovery servicesPsychoeducationCareDoes 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 ParityInsurance Status and Continuity for Young Adults With First-Episode Psychosis
Golberstein E, Busch SH, Sint K, Rosenheck RA. Insurance Status and Continuity for Young Adults With First-Episode Psychosis. Psychiatric Services 2021, 72: 1160-1167. PMID: 33971726, PMCID: PMC8488003, DOI: 10.1176/appi.ps.201900571.Peer-Reviewed Original ResearchConceptsFirst-episode psychosisInsurance statusPeriods of uninsurancePublic insuranceMedical Expenditure Panel StudyCoordinated care interventionQuality of careSimilar age groupLevels of uninsuranceRAISE-ETPMedication adherenceTreatment continuityCare interventionsEpisode psychosisGeneral populationAge groupsStudy participantsBivariate comparisonsYoung adultsExperimental interventionSimilar ageUninsuranceLongitudinal dataAdultsInsurance changes
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
2015
Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders
Epstein AJ, Barry CL, Fiellin DA, Busch SH. Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders. Psychiatric Services 2015, 66: 772-774. PMID: 25930049, PMCID: PMC4523443, DOI: 10.1176/appi.ps.201500077.Peer-Reviewed Original ResearchConceptsUsual careSubstance use disordersUse disordersTreatment optionsSpecialty treatmentMental disordersPrimary care-based treatmentPrimary care settingAlcohol use disorderCare visitsTreatment visitsPrimary careCollaborative careCare settingsTreatment settingsTreatment ratesTreatment typeCareDisordersTreatmentVisitsMost individualsOptionsSettingIndividualsEmergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial
D’Onofrio G, O’Connor P, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial. JAMA 2015, 313: 1636-1644. PMID: 25919527, PMCID: PMC4527523, DOI: 10.1001/jama.2015.3474.Peer-Reviewed Original ResearchConceptsBrief intervention groupOpioid-dependent patientsIllicit opioid useAddiction treatment servicesPercent of patientsBuprenorphine groupEmergency departmentIntervention groupReferral groupOpioid useTreatment servicesBrief interventionOpioid dependenceClinical trialsHIV riskUrban teaching hospital emergency departmentBuprenorphine/naloxone treatmentHuman immunodeficiency virus (HIV) riskTeaching hospital emergency departmentAddiction treatmentBuprenorphine treatment groupUrine samplesBuprenorphine/naloxoneRandomized clinical trialsCommunity-based treatment servicesSalary Differences Between Male and Female Registered Nurses in the United States
Muench U, Sindelar J, Busch SH, Buerhaus PI. Salary Differences Between Male and Female Registered Nurses in the United States. JAMA 2015, 313: 1265-1267. PMID: 25803350, DOI: 10.1001/jama.2015.1487.Peer-Reviewed Original Research
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 HospitalACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults
Busch SH, Golberstein E, Meara E. ACA Dependent Coverage Provision Reduced High Out-Of-Pocket Health Care Spending For Young Adults. Health Affairs 2014, 33: 1361-1366. PMID: 25092837, DOI: 10.1377/hlthaff.2014.0155.Peer-Reviewed Original ResearchConceptsDependent coverage provisionAffordable Care ActPrivate insurance plansYoung adultsACA dependent coverage provisionCoverage provisionPocket health care spendingHealth care spendingPocket expensesPocket expenditureCare spendingInsurance plansCare ActAdultsSignificant reductionFinancial protectionCoverage rateAge twentyNet differenceOlder peersUse of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions
Meara E, Golberstein E, Zaha R, Greenfield SF, Beardslee WR, Busch SH. Use of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions. JAMA Psychiatry 2014, 71: 404-411. PMID: 24554245, PMCID: PMC4140186, DOI: 10.1001/jamapsychiatry.2013.3972.Peer-Reviewed Original ResearchConceptsBehavioral health diagnosesHospital-based careInpatient admission ratesBehavioral health disordersEmergency departmentYoung adultsHealth diagnosisPrimary diagnosisAdmission ratesHealth disordersEmergency department visit ratesInsurance coverageEmergency department useHospital discharge dataUse of hospitalPopulation-based sampleMassachusetts' 2006 health reformSubstance use disordersInsurance coverage expansionBehavioral health needsHealth insurance coverageHealth reformHealth insurance expansionsHospital dischargeInpatient admissionsThe effects of federal parity on substance use disorder treatment.
Busch SH, Epstein AJ, Harhay MO, Fiellin DA, Un H, Leader D, Barry CL. The effects of federal parity on substance use disorder treatment. The American Journal Of Managed Care 2014, 20: 76-82. PMID: 24512166, PMCID: PMC3987861.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentSubstance use disorder servicesFederal parityDisorder treatmentPlan enrolleesDisorder servicesHealth plansHealth plan spendingPete Domenici Mental Health ParityGeneral medical servicesProportion of enrolleesAddiction Equity ActFederal parity lawMental Health ParityManagement of careState parity lawsParity lawsTreatment initiationPlan spendingPrivate insurance coverageHealth ParityTreatment engagementSelf-insured health plansEnrollees
2013
Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA
Busch SH, Meara E, Huskamp HA, Barry CL. Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA. Psychiatric Services 2013, 64: 520-526. PMID: 23450343, PMCID: PMC3672321, DOI: 10.1176/appi.ps.201200011.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentAffordable Care ActSubstance use disordersDisorder treatmentMedicaid enrolleesUse disordersUnmet needTreatment ratesSignificant unmet needFederal poverty levelCharacteristics of adultsTreatment needsMedicaid coverageDrug useHealth statusUninsured individualsInsurance expansionDemographic characteristicsCare ActDisordersTreatmentNational surveyLow-income individualsInformal care