Featured Publications
Geographic Penetration of Private Equity Ownership in Outpatient and Residential Behavioral Health
Zhu J, Greenberg E, King M, Busch S. Geographic Penetration of Private Equity Ownership in Outpatient and Residential Behavioral Health. JAMA Psychiatry 2024, 81: 732-735. PMID: 38691384, PMCID: PMC11063916, DOI: 10.1001/jamapsychiatry.2024.0825.Peer-Reviewed Original ResearchParticipation of Behavioral Health Facilities in Medicare Accountable Care Organizations
Hou Y, Busch S, Newton H. Participation of Behavioral Health Facilities in Medicare Accountable Care Organizations. JAMA Health Forum 2024, 5: e244022. PMID: 39602108, DOI: 10.1001/jamahealthforum.2024.4022.Peer-Reviewed Original ResearchCharacteristics of Adults Treated at Mental Health Treatment Centers in the US, 2022
Busch S, Hockenberry J, Newton H. Characteristics of Adults Treated at Mental Health Treatment Centers in the US, 2022. JAMA Psychiatry 2024, 82 PMID: 39602152, PMCID: PMC11603377, DOI: 10.1001/jamapsychiatry.2024.3842.Peer-Reviewed Original Research
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 sampleCareAccess to treatment before and after Medicare coverage of opioid treatment programs
Liu R, Beetham T, Newton H, Busch S. Access to treatment before and after Medicare coverage of opioid treatment programs. Health Affairs Scholar 2024, 2: qxae076. PMID: 38938273, PMCID: PMC11210307, DOI: 10.1093/haschl/qxae076.Peer-Reviewed Original ResearchTreatment servicesOpioid use disorderTreatment programsOpioid treatment programsMedicare coverageFor-profit statusCounty-level changesTreat opioid use disorderNonwhite residentsNonwhite populationsOpioid use disorder treatment servicesSociodemographic characteristicsNational DirectoryServicesUse disorderTreatment facilitiesOutpatient settingMedicareAccessOpioidPatients’ 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
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
2018
State breast density inform mandate laws and utilization of adjunctive screening tests and cancer detection following screening mammography.
Gross C, Hoag J, Xu X, Richman I, Aminawung J, Soulos P, Busch S. State breast density inform mandate laws and utilization of adjunctive screening tests and cancer detection following screening mammography. Journal Of Clinical Oncology 2018, 36: 6579-6579. DOI: 10.1200/jco.2018.36.15_suppl.6579.Peer-Reviewed Original Research
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 individualsOptionsSettingIndividuals