More people with schizophrenia have health insurance after the implementation of Obamacare

The national insurance rate for adults under 65 with schizophrenia decreased by 50% after the implementation of the Affordable Care Act (ACA) in 2014, according to University research of Massachusetts Amherst published this week at. JAMA Psychiatry.

Also known as Obamacare, the health care reform law was designed to make health insurance more affordable and available to all Americans. Previous studies have shown that the total number of people under the age of 65 with insurance decreased after the ACA, from 16.6% in 2010 to 11.0% in 2021.

We don’t know if we will see the same thing in people with schizophrenia and we were happy to see this because people with schizophrenia need constant care. It’s a serious, chronic illness and it’s important to have insurance, but people with schizophrenia may have many barriers to maintaining insurance. They are less employable and have higher social needs, among other things.”


Kimberley Geissler, assistant professor of health policy and management, UMass Amherst School of Public Health and Health Sciences

Before the Affordable Care Act, 8.4% of people with schizophrenia were uninsured, lower than the general population, Geissler notes, because of the Many people with schizophrenia may be eligible for Medicaid and/or Medicare under eligibility criteria.

Geissler and his team analyzed data from 2008 to 2020 from the Office for Health Research and Medical Expenditure Survey. in (MEPS). The sample has 9.173 million individuals with schizophrenia, defined as those who have at least one medical intervention for the mental disorder within two years. The researchers found a “significant reduction” in the percentage of uninsured people diagnosed with schizophrenia after the ACA. Before Obamacare, 8.4% were uninsured; after the ACA, the rate of uninsured people with schizophrenia dropped to 4%.

“We saw this decrease in uninsured rates as a result of the increase in Medicaid coverage, which makes sense because Medicaid generally increased with the ACA because of the expansion of Medicaid and the mandate for uninsured. back to school,” Geissler said. “People who didn’t know they were eligible or didn’t apply for Medicaid before were able to be protected after the ACA.”

About 70% of insured people with schizophrenia were covered by Medicaid post-ACA, compared to 61% pre-ACA, the researchers estimated. Coverage increased to 43% after the ACA, from 38% before the ACA. Private insurance dropped slightly to 19% after the ACA from 22% before the ACA.

Geissler said the findings are an encouragement to the general public for people with schizophrenia. “I was happy to see that the uninsured rate is as low as it is, that more people are now covered by the “there before”.

Research has also shown that effective care is available for this frail patient population. “We know that having insurance improves many types of outcomes, but we haven’t looked specifically at whether this increased rate of insurance for people with schizophrenia is associated with increased risk,” he said. he said. “We suspect so, but we don’t know for sure.”

The national insurance rate for adults under 65 with schizophrenia decreased by 50% after the implementation of the Affordable Care Act (ACA) in 2014, according to research by the University of Massachusetts Amherst was published this week in JAMA Psychiatry.

Also known as Obamacare, the health care reform law was designed to make health insurance more affordable and available to all Americans. Previous studies have shown that the total number of people under the age of 65 with insurance decreased after the ACA, from 16.6% in 2010 to 11.0% in 2021.

“We didn’t know if we’d see the same thing in people with schizophrenia and we’re excited to see this because people with schizophrenia need constant care,” he said. by Kimberley Geissler, assistant professor of health policy and management at the UMass Amherst School of Health and Human Services. “It’s a very serious, chronic condition and having insurance is very important, but people with schizophrenia may have many barriers to maintaining insurance. They have less opportunity to work and social needs are higher, among other things.”

Before the Affordable Care Act, 8.4% of people with schizophrenia were uninsured, lower than the general population, Geissler notes, because of the Many people with schizophrenia may be eligible for Medicaid and/or Medicare under eligibility criteria.

Geissler and his team analyzed data from 2008 to 2020 from the Office for Health Research and Medical Expenditure Survey. in (MEPS). The sample has 9.173 million individuals with schizophrenia, defined as those who have had at least one medical intervention for the mental disorder within two years. The researchers found a “significant reduction” in the percentage of uninsured people diagnosed with schizophrenia after the ACA. Before Obamacare, 8.4% were uninsured; after the ACA, the rate of uninsured people with schizophrenia dropped to 4%.

“We saw this decrease in uninsured rates as a result of the increase in Medicaid coverage, which makes sense because Medicaid generally increased with the ACA because of the expansion of Medicaid and the mandate for uninsured. back to school,” Geissler said. “People who didn’t know they were eligible or didn’t apply for Medicaid before were able to be protected after the ACA.”

About 70% of insured people with schizophrenia were covered by Medicaid post-ACA, compared to 61% pre-ACA, the researchers estimated. Medicare coverage increased to 43% after the ACA, up from 38% before the ACA. Private insurance dropped slightly to 19% after the ACA from 22% before the ACA.

Geissler said the findings are an encouragement to the general public for people with schizophrenia. “I was happy to see that the uninsured rate is as low as it is, and that more people are now protected by the in the past”.

Research has also shown that effective care is available for this frail patient population. “We know that having insurance improves many types of outcomes, but we haven’t looked specifically at whether this increased rate of insurance for people with schizophrenia is associated with increased risk,” he said. he said. “We suspect so, but we don’t know for sure.”

Source:

Author reference:

Geissler, KH, etc. (2023) Differences in Insurance Coverage for Individuals with Schizophrenia After Implementation of the Patient Protection and Care Act. JAMA Psychiatry. doi.org/10.1001/jamapsychiatry.2022.4628.

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