Substance Use Treatment Provider Behavior and Healthcare Reform: Evidence from Massachusetts
研究了2006年马萨诸塞州医疗改革对物质使用障碍治疗机构服务量和可及性的影响，发现改革未显著改变治疗数量或可及性，但改变了治疗环境、服务数量和针对特殊人群的项目数量。
We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment facilities' provision of care. We test the impact of the reform on treatment quantity and access. We couple data on the near universe of specialty SUD treatment providers in the USA with a synthetic control method approach. We find little evidence that the reform lead to changes in treatment quantity or access. Reform effects were similar among for-profit and non-profit facilities. In an extension, we show that the reform altered the setting in which treatment is received, the number of offered services, and the number of programs for special populations. These findings may be useful in predicting the implications of major health insurance expansions on the provision of SUD treatment. Copyright © 2017 John Wiley & Sons, Ltd.