Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder / Ryan K. MCBAIN in Journal of Autism and Developmental Disorders, 52-4 (April 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1881-1889 Titre : Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Bradley D. STEIN, Auteur ; Hao YU, Auteur Article en page(s) : p.1881-1889 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/therapy  Child  Humans  Insurance Coverage  Medicaid  Pediatricians  United States  Workforce  Autism  Autism spectrum disorder  Child psychiatrists  Medicaid expansion Index. décimale : PER Périodiques Résumé : Over 700,000 children throughout the U.S. have received insurance coverage through welcome mat effects of Medicaid expansion, including children with autism spectrum disorder (ASD). Utilizing health workforce data from the Health Resources and Services Administration, we examined workforce growth (2008-2017) among three types of health providers for children with ASD as a result of Medicaid expansion: child psychiatrists, board-certified behavioral analysts (BCBAs) and pediatricians. We found that state Medicaid expansion was associated with a 9% increase in BCBAs per 100,000 children one year after enactment, a 5% increase in child psychiatrists, and was not associated with growth in pediatricians. Results indicate the importance of new policies that directly address a shortage of providers for children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05044-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Bradley D. STEIN, Auteur ; Hao YU, Auteur . - p.1881-1889. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1881-1889 Mots-clés : Autism Spectrum Disorder/therapy  Child  Humans  Insurance Coverage  Medicaid  Pediatricians  United States  Workforce  Autism  Autism spectrum disorder  Child psychiatrists  Medicaid expansion Index. décimale : PER Périodiques Résumé : Over 700,000 children throughout the U.S. have received insurance coverage through welcome mat effects of Medicaid expansion, including children with autism spectrum disorder (ASD). Utilizing health workforce data from the Health Resources and Services Administration, we examined workforce growth (2008-2017) among three types of health providers for children with ASD as a result of Medicaid expansion: child psychiatrists, board-certified behavioral analysts (BCBAs) and pediatricians. We found that state Medicaid expansion was associated with a 9% increase in BCBAs per 100,000 children one year after enactment, a 5% increase in child psychiatrists, and was not associated with growth in pediatricians. Results indicate the importance of new policies that directly address a shortage of providers for children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05044-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Generosity of state insurance mandates and growth in the workforce for autism spectrum disorder / Ryan K. MCBAIN in Autism, 25-4 (May 2021)  

Public ISBD [article]  inAutism > 25-4 (May 2021) . - p.921-931 Titre : Generosity of state insurance mandates and growth in the workforce for autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Timothy CALLAGHAN, Auteur ; Bradley D. STEIN, Auteur ; Hao. YU, Auteur Article en page(s) : p.921-931 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  health services  policy  vocational/labor force participation Index. décimale : PER Périodiques Résumé : To improve access to health services for children with autism spectrum disorder, US states have passed laws requiring health insurers to cover autism-related care, commonly known as state insurance mandates. However, the features of mandates differ across states, with some state laws containing very generous provisions and others containing very restrictive provisions such as whether the mandates include children aged above 12?years, whether there is a limit on spending, and whether there are restrictions on the types of services covered. This study examined the relationship between generosity of mandates and growth in the health workforce between 2003 and 2017, a period during which 44 states passed mandates. We found that states that enacted more generous mandates experienced significantly more growth in board-certified behavioral analysts who provide behavioral therapy as well as more growth in child psychiatrists. We did not find differences in the growth of pediatricians, which is a less specialized segment of the workforce. Our findings were consistent across eight different mandate features and suggest that the content of legislation may be as important as whether or not legislation has been passed in terms of encouraging growth in the supply of services for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320976744 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Generosity of state insurance mandates and growth in the workforce for autism spectrum disorder [Texte imprimé et/ou numérique] / Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Timothy CALLAGHAN, Auteur ; Bradley D. STEIN, Auteur ; Hao. YU, Auteur . - p.921-931. Langues : Anglais (eng) in Autism > 25-4 (May 2021) . - p.921-931 Mots-clés : autism spectrum disorders  health services  policy  vocational/labor force participation Index. décimale : PER Périodiques Résumé : To improve access to health services for children with autism spectrum disorder, US states have passed laws requiring health insurers to cover autism-related care, commonly known as state insurance mandates. However, the features of mandates differ across states, with some state laws containing very generous provisions and others containing very restrictive provisions such as whether the mandates include children aged above 12?years, whether there is a limit on spending, and whether there are restrictions on the types of services covered. This study examined the relationship between generosity of mandates and growth in the health workforce between 2003 and 2017, a period during which 44 states passed mandates. We found that states that enacted more generous mandates experienced significantly more growth in board-certified behavioral analysts who provide behavioral therapy as well as more growth in child psychiatrists. We did not find differences in the growth of pediatricians, which is a less specialized segment of the workforce. Our findings were consistent across eight different mandate features and suggest that the content of legislation may be as important as whether or not legislation has been passed in terms of encouraging growth in the supply of services for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320976744 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

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