Common and Costly Hospitalizations Among Insured Young Adults Since the Affordable Care Act

Abstract

This study establishes a baseline for the ongoing assessment of the most common and costly hospitalizations among privately insured young adults in the United States under the Affordable Care Act. The substantial burden of potentially avoidable hospitalizations (e.g., mental health, injury, and poisonings) supports resource allocation to improve outpatient services, mental health access, and public health prevention strategies for young adults.

The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill

“…Second, we used data from a commercial insurer that do not include Medicaid and Medicare fee-for-service enrollees, both of which are important payers for buprenorphine. In our sample, patients' demographics, such as region, age, and race/ethnicity, are comparable with U.S. averages, but incomes are higher than for the United States at large (Bain et al, 2016). It is worth noting that prior studies have used Optum claims data to understand patient outcomes and prescribing patterns of patients with OUDs and treatment for OUDs (Huskamp et al, 2020).…”

A Qualitative Investigation of Healthcare Engagement Among Young Adult Gay Men in New York City: A P18 Cohort Substudy

“…Deductible costs and co-pays are a larger percentage of a young adult's income than an adult's income. 3,41 Examining the Andersen construct 36 of consumer satisfaction, this study revealed distinct health-seeking patterns for men in this study. Some men in this study chose to separate sexual healthcare from primary care services.…”

A medical peer-delivered intervention comprising brief motivational interviewing via instant-messaging interaction to reduce drug misuse among youth in Hong Kong: A protocol for a randomised controlled trial

“…However, of the drug-misusing youth surveyed, more than half reported that they had never attempted to abstain from using drugs, only 12.2 % had attempted to seek help, and more than 75 % reported they would not accept medical treatment because they did not believe that they were addicted [ 2 ]. Many non-pharmaceutical interventions have previously been applied, but a meta-analysis found that these interventions were ineffective at helping youth stop misusing drugs [ 7 , 8 ]. A primary reason for this failure was that the patient education methods used may have made drug-misusing youth resistant to accepting interventions [ 8 ].…”

“…Many non-pharmaceutical interventions have previously been applied, but a meta-analysis found that these interventions were ineffective at helping youth stop misusing drugs [ 7 , 8 ]. A primary reason for this failure was that the patient education methods used may have made drug-misusing youth resistant to accepting interventions [ 8 ]. Previous studies have confirmed that recovery from drug misuse is influenced by users’ intentions to change, which are directly determined by their perceptions of anti-drug education and their perceived self-efficacy to change [ 3 ].…”

“…Another reason for the failure of non-pharmaceutical interventions may be that standard interventional content may fail to meet the personal needs of people who misuse drugs. In addition, the meta-analysis also showed that individual interventions comprising more than one session had a stronger effect, whereas brief interventions provided an insufficient number of sessions to support behaviour changes among youth who misuse drugs [ 8 ]. Furthermore, qualitative interviews with youth drug misusers have shown that adolescents were reluctant to seek help from sources who they believed would be judgmental, lacked expertise, would reveal their personal information to others, or would inform their parents [ 10 ].…”