title: Adults with dual eligibility for Medicaid and Medicare: access to substance abuse treatment.
abstract: Access to substance abuse treatment is a noted concern for people with disabilities. Although much is known about elders with dual eligibility for Medicaid and Medicare regarding any care utilization and expenditures, little is known about their younger counterparts and how substance abuse might contribute. Drawing on national Medicaid claims, treatment utilization was explored for adults with and without dual eligibility for Medicare. People with dual eligibility were less likely to both initiate and engage in treatment as compared to those without dual eligibility. Implications relate to how existing systems provide substance abuse treatment to people with disabilities.
authors.affiliation: Graduate School of Social Work, Salem State University, Salem, Massachusetts 01970, USA. eslayter@salemstate.edu
authors.forename: Elspeth
authors.initials: E
authors.lastname: Slayter
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D006233:Persons with Disabilities; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities; D006801:Humans; D007345:Insurance Claim Review / Q000706:statistics & numerical data; D008484:Medicaid; D006278:Medicare; D001523:Mental Disorders / Q000150:complications; D008875:Middle Aged; D012111:Residence Characteristics; D012737:Sex Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000628:therapy*; D014481:United States; D055815:Young Adult