The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations

Table 3 Logistic regression analysis on integrated primary care stratified by HSOs and MOs (2014 to 2016)

	Hispanic-serving organizations (N = 2173)			Mainstream organizations (N = 12,944)
	AOR	95% CI	p-value	AOR	95% CI	p-value
Year
2016	1.23	0.99–1.53	0.068	0.98	0.90–1.07	0.674
Medicaid expansion	0.89	0.68–1.16	0.371	1.00	0.91–1.10	0.983
Medicaid payments accepted	1.10	0.72–1.69	0.664	0.59	0.51–0.69	< 0.001
Community mental health block grant	1.97	1.57–2.49	< 0.001	1.26	1.14–1.39	< 0.001
Medicaid Expansion Interaction Terms
Medicaid expansion x Medicaid payments accepted	3.16	1.26–7.93	0.014	0.90	0.69–1.17	0.437
Medicaid expansion x CMHC	1.42	0.83–2.43	0.199	0.95	0.79–1.15	0.610
Medicaid expansion x CMHBG	1.08	0.65–1.80	0.775	1.24	1.04–1.49	0.017
Time Interactions
Medicaid Expansion × 2016	0.62	0.37–1.02	0.061	0.99	0.82–1.18	0.868
Medicaid payments accepted × 2016	1.15	0.50–2.62	0.742	0.97	0.74–1.26	0.804
CMHC × 2016	1.43	0.89–2.30	0.145	1.10	0.91–1.33	0.312
CMHBG × 2016	1.79	1.15–2.79	0.010	0.97	0.81–1.16	0.729

Note. AOR Adjusted Odds Ratio. All models accounted for control (ownership, organization size, community mental health center, % youth, % adults, % older adults, and % female), Medicaid expansion (Medicaid expansion, Medicaid payments accepted, Community mental health block grant), and time variables. Interaction models controlled for all main effects, including control variables. Interaction terms were conducted separately from each other. Year: 2010 is the reference category. Ownership: public departments is the reference categories. CMHC Community mental health center, CMHBG Community mental health block grant

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