Recorded presentation

Henrick J Harwood¹, Rita Vandivort-Warren, ACSW², Tami L. Mark, PhD³, Rosanna M. Coffey, PhD⁴, Joan D Dilonardo, PhD⁵, Ellen Bouchery¹, Edward C King⁶, Jim Genuardi⁷, and David McKusick, PhD⁷. (1) The Lewin Group, Inc, 3130 Fairview Park Drive, Suite 800, Falls Church, VA 22042, 703-269-5635, hjharwood@lewin.com, (2) Division of Policy Coordination, OPPB, OA, Substance Abuse & Mental Health Services Adm., HHS, 5600 Fishers Lane, Room 10-99, Parklawn Bldg, Rockville, MD 20857, (3) Outcomes Research and Econometrics, Medstat, 4301 Connecticut Avenue, NW, Washington, DC 20008, (4) The Medstat Group, 4301 Connecticut Avenue, NW, Washington, DC 20008, (5) Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockwall II Building, Suite 740, 5515 Security Lane, Rockville, MD 20852, (6) Actuarial Research Corporation, 5513 Twin Knolls Road, Suite 213, Columbia, MD 21045, (7) The Actuarial Research Group, 5513 Twin Knolls Road, Suite 213, Columbia, MD 21045

OBJECTIVE: The Substance Abuse and Mental Health Services Administration (SAMHSA) recently completed its third round of estimates of what the Nation spends on mental health and substance abuse treatment. These estimates have been widely used by policymakers to understand the source of funding for substance use disorder (SUD) treatment. In this presentation the audience will learn which types of payers funded SUD treatment as how funding streams for substance abuse compare to all health funding streams. METHODS: The study employed numerous nationally representative databases and statistical and actuarial methods to develop estimates of expenditures by payer type. Estimates are available by: private insurance, out-of-pocket, Medicare, Medicaid, other state and local government, and the Federal government. Payer distributions within specific types of providers are also available. RESULTS: National expenditures on SUD totaled $21 billion in 2001 which was 1.6% of the total health care spending. In 2001, public sources made up 77% of total SUD treatment spending. Thirty-six percent of SUD treatment dollars came from state and local governments compared to only 4% for all health. For substance abuse specialty providers, 60% of funding came from state and local governments, 13% from Medicaid, 8% from private insurance, and 7% from out-of-pocket. Other results will be presented. CONCLUSIONS: The public sector provides the majority of funding of substance abuse treatment, particularly for specialty substance

Learning Objectives:

• See session abstract

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: government grant recipient

Recorded presentation