Addiction Medicine: Closing the Gap between Science and Practice

Private

55.6%

($1.4 T)

Public

44.4%

($1.1 T)

Medical Care

Private

20.8%

($5.8 B)

Public

79.2%

($22.2 B)

Addiction Treatment

Source: CASA Columbia (2012) analysis of the National Expenditures for Mental Health Services &

Substance Abuse Treatment 1986-2005 (Table A.1) SAMHSA Spending Estimates Project, 2010; CMS Office

of the Actuary, National Health Statistics Group with our estimated dollar updates.

Figure 7.C

Public vs Private Spending

Private Health

Insurance

30.5% ($1.8B)Self-Pay 56.6% ($3.3B)

Other Private

Sources

12.9% ($0.8B)

Figure 7.D

Components of Private Addiction

Treatment Spending (Total $5.8B)

Source: CASA Columbia analysis of the National Expenditures for Mental

Health Services & Substance Abuse Treatment 1986-2005. (2012).

Privately-Funded Treatment ......................................................................................

In 2010, 20.8 percent ($5.8 billion) of addiction
treatment expenditures came from private
sources. Private spending includes:

 56.6 percent ($3.3 billion) from private
health insurance;

 30.5 percent ($1.8 billion) from self-pay by
patients; and

(^)
 12.9 percent ($0.8 billion) from other private
sources, such as charitable donations and
charity care/fee waivers.^53 (Figure 7.D)

Publicly-Funded Treatment

In 2010 79.2 percent ($22.2 billion) in addiction
treatment expenditures came from public
sources. Public spending includes:

 45.3 percent ($10.1 billion) from state and
local government non-Medicaid sources;

 26.3 percent ($5.9 billion) from Medicaid;

 19.9 percent ($4.4 billion) from other

federal funds such as block grants to states;

and

 8.5 percent ($1.9 billion) from Medicare.* 54

(Figure 7.E)

* Medicaid and Medicare are government programs

with state and federal contributions. Therefore, the

estimates reported in the federal, state and local

categories are exclusive of the estimates of public

funds spent through Medicare and Medicaid

programs.