Line graph shows the percentage distribution of spending on substance misuse treatment by setting. During the 1980s, insurance benefits and specialty addiction providers expanded, and from 1986 to 1992, substance use disorder spending grew. This expansion was followed by managed care restrictions on reimbursement for substance use disorder treatment in inpatient settings. As a result, inpatient substance use disorder treatment services declined from accounting for 50 percent of total spending for substance use disorder treatment in 1986 to only 19 percent in 2014. In that same time period spending on outpatient treatment increased from 27% of all substance use disorder sending to 40%, residential treatment spending increased from 17% to 27%, insurance administration spending increased from 5% to 8%, and prescription drug spending increased from less than 1% to 5%.

Figure 6.4Percentage Distribution of Spending on Substance Misuse Treatment by Setting, 1986-2014

Source: Substance Abuse and Mental Health Services Administration, (2016).167

From: CHAPTER 6, HEALTH CARE SYSTEMS AND SUBSTANCE USE DISORDERS

Cover of Facing Addiction in America
Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet].
Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US).
Washington (DC): US Department of Health and Human Services; 2016 Nov.
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