Others titles

  • SAMHSA Substance Abuse Spending Estimates
  • SAMHSA Substance Abuse Spending
  • Public And Private Substance Abuse Spending

Keywords

  • Substance Abuse
  • Medicare
  • Medicaid
  • Medicare Substance Abuse
  • Medicaid Substance Abuse

Substance Abuse Spending Estimates

The Substance Abuse Spending Estimates dataset lists detailed public and private yearly spending estimates related to substance abuse from 1986 to 2009 published in Substance Abuse and Mental Health Services Administration (SAMHSA) national expenditures for mental health services & substance abuse treatment report

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Description

Substance Abuse Spending Estimates dataset identifies public and private spending related to substance abuse per provider.

Private Payments. Any payments made through private health insurance, out-of-pocket, or other private sources.
Private health insurance is represented in two pieces in the MHSA spending estimates: benefits paid by private insurance to providers of service or for prescription drugs, and the net cost of private insurance—the difference between health premiums earned and benefits incurred—that is included in the category of insurance administration. The net cost of private insurance includes costs associated with bill processing, advertising, sales commissions, other administrative costs, net additions to reserves, rate credits and dividends, premium taxes, and profits or losses, among other items. Private health insurance benefits paid through managed care plans on behalf of Medicare or Medicaid are excluded.
Out-of-pocket payments include direct spending by consumers for health care goods and services, including coinsurance, deductibles, and any amounts paid for health care services that are not covered by public or private insurance. Health insurance premiums paid by individuals are not covered here, but are counted as part of private health insurance.
Other private includes spending from philanthropic and foundation sources and from nonpatient revenues. Nonpatient revenues are monies received for nonhealth purposes, such as from the operation of gift shops, parking lots, cafeterias, and educational programs, or from returns on investments.

Public Payments. Any payments made on behalf of enrollees in Medicare or Medicaid or through other programs run by the federal or individual state government agencies.
Medicare is a federal government program that provides health insurance coverage to eligible elderly and disabled persons. It is composed of four parts: Part A—coverage of institutional services, including inpatient hospital services, nursing home care, initial home health visits, and hospice care; Part B—coverage for physicians and other professional services, outpatient clinic or hospital services, laboratory services, rehabilitation therapy, and home health visits not covered by Part A, among other services; Part C—Medicare Advantage program providing coverage through private plans; and Part D—coverage for prescription drugs, starting in 2006.
Medicare payments include payments made through fee-for-service (Part A and Part B) and managed care (Part C and Part D) plans.
Medicaid is a program jointly funded by the federal and state governments that provides health care coverage to certain classes of persons with limited income and resources. Within federal guidelines, state governments set eligibility standards, determine services provided, set reimbursement rates, and administer the program. Income and resources are only two factors in determining eligibility, so not all poor people in a state are necessarily covered by this program. Spending represents both federal and state portions unless otherwise specified. Medicaid payments also include payments made through fee-for-service and managed care plans. This line also includes State Children’s Insurance Program (SCHIP) spending that is administered as part of the Medicaid program.
Other federal includes spending provided through the DVA and DoD, treatment spending through MH and SA block grants administered by SAMHSA, and treatment under the Indian Health Service, among other federal payers. It also includes any federal SCHIP spending that is administered separately from the Medicaid program.
Other state and local includes programs funded primarily through state and local offices of MH and SA, but may also include funding from other state and local sources such as general assistance or state and local hospital subsidies. It also includes any state and local SCHIP spending that is administered separately from the Medicaid program.

About this Dataset

Data Info

Date Created

2013-04-01

Last Modified

2013-04-01

Version

2013-04-01

Update Frequency

Irregular

Temporal Coverage

1986-2009

Spatial Coverage

United States

Source

John Snow Labs; Substance Abuse and Mental Health Services Administration (SAMHSA);

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Substance Abuse, Medicare, Medicaid, Medicare Substance Abuse, Medicaid Substance Abuse

Other Titles

SAMHSA Substance Abuse Spending Estimates, SAMHSA Substance Abuse Spending, Public And Private Substance Abuse Spending

Data Fields

Name Description Type Constraints
Provider_CategoriesProviders of service are classified according to the major types of services they furnish. In addition to the major types of services they deliver, providers often perform other functions.stringrequired : 1
YearSpending yeardaterequired : 1
Total_All_PayersTotal spending of all puclic and private payers in millions of dollars.numberrequired : 1level : Ratio
Total_PrivateTotal spending of all private payers in millions of dollars, it includes out-of-pocket expenditures, private insurance, and other private sources.numberrequired : 1level : Ratio
Out_of_Pocket_PaymentsOut-of-pocket payments include direct spending by consumers for health care goods and services, including coinsurance, deductibles, and any amounts paid for health care services that are not covered by public or private insurance. Health insurance premiums paid by individuals are not covered here, but are counted as part of private health insurance.numberrequired : 1level : Ratio
Private_InsurancePrivate health insurance is represented in two pieces in the MHSA spending estimates: a) benefits paid by private insurance to providers of service or for prescription drugs, or b) the net cost of private insurance, the difference between health premiums earned and benefits incurred, that is included in the category of “insurance administration.” The net cost of private insurance includes costs associated with bill processing, advertising, sales commissions, other administrative costs, net additions to reserves, rate credits and dividends, premium taxes, and profits or losses, among other items.numberrequired : 1level : Ratio
Other_PrivateOther private includes spending from philanthropic and foundation sources for health care services and from non-patient revenues. Non-patient revenues are monies received by hospitals and other health care providers for non-health purposes, such as from the operation of gift shops, parking lots, cafeterias, and educational programs, or returns on investments.numberrequired : 1level : Ratio
Total_PublicTotal spending of all public payers in millions of dollars, it includes Medicare, Medicaid, other Federal, and other State and local.numberrequired : 1level : Ratio
MedicareMedicare is a Federal government program that provides health insurance coverage to eligible elderly and disabled persons. It is composed of four parts: Part A (coverage of institutional services, including inpatient hospital services, nursing home care, initial home health visits, and hospice care); Part B (coverage for physicians and other professional services, outpatient clinic or hospital services, laboratory services, rehabilitation therapy, and home health visits not covered by Part A, among other services); Part C (Medicare Advantage program providing coverage through private plans); and Part D (coverage for prescription drugs, starting in 2006).numberrequired : 1level : Ratio
MedicaidMedicaid is a program jointly funded by the Federal and State governments that provides health care coverage to certain classes of persons with limited income and resources. Within Federal guidelines, State governments set eligibility standards, determine optional services provided, set reimbursement rates, and administer the program. Income and resources are only two factors in determining eligibility, so not all poor people in a State are necessarily covered by this program. Spending represents both Federal and State portions unless otherwise specified. This line also includes SCHIP spending that is administered as part of the Medicaid program.numberrequired : 1level : Ratio
Other_FederalOther Federal includes spending provided through the Department of Veterans Affairs and Department of Defense; treatment spending through mental health and substance abuse block grants administered by SAMHSA; and treatment under the Indian Health Service, among other Federal payers. It also includes any Federal SCHIP spending that is administered separately from the Medicaid program.numberrequired : 1level : Ratio
Other_State_And_LocalOther State and local includes programs funded primarily through State and local offices of mental health and substance abuse, but may also include funding from other State and local sources such as general assistance or State and local hospital subsidies. It also includes any state and local SCHIP spending that is administered separately from the Medicaid program.numberrequired : 1level : Ratio

Data Preview

Provider CategoriesYearTotal All PayersTotal PrivateOut of Pocket PaymentsPrivate InsuranceOther PrivateTotal PublicMedicareMedicaidOther FederalOther State And Local
Total Spending1986908544381209292930146473328519772487
Total Spending19879776448512272864393529136396310502916
Total Spending1988108384715123729844946122399111013863227
Total Spending1989114174751117730105656666426118415233532
Total Spending1990120424754113529806397288453128618063744
Total Spending199112053405194425665428002468165226733209
Total Spending1992134034379163820666769024556205727633647
Total Spending19931495747702282168880010187635241428964242
Total Spending19941521646061828205772010610709287525644462
Total Spending19951537844021308244764710976773333422224647