Table 122Mental health and substance abuse expenditures, by payer: expenditures, United States, 1990, 2000, and 2009

[Estimates are derived from several data sources]

Type of payerMental health (millions of dollars)Substance abuse (millions of dollars)
199020002009199020002009
Total expenditures1$74,587$105,637$155,261$19,225$21,364$25,640
 Private—total32,52842,19762,0797,5905,4518,065
  Out-of-pocket211,87813,63617,0791,8121,7532,717
  Private insurance316,46725,63540,7804,7582,9074,058
  Other private44,1832,9264,2201,0207911,290
 Public—total542,05963,44093,18311,63615,91317,574
  Medicare64,7988,64620,3817239821,261
  Medicaid7,812,82527,88941,1582,0534,1065,434
  Other federal84,0665,0888,2202,8833,5302,833
  Other state and local88,920,36921,81823,4235,9777,2958,047
All federal1016,27229,89055,7434,7946,8957,682
All state1125,78733,55037,4396,8409,0189,892
1

Total expenditures are the sum of private (i.e., out-of-pocket, private insurance, and other private) and public (i.e., Medicare, Medicaid, other federal, and other state and local) expenditures.

2

Out-of-pocket expenditures account for direct spending by consumers for health care goods and services, including coinsurance, deductibles, and any amounts not covered by private or public insurance.

3

Private insurance accounts for benefits paid by private health insurers, including behavioral health plans, to service providers or for prescription medications, and for the administrative costs and profits of health plans.

4

Other private includes spending from philanthropic and other nonpatient revenue sources.

5

Public expenditures are the sum of Medicare, Medicaid, other federal, and other state and local. Public expenditures are also the sum of all federal and all state expenditures.

6

Medicare is the federal government program that provides health insurance coverage to eligible aged and disabled persons.

7

Medicaid is a program jointly funded by federal and state governments that provides health care coverage to certain classes of people with limited income and resources.

8

The Children's Health Insurance Program (CHIP) is distributed across Medicaid, other federal, and other state and local categories, depending on whether CHIP was run through Medicaid or as a separate state program.

9

Other state and local accounts for programs funded primarily through state and local mental health and substance abuse agencies. Substance Abuse and Mental Health Services Administration Block Grant expenditures are included in other federal expenditures. However, these funds are distributed from the federal government to state and local governments that then distribute them to providers.

10

All federal includes the federal share of Medicaid.

11

All state includes the state and local share of Medicaid.

NOTES: These data include revisions and may differ from data published in Mental Health, United States, 2010 (SAMHSA, 2012a).

Expenditure estimates were adjusted to 2012 dollars using the GDP Price Index. The index is compiled by the U.S. Department of Commerce's Bureau of Economic Analysis.

As an example of how to interpret the estimates in the table, in 1990, mental health expenditures in the United States totaled $74,587 million.

SOURCE: Substance Abuse and Mental Health Services Administration (SAMHSA). National expenditures for mental health services and substance abuse treatment, 1986–2009. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. DHHS Publication No. (SMA) 13-4740..

From: 5, TABLES

Cover of Behavioral Health, United States, 2012
Behavioral Health, United States, 2012.

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