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In 2009, the United States spent $24.3 billion on addiction treatment. Public payers accounted for the vast majority of spending (69%) at $16.7 billion, while private payers (including private insurance, out-of-pocket spending, and other private spending) accounted for 31% ($7.6 billion). In 2012, there were an estimated 22.2 million persons classified with substance dependence or abuse in the past year, but only 10.8% of these individuals (or 2.5 million) received treatment for their substance dependence or abuse in a specialty facility (defined as hospital inpatient, drug or alcohol rehabilitation, or mental health centers).
The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates on spending for treatment are small compared to the National Institute on Drug Abuse (NIDA) estimate for the economic cost of drug addiction. NIDA estimates that addictions cost the U.S. more than $600 billion each year in damages, health care, law enforcement, subsidized treatment, and prevention efforts. To describe the addictions treatment services market, we explore seven key elements that make up the addictions treatment service delivery system:
1. Addictions treatment services market defined
2. Market size and trend by payer
3. Market spending by provider type and care setting
4. Populations served
5. State specific market data
6. Agencies tracking data
7. Issues influencing the level, direction, and mix of payers

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