Demos
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_Categories | Providers 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. | string | required : 1 |
| Year | Spending year | date | required : 1 |
| Total_All_Payers | Total spending of all puclic and private payers in millions of dollars. | number | level : Ratiorequired : 1 |
| Total_Private | Total spending of all private payers in millions of dollars, it includes out-of-pocket expenditures, private insurance, and other private sources. | number | level : Ratiorequired : 1 |
| Out_of_Pocket_Payments | 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. | number | level : Ratiorequired : 1 |
| Private_Insurance | Private 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. | number | level : Ratiorequired : 1 |
| Other_Private | Other 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. | number | level : Ratiorequired : 1 |
| Total_Public | Total spending of all public payers in millions of dollars, it includes Medicare, Medicaid, other Federal, and other State and local. | number | level : Ratiorequired : 1 |
| Medicare | 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). | number | level : Ratiorequired : 1 |
| Medicaid | 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 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. | number | level : Ratiorequired : 1 |
| Other_Federal | Other 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. | number | level : Ratiorequired : 1 |
| Other_State_And_Local | Other 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. | number | level : Ratiorequired : 1 |
Data Preview
| Provider Categories | Year | Total All Payers | Total Private | Out of Pocket Payments | Private Insurance | Other Private | Total Public | Medicare | Medicaid | Other Federal | Other State And Local |
| Total Spending | 1986 | 9085 | 4438 | 1209 | 2929 | 301 | 4647 | 332 | 851 | 977 | 2487 |
| Total Spending | 1987 | 9776 | 4485 | 1227 | 2864 | 393 | 5291 | 363 | 963 | 1050 | 2916 |
| Total Spending | 1988 | 10838 | 4715 | 1237 | 2984 | 494 | 6122 | 399 | 1110 | 1386 | 3227 |
| Total Spending | 1989 | 11417 | 4751 | 1177 | 3010 | 565 | 6666 | 426 | 1184 | 1523 | 3532 |
| Total Spending | 1990 | 12042 | 4754 | 1135 | 2980 | 639 | 7288 | 453 | 1286 | 1806 | 3744 |
| Total Spending | 1991 | 12053 | 4051 | 944 | 2566 | 542 | 8002 | 468 | 1652 | 2673 | 3209 |
| Total Spending | 1992 | 13403 | 4379 | 1638 | 2066 | 676 | 9024 | 556 | 2057 | 2763 | 3647 |
| Total Spending | 1993 | 14957 | 4770 | 2282 | 1688 | 800 | 10187 | 635 | 2414 | 2896 | 4242 |
| Total Spending | 1994 | 15216 | 4606 | 1828 | 2057 | 720 | 10610 | 709 | 2875 | 2564 | 4462 |
| Total Spending | 1995 | 15378 | 4402 | 1308 | 2447 | 647 | 10976 | 773 | 3334 | 2222 | 4647 |