Future funding for mental health and substance abuse: increasing burdens for the public sector.
Spending on mental health (MH) and substance abuse (SA) treatment is expected to double between 2003 and 2014, to $239 billion, and is anticipated to continue falling as a share of all health spending. By 2014, our projections of SA spending show increasing responsibility for state and local governments (45 percent); deteriorating shares financed by private insurance (7 percent); and 42 percent of SA spending going to specialty SA centers. For MH, Medicaid is forecasted to fund an increasingly larger share of treatment costs (27 percent), and prescription medications are expected to capture 30 percent of MH spending by 2014.
Levit
Katharine R
KR
Thomson Reuters, in Evanston, Illinois, USA. Katharine.Levit@thomsonreuters.com
Kassed
Cheryl A
CA
Coffey
Rosanna M
RM
Mark
Tami L
TL
Stranges
Elizabeth M
EM
Buck
Jeffrey A
JA
Vandivort-Warren
Rita
R
D005380:Financing, Government / Q000639:trends*; D008484:Medicaid / Q000191:economics; D008605:Mental Health Services / Q000191:economics*; D016320:Substance Abuse Treatment Centers / Q000191:economics*; D014481:United States