title: Economic implications of reduced binge drinking among the military health system's TRICARE Prime plan beneficiaries.
abstract: This study examines the economic burden of alcohol misuse to the Department of Defense (DoD) and the benefits of reduced binge drinking among beneficiaries in the DoD's TRICARE Prime plan. Data analyzed include administrative records for approximately 3 million beneficiaries age 18 to 64, DoD's Survey of Health Related Behaviors Among Military Personnel, and the National Survey on Drug Use and Health. Alcohol misuse among Prime beneficiaries cost the DoD an estimated $1.2 billion in 2006--$425 million in higher medical costs and $745 million in reduced readiness and misconduct charges. Potential annual gross benefits to the DoD of reduced binge drinking are simulated for three scenarios: (1) implementing a comprehensive alcohol screening with referral to brief intervention or treatment by primary care ($87 million/$129 million in short/long-term benefits); (2) increasing the price of alcoholic beverages on military installations by 20% ($75 million/$115 million); and (3) implementing a Web-based education program ($81 million/$123 million).
authors.affiliation: National Association of State Alcohol and Drug Abuse Directors, 1025 Connecticut Avenue NW, Suite 605, Washington, DC 20036, USA.
authors.forename: Henrick J
authors.initials: HJ
authors.lastname: Harwood
authors.forename: Yiduo
authors.initials: Y
authors.lastname: Zhang
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Dall
authors.forename: Samuel T
authors.initials: ST
authors.lastname: Olaiya
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Fagan
mesh_terms: D000435:Alcoholic Intoxication / Q000191:economics* / Q000453:epidemiology / Q000517:prevention & control; D006291:Health Policy / Q000191:economics*; D006801:Humans; D008403:Mass Screening / Q000191:economics*; D008887:Military Medicine / Q000191:economics*; D008889:Military Personnel; D008962:Models, Theoretical; D016134:Organizational Policy; D015995:Prevalence; D016730:Program Development; D015397:Program Evaluation; D014481:United States / Q000453:epidemiology