Assesses the percentage of members 13 years of age and older who were diagnosed with a substance use disorder (SUD) during the measurement year. Four rates are reported: 1.) The percentage of members diagnosed with an alcohol disorder; 2.) The percentage of members diagnosed with an opioid disorder; 3.) The percentage of members diagnosed with a disorder for other or unspecified drugs; 4.) The percentage of members diagnosed with any substance use disorder.
In each category, the organization reports by age the number of members with an SUD diagnosis.
Note: This measure provides information on the diagnosed prevalence of substance use disorders. Neither a higher nor lower rate indicates better performance.
Why It Matters
In 2022, 48.7 million individuals in the U.S. 12 years of age or older (approximately 17.3% of the population) were classified as having had an SUD in the past year.1 An SUD is recurrent use of alcohol and/or drugs that causes significant impairment, both clinically and functionally.2. Individuals with SUDs are at increased risk of overdose, injury, soft tissue infections and mortality.3 In 2021, drug overdose accounted for 106,699 deaths, representing a 14% increase in overdose deaths compared to 2020.4 Similarly, over 140,000 people die each year from excessive alcohol use.5
Alcohol (Total)
| Measurement Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 1 | 1 | 2.5 | 2.9 | 2 |
Any (Total)
| Measurement Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 1.7 | 1.7 | 6.4 | 7.8 | 4.3 |
Opioid (Total)
| Measurement Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 0.3 | 0.3 | 2.4 | 2.8 | 1.4 |
Other (Total)
| Measurement Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 0.6 | 0.5 | 3.6 | 3.4 | 1.4 |
References
- Substance Abuse and Mental Health Services Administration. 2023. “Key Substance Use and Mental Health Indicators in the United States: Results from the 2022 National Survey on Drug Use and Health.” (HHS Publication No. PEP23-07-01-006, NSDUH Series H-58.) Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/data/sites/default/files/reports/rpt42731/2022-nsduh-nnr.pdf
- 2016. “Receipt of Services for Substance Use and Mental Health Issues among Adults: Results from the 2015 National Survey on Drug Use and Health.” http://www.samhsa.gov/data/sites/default/files/NSDUH-ServiceUseAdult-2015/NSDUH-ServiceUseAdult-2015/NSDUH-ServiceUseAdult-2015.htm
- Bahorik, A.L., D.D. Satre, A.H. Kline-Simon, C.M. Weisner, C.L. Campbell. 2017. “Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System.” J Addiction Medicine 11(1),3–9.
- Centers for Disease Control and Prevention. 2023. Drug Overdose Deaths. https://www.cdc.gov/drugoverdose/deaths/index.html
- Centers for Disease Control and Prevention. 2022. Deaths from Excessive Alcohol Use. https://www.cdc.gov/alcohol/features/excessive-alcohol-deaths.html#:~:text=More%20than%20140%2C000%20people%20die,in%20the%20U.S.%20each%20year