Increased prevalence of substance use disorder (SUD) can
increase the use of health services and costs associated
with treatment, drug overdoses, drug-related injuries,
and chronic health conditions. This brief uses 2018
all-payer claims data from seven states to describe the
lengths and costs of inpatient hospital stays for SUDs
and examines whether there were differences between stays
for rural and urban residents.
- Medicare and Medicaid were the primary payers for a
higher proportion of rural inpatients, while urban
inpatients were more likely to have private insurance
coverage for inpatient hospital stays.
- The percentage of inpatient stays for primary SUD
diagnosis admitted through court or law enforcement
channels was four and a half times higher for rural
residents than for urban residents.
- The proportion of rural inpatients who resided in
areas with no access to buprenorphine waivered physicians
was more than nine times higher than for urban inpatients.