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HPD commercial claims: mental health drives spending; SUD concentrated in facilities, OCA shows

5834586 · August 27, 2025
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Summary

An analysis of commercial claims in the state Healthcare Payments Database (HPD) presented Aug. 20 showed mental health services accounted for roughly seven of every eight commercial dollars spent on behavioral health in 2023 while substance use disorder services represented about 12.2 percent and were concentrated in inpatient and residential facilities, OCA staff said.

HPD commercial claims: mental health drives spending; SUD concentrated in facilities, OCA shows An analysis of commercial claims in the state Healthcare Payments Database (HPD) presented Aug. 20 showed mental health services accounted for roughly seven of every eight commercial dollars spent on behavioral health in 2023 while substance use disorder services represented about 12.2 percent and were concentrated in inpatient and residential facilities, OCA staff said. OCA staff reported that total commercial behavioral‑health spending rose by about $2,000,000,000 — roughly a 65 percent increase — from 2018 to 2023. In 2023, OCA cited roughly $4,500,000,000 in commercial mental‑health claims spending and $623,000,000 in commercial SUD claims spending. Mental‑health spending grew…

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