21MAmericans struggle with a substance use disorder1

individuals with substance use disorders receives treatment6

1in10 only

200 %increase in the rate of deaths from drug overdose between 2002 and 20174

economic burden of the opioid crisis alone in the U.S.2

$504B

Improving access to specialized providers

Preferred SUD network

48–56%

of our members are within 20 miles of a medication-assisted treatment (MAT) provider9

savings in out-of-pocket costs for members through alternative payment models7

Facility Benefit Inquiry programPositions individuals for recovery by connecting them to nearby resources

lower readmission rates per year for members who receive care at in-network facilities10

90

20%+

%+

Guiding individuals to the right care

Supporting long-term recovery

Substance use disorders (SUDs)

Optum Behavioral Health

1. U.S. Department of Health and Human Services (HHS), Office of the Surgeon General. Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: HHS, November 2016. addiction.surgeongeneral.gov/surgeon-generals-report.pdf.2. The Council of Economic Advisors. The Underestimated Cost of the Opioid Crisis. November 2017. whitehouse.gov/sites/whitehouse.gov/files/images/The%20Underestimated% 20Cost%20of%20the%20Opioid%20Crisis.pdf. 3. Optum comparative analysis of average annual 30- and 90-day readmission rates for in-network and out-of-network residential SUD treatment programs authorized for members from January 2017 to December 2018. Data includes membership in all age cohorts from the commercial book of business, and is representative of high OON volume in states outside member state of residence. Bolstrom, HVO, September 2019. 4. National Institute on Drug Abuse. Overdose death rates – United States. August 2018. drugabuse.gov/related-topics/trends-statistics/overdose-death-rates.5. National Institute on Alcohol Abuse and Alcoholism (NIAAA). Alcohol facts and statistics. U.S. Department of Health and Human Services, updated August 2018. niaaa.nih.gov/alcohol-health/ overview-alcohol-consumption/alcohol-facts-and-statistics.6. U.S. Department of Health and Human Services (HHS), Office of the Surgeon General. Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: HHS, November 2016. addiction.surgeongeneral.gov/surgeon-generals-report.pdf.7. Estimate is based on Optum analysis on OOP savings for a national commercial employer client. Mao. August 2017. Results are from one national commercial employer client. Results not guaranteed. 8. Comparison of average 30-day episode-of-care cost for out-of-network residential treatment ($35,4580) to that for in-network residential treatment ($11,058). “Episode of care” is defined as claims between three days prior to admission through 30 days after discharge. Data is representative of high OON volume in states outside member state of residence. Bolstrom, HVO, September 2019.9. Ogren L. Data from Optum GeoAccess reports for commercial membership. December 2019.10. Optum comparative analysis of average annual 30- and 90-day readmission rates for in-network and out-of-network residential SUD treatment programs authorized for members from November 2016 to May 2018. Data includes membership in all age cohorts from the commercial book of business. Nussbaum, September 2018.

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higher readmission rates per year for individuals who receive treatment at out-of-network destination facilities, which emphasize resort-like settings rather than quality of treatment3

150%+

deaths from alcohol-related causes annually5

88K

Substance Use Disorder Helpline

Specialized substance use recovery advocates available 24/7 by phone and can arrange for a provider, usually within 24 hours

Dedicated member portal with hundreds of self-help resources

A more intelligent approach to substance use disorders

200%

Mobile and web tools that engage individuals in their recovery:

Community support groups

Substance use disorder support by phone

Online cognitive behavioral therapy

lower cost per episode versus out-of-network SUD facilities8