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United States Addiction Rehab Industry Report 2020

The “The U.S. Addiction Rehab Industry – 5th Edition” report has been added to ResearchAndMarkets.com’s offering.
Drug, alcohol and other addiction rehab in the United States is big business – $42 billion this year.
There are now 14,000+ treatment facilities and growing. A total of 3.7 million persons received treatment, but many more need it and facilities are filled to capacity. Insurance coverage for rehab has increased, but scandals abound as shoddy facilities opened and patient brokering, overbilling and deceptive marketing became common. Reforms are pending. Private equity firms are investing.
This new study examines the nature of the business, types of rehab, reasons for the renewed growth of addiction rehab services since the Great Recession and the opioid crisis, national receipts/growth from 1983-2018, 2020 and 2025 forecasts, average facility revenues and operating ratios, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics. Discussion of the Florida Model, destination markets in FL and CA, effects of increased volume due to the Affordable Care Act, industry history and evolution, and discussion of all major industry trends.
Includes all the pertinent data compiled by SAMHSA’s latest government survey, data from the NIDA, NAATP, state agencies, and more.
9 in-depth company profiles are provided for: Hazelden Betty Ford Foundation, CRC Health Group, Promises Behavioral Health, Passage Malibu, American Addiction Centers, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, and Behavioral Health of The Palm Beaches.
COVID-19 Update July 2020:
The publisher has issued a free July 2020 update for this report, analyzing the probable impacts of the Covid-19 pandemic on drug & alcohol addiction treatment centers.
It discusses: operational changes, the shift to virtual visits, a shift to more outpatient care, impact on federal state and local program funding, findings of recent industry surveys, examples of reduced caseloads and state actions, potential facility closures, how the industry may actually benefit from the pandemic, and revised 2020 and 2025 market growth forecasts.
Key Topics Covered:
Introduction, Sources & Methodology Used
Executive Overview of Major Findings
Discussion of scope of U.S. alcohol and drug addiction problem, cost to society, impact of treatment, structure of treatment providers industry (no. of facilities by type), major industry trends and issue, industry size, growth and forecasts (1983-2025 F), effects of recessions and Affordable Care Act, outlook for 2020, list of leading treatment organizations/companies, user demographic highlights of 2019 SAMSHA government survey regarding scope of drug & alcohol abuse/usage/persons in treatment, client & facility characteristics – highlights of all report chapters.
Nature and Structure of the Industry
- Discussion of different types of centers (% for-profit, non-profit, private/government, by primary focus), typical programs offered, treatment programs by type site
- Discussion of indicators of program quality
- Inpatient vs. outpatient care, etc. (no. of facilities, patients served, occupancy rate, industry revenues, average revenues per facility, mean no. of clients per facility,
- Typical cost of rehab
- Demand for care: no. of persons that need treatment
- Discussion of the industry’s major problems and scandals (deceptive marketing, overbilling, patient brokering, fraud, etc.)
- Various types of rehab (drug, alcohol, sex addiction, gambling, Internet, post-traumatic stress),
- The 6 major types of rehab (philosophies – faith-based, evidence-based, 12-step, etc.)
Demographics -SAMHSA Survey Findings – Data on Substance Abusers
- Key statistics about national costs of drug & alcohol abuse, hospitalizations, opioid use
- Discussion of trends in illicit drug use, persons age 12 or older: (usage of marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and percent of persons)
- Discuss trends in alcohol use, persons age 12 or older: (heavy drinking, binge drinking, current use – number and % of persons)
- Marijuana use – discussion, number and % of persons
- Cocaine use – discussion, number and % of persons
- Heroin use – discussion, number and % of persons
- Methamphetamine use – discussion, number and % of persons
- Inhalants use – discussion, number and % of persons:
- Hallucinogens use – discussion, number and % of persons:
- Psychotherapeutics use – discussion, number and % of persons:
- The Opioid epidemic: discussion, number and % of persons
Major Industry Trends & Issues
- Discussion of insurance fraud and overbilling, patient brokering, deceptive marketing
- Discussion of The Affordable Care Act and the Mental Health Parity and Addiction Equity
- Act and how it has upended the industry’s business model
- Compliance with evidence-based practices is spotty
- Private equity investors pour money into addiction treatment
- Attempts at reform: actions by Google, The Federal Support Act
- Discussion of The Opioid Crisis & Treatment, medically assisted treatment.
Industry Size, Growth, Segments, Forecasts
- Summary: Total industry size, estimates by government vs. other mkt. research firms, public vs. private spending/funding
- The treatment population: no. and % of people actually receiving treatment: 2018, payment by source of funds
- Number of treatment facilities in U.S., % treated by type facility, median no. of clients (total and by outpatient, residential, hospital, detox)
- Estimates of industry size ($ revenues): 2019 SAMHSA report, growth of private, public, out-of-pocket spending 2020 outlook and effect of Affordable Care Act, projected increase of persons in treatment, effects of recessions
- 2025 Forecast: major trends discussion: reliance on public financing, Medicaid, increased private insurance coverage, E-health, effect of recessions
- Discussion of Medicaid and Other State and Local Financing.
- The high-end market segment: discussion of the private pay marketplace, $ value
- Destination markets: discussion of the South Florida market, the “Florida Model”, history
- Discussion of the gambling addiction market: no. of problem gamblers, amount spent per year
- Sex addiction: discussion of why it has come into the mainstream, Tiger Woods and other celebrity publicity, types of treatment programs, list of top treatment centers.
Treatment Facility Operating Ratios
- U.S. Census Bureau ratios for mental health & substance abuse facilities (2017, 2012, 2007) – no. of facilities, revenues, avg. revenues per center, payroll costs, no. of employees (outpatient vs. inpatient centers) – summary
- Discussion of no. of clients per facility, mean cost of care, cost to treat per person, outpatient care
Competitor Profiles of the Leading Treatment Organizations and Multi-Center Chains
(For each organization, a discussion of: history/founding, description of major programs, services, estimated/actual revenues, no. of centers, fees, facilities operated, mergers, sold facilities, recent developments.)
- Hazelden Betty Ford Foundation
- CRC Health Group
- American Addiction Centers
- Promises Behavioral Health
- Passage Malibu
- The Caron Foundation
- Comprehensive Care Corp.
- Malibu Horizon Rehab Center
- Behavioral Health of The Palm Beaches
Directory of Industry Reference Sources
- Name/address/phone of drug & alcohol abuse-related industry trade associations, government reports, major EAP industry trade journals, hotline phone numbers, etc.
- List of state substance abuse agencies
For more information about this report visit https://www.researchandmarkets.com/r/lnnm5i
Latest News
WA.Tech Launches Pick’Em Player Props Tool To Enhance Player-Focused Betting Experience

WA. Technology, the global iGaming solutions provider, has launched its Pick’Em player props product globally, centred on countries across Asia-Pacific, Africa and LatAm, with a particular focus on Brazil.
The newly released tool is designed to put the player at the centre of the wagering experience to bridge the gap between fans and sports.
With increased demand from casual fans for player-focused betting experiences, Pick’Em combines sports betting with fantasy gaming, focusing fully on individual player performance.
Offering between two and six markets across a variety of sports, the numerous benefits for operators include higher margins gained through users combining multiple players from different sports. With the differential from traditional sports betting, operators have the chance to gain an edge over competitors by using the tool.
There is also the opportunity for increased marketing through the creation of engaging and memorable campaigns related to Pick’Em.
Bettors can access a wealth of sports and betting markets, such as goals and assists in football, and then predict whether each player will be over or under their selected line in the specified market.
There are two ways users can opt to play – ‘Power Play’, where every selection must win, or ‘Flex Play’, where it will be settled as a winner even if one selection loses. Users can win up to 25 times their stake with accurate choices.
Users can even combine player picks from multiple sports in a single entry, which creates a unique cross-sport experience that brings them closer to their favourite stars.
As fan behavior shifts toward tracking individual players and athletes over teams, Pick’Em offers an intuitive and rewarding way for users to engage with the sports they love.
Pick’Em also addresses the key challenge in the sports betting world of the learning curve for new users and the lack of personalised, player-focused options. Unlike traditional betting formats that rely on team outcomes and complex odds, Pick’Em delivers a streamlined experience where fans simply predict whether individual players will go over or under specific stat lines.
The simplicity of Pick’Em means there are no confusing odds, instead, there are clear player predictions, which keeps it interesting, fun, and rewarding for both casual fans and more experienced bettors compared with traditional sports betting.
By combining a simple user interface with the excitement of predicting player outcomes, Pick’Em creates a fun, engaging, and rewarding experience that keeps users coming back for more.
Commenting on the launch, Will Booth, Product Owner at WA. Technology said: “With the global sports and fantasy sports industry projected to reach $230 billion by 2030. Rapid mobile adoption across Europe, Asia-Pacific, and Africa is driving demand for simple, engaging, and player-focused betting tools like Pick’Em.
“Generations of adults have been brought up playing more fantasy-led sports games, and WA. Technology’s newest launch makes sports betting appear more relatable without the overwhelming feeling that newer gamblers often get.
“Pick’Em makes sports more exciting and personal for bettors, and opens up the opportunity for casual fans to feel more involved. Demand shows that fans today care more about player performance than ever before. Pick’Em taps directly into that passion, turning it into an easy, thrilling game that anyone can play.”
Latest News
Push Gaming makes landmark US debut in Michigan with BetMGM

B2B gaming supplier Push Gaming has officially entered the United States, launching its highly anticipated content in Michigan through a landmark exclusive collaboration with leading operator BetMGM.
The milestone debut marks a significant step in Push Gaming’s global growth strategy, bringing its distinctive, player-first approach to one of North America’s most dynamic iGaming jurisdictions.
BetMGM players in Michigan can soon enjoy a selection of launch titles from Push Gaming, including the highly anticipated Big Bamboo and the action-packed 10 Flaming Bisons. The latter made a strong debut in December 2024 and quickly became a fan favourite across the network.
Additionally, Push Gaming will launch a number of exclusive titles for BetMGM, incorporating MGM Resorts International’s IP, such as MGM Grand Gamble, MGM Emerald Nights and Bellagio Diamonds, alongside Push Gaming’s portfolio of popular titles, ensuring a steady stream of fresh, localised content.
The market entry signals the beginning of Push Gaming’s US journey, with its content exclusively available on BetMGM, uniting two forward-thinking brands that share a deep focus on entertainment, innovation and long-term player engagement.
Widely recognised as a key driver of US iGaming growth, Michigan recorded over $218.5 million in gross internet gaming revenue in March 2025, according to the Michigan Gaming Control Board (MGCB). With strong smartphone adoption, a loyal player base, and a commitment to innovation, the state provides the ideal launchpad for Push Gaming’s long-term ambitions in the country.
The addition of Push Gaming’s proven and popular titles will strengthen an already flourishing market and offer players fresh and compelling gaming experiences.
Push Gaming’s launch in Michigan directly builds on the successful collaboration established with BetMGM in Ontario. Working as a precursor, it demonstrates the robust nature of the relationship across North American markets.
Andy Bentley, COO at Push Gaming, said: “We’re incredibly excited to be live in the US, and Michigan is the perfect place to start. It’s a hugely important and vibrant market, and we’re proud to launch exclusively with BetMGM, one of the region’s most respected and established operators.”
“This launch is more than just a milestone. It’s a strategic step towards establishing Push Gaming as a market leader in North America. By building on our strong collaboration with BetMGM and delivering standout content, we’re confident we can grow a loyal and engaged player base in the US.”
Oliver Bartlett, Vice President of Gaming Product & Content at BetMGM, added: “A pillar of our content strategy is partnering with exceptional game suppliers like Push Gaming, who have a reputation for high-quality games that have proven to be a hit with players.
“We take pride in being the first operator to bring Push Gaming’s content to the United States, especially in a leading iGaming market like Michigan.”
As BetMGM continues to expand into new markets and introduce new features, responsible gaming remains a key focus. The major brand is continually evolving its commitment to providing resources that help customers play responsibly, including GameSense, an industry-leading programme developed and licensed to MGM Resorts by the British Columbia Lottery Corporation.
Through the integration within BetMGM’s mobile and desktop platforms, customers can receive the same GameSense experience they have grown to rely on at MGM Resorts properties nationwide. This complements BetMGM’s existing responsible gambling tools, which provide customers with an entertaining and safe digital experience.
Latest News
Win Systems successfully held Its exclusive Showroom in Peru

Win Systems, a leading provider of technology for the gaming and entertainment industry, successfully concluded its exclusive showroom event on May 28 and 29 at its offices in Lima, Peru. Over two engaging days, local operators and strategic partners had the opportunity to experience the company’s latest innovations first-hand, with special attention given to the new Gold Club Colors, an innovative evolution of its renowned electronic roulette.
The experience was highly praised by attendees, who interacted directly with the Gold Club Colors and witnessed its advanced aesthetic and functional customization features. This version allows key components such as LED lighting, armrests, cilinder, and game layout to be tailored to the visual identity of each casino, enhancing both the venue’s atmosphere and the overall player experience. Also drawing strong interest was the dynamic paytable, which adjusts rewards based on the flow of each game session.
“This event was truly special for us. Beyond showcasing our products, we wanted to create a space to connect, share ideas, and listen to the local market’s needs firsthand. The response was fantastic and encourages us to continue strengthening our presence in Peru,” said Galy Olazo, Country Manager for Win Systems in Peru.
The showroom not only demonstrated one of the most advanced electronic roulettes on the market in action but also reaffirmed Win Systems’ commitment to ongoing innovation and close collaboration with its clients and strategic partners.
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