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United States Addiction Rehab Industry Report 2020

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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

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MediaTroopers lines up eight operator partners ahead of Alberta launch

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MediaTroopers said it is preparing to launch in Alberta’s regulated gaming market on July 13, as Canada’s next regulated commercial gaming market opens.

The digital marketing and customer acquisition firm said it plans to enter Alberta alongside eight “premium operator” clients, which it said are also preparing for their own market entries. MediaTroopers did not name the operators.

The company said its Alberta offering will mirror its work in Ontario, including localized acquisition strategies, compliance-focused marketing, regional player education, and market-tailored performance campaigns.

MediaTroopers also said it has seen “strong interest” from Alberta players through pre-registration activity, without providing figures.

“Alberta represents an exciting next step for regulated iGaming in Canada, and Media Troopers is ready to support operators from day one,” said Shmulik Segal, CEO of Media Troopers. “Our experience in Ontario has given us a strong understanding of what it takes to enter a new Canadian market successfully, from compliance and localization to scalable player acquisition. With eight of our premium clients already preparing for launch and early pre-registration traction underway, we see Alberta as a market with tremendous potential.”

The post MediaTroopers lines up eight operator partners ahead of Alberta launch appeared first on EE Gaming | Global iGaming & Tech Intelligence Hub.

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MediaTroopers Makes Preparations for Upcoming Alberta Launch with Eight Premium Operator Partners

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MediaTroopers, the leading digital marketing and customer acquisition firm, has announced that preparations are underway for its upcoming launch in Alberta’s regulated gaming market, scheduled to go live on July 13. As part of those preparations, MediaTroopers will enter the province with eight of its premium operator clients, who are already preparing for their own entries.

With the launch of Canada’s second regulated commercial gaming market, Alberta has quickly become one of the most anticipated market opportunities for operators looking to expand. MediaTroopers has already cemented itself as a reliable partner in Ontario’s regulated market, supporting operators in one of North America’s most competitive markets, and it will bring that same expertise as it enters Alberta.

Much like Ontario, MediaTroopers will continue to support operators in Alberta with localized acquisition strategies, compliance-focused marketing, regional player education, and market-tailored performance-driven campaigns.

MediaTroopers has already seen strong interest from Alberta players through pre-registration activity. With eight of its premium clients also preparing to go live, the company expects to play a pivotal role in helping other licensed operators to build up brand visibility and recognition among players in the region from day one.

With its launch in Alberta, MediaTroopers remains committed to supporting sustainable, responsible, and compliant growth across Canada’s regulated market.

 

“Alberta represents an exciting next step for regulated iGaming in Canada, and Media Troopers is ready to support operators from day one,” said Shmulik Segal, CEO of Media Troopers. “Our experience in Ontario has given us a strong understanding of what it takes to enter a new Canadian market successfully, from compliance and localization to scalable player acquisition. With eight of our premium clients already preparing for launch and early pre-registration traction underway, we see Alberta as a market with tremendous potential.”

The post MediaTroopers Makes Preparations for Upcoming Alberta Launch with Eight Premium Operator Partners appeared first on Americas iGaming & Sports Betting News.

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Why Alberta Represents the Next Major Growth Opportunity for Gaming Operators

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Alberta’s iGaming market launch is right around the corner, going live on July 13 with 43 operators already approved, including DraftKings, FanDuel, BetMGM, and PointsBet.

Media Troopers is also set to enter the market alongside eight of our premium clients, with the mission to help operators capitalize on one of North America’s most anticipated markets through a suite of marketing tools designed to promote brand growth in the new region.

 

The Build Up to Canada’s Next Regulated Market

Alberta’s regulated iGaming market took shape with the introduction of Bill 48, the iGaming Alberta Act, in March 2025.

Championed by Service Alberta and Red Tape Reduction Minister Dale Nally, the legislation aimed to bring online gambling into a regulated framework, addressing concerns that around 70% of the province’s online gaming revenue was flowing through unregulated operators.

The bill passed in May 2025, establishing the Alberta iGaming Corporation to oversee the market, with the Alberta Gaming, Liquor and Cannabis Commission retaining regulatory responsibilities.

In my opinion, Alberta represents one of Canada’s most attractive growth opportunities for operators. The province is home to more than 4.8 million people, including 1.6 million adults aged 25-44, its largest demographic group.

With research published last year by Pew Research showing that sports betting participation is highest among younger adults, Alberta’s population profile aligns closely with key betting audiences, creating strong potential for customer acquisition and long-term market growth for operators.

 

Ontario’s Regulated Market as the Blueprint

Alberta isn’t the only province to have a regulated market. Ontario’s market, which went live in 2022, has ultimately become the benchmark for Alberta’s upcoming launch.

In its fourth year of operation, the province’s iGaming regulator, iGaming Ontario (iGO), recorded $4.2 billion in gaming revenue and a further $103 billion in wagers. The province is home to 44 licensed operators and 78 gaming platforms. A recent Ipsos study cited by iGO found that the market effectively encourages residents to gamble responsibly, with 91.1% of respondents preferring regulated platforms.

Speaking at the Toronto SBC Summit in May, Nally actually referenced using Ontario as a reference for Alberta, commending the safeguards it had in place to protect consumers from unregulated gambling.

That being said, Ontario’s success demonstrates the growth potential of a well-regulated market and provides a proven blueprint for Alberta’s expansion, with operators sure to capitalize on that new demand.

 

How Alberta Differs from Ontario

Operators entering Alberta need to know it won’t be the same as Ontario. Despite Nally expressing that Ontario was essentially a model for their own regulated market, it will come with some tweaks, or in Dally’s words, it will have its own “Alberta perspective.”

Most notable is Alberta’s revenue-sharing model that allows operators to retain 80% of generated revenue. On top of that, a further 3% contribution will be directed toward public priorities, with 2% allocated to First Nations and 1% supporting responsible gambling initiatives, including self-exclusion programs.

This framework looks to reflect Alberta’s commitment to balancing social responsibility with commercial opportunity. By ensuring that First Nations can benefit from market growth while maintaining consumer protections, the province aims to create a strong regulatory environment.

That same environment, I think, aligns closely with Media Troopers’ values, helping operators expand into new markets while supporting responsible, long-term industry growth.

 

How Operators Can Scale Alberta to Reach New Levels of Growth

Operators are sure to succeed and find growth from day one in Alberta’s upcoming market by leveraging Media Troopers’ proven customer-acquisition expertise. With a strong track record across multiple global markets, including close to home in Ontario, we are sure to help operators build brand awareness and retain players while navigating the new environment with confidence.

Like always, Localization is key in new markets. At Media Troopers, we can supply the tools needed to generate performance-driven campaigns that help operators really connect with their new audience and adapt to Alberta’s distinct regulatory environment.

That said, Alberta is not just another Ontario; it is a market with its own audience, culture, and expectations. I believe that operators who embrace those differences will be best positioned to achieve sustainable, long-term growth in North America’s newest market.

 

Written by Shmulik Segal, CEO and Co-Founder of Media Troopers.

The post Why Alberta Represents the Next Major Growth Opportunity for Gaming Operators appeared first on Americas iGaming & Sports Betting News.

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