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0% lower healthcare costs (P  0.001) in the year following treatment, and 44.0% lower costs (P = 0.0025) over 3 years. A reduction of exactly 1 level was associated with 34.8% lower costs over 3 years, which was not significant (P = 0.05). Cost reductions were driven by lower inpatient behavioral health and emergency department utilization. Reduction in WHO risk drinking levels of at least 2 levels was associated with lower healthcare costs over 1 and 3 years. Our results add to literature showing drinking reductions are associated