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Managed Care Payers

Opioid crisis drives Medicaid policy

October 14, 2016  |  Julie Miller, Editor in Chief

In a new survey, Medicaid officials identify a number of state-based efforts they are employing to address the opioid crisis currently as well as plans for the future.

Significant challenges remain in enforcing parity laws

October 5, 2016  |  Jill Sederstrom

Experts remain optimistic about the future of parity, even though the implementation process will be slow to bring significant change to the behavioral healthcare industry.

Some states fund comparatively low percentage of buprenorphine costs

September 22, 2016  |  Julie Miller, Editor in Chief

Advocates for Opioid Recovery recommends that governors investigate how their state Medicaid programs are covering opioid recovery treatment.

Claims study quantifies growing impact of opioid crisis

September 13, 2016  |  Julie Miller, Editor in Chief

Commercial health insurers paid treatment centers and other providers $445.7 million to treat plan members’ opioid dependence and abuse in 2015, demonstrating a 1,375% spending increase over five years.

ARS designs dedicated residential center for fire fighters

September 13, 2016  |  Julie Miller, Editor in Chief

Advanced Recovery Systems partnered with the International Association of Fire Fighters to strategize everything from the center's programming to the interior design to ensure sensitivity to the needs of fire fighters.

Why insurance hassles are only going to get worse

September 7, 2016  |  Julie Miller, Editor in Chief

Here's yet another reason why you need to keep excellent documentation and thoroughly understand what's in your insurance contracts.

MAT becoming an attractive deal target

August 18, 2016  |  Julie Miller, Editor in Chief

Margins among medication-assisted treatment providers are now matching or exceeding high-end residential programs, so the market can expect valuations to surge.

Leaders seek avenues to work collaboratively

August 10, 2016  |  Julie Miller, Editor in Chief

The number of new coalitions and collaborations that have popped up just in the past year or so is a sure sign of everyone’s passion to make changes in how addiction treatment is delivered and how it is reimbursed.

Opioid crisis plagues privately insured

August 5, 2016  |  Julie Miller, Editor in Chief

A striking 3,000% increase in opioid dependence among the privately insured is yet more evidence of the national crisis and its prevalence in middle-class demographic groups.

Well-planned partnerships ease the transition to Medicaid managed care

July 22, 2016  |  Mark Ishaug

Making the shift to the managed care Medicaid model means developing strong partnerships with managed care entities in your state.

Rosecrance merges with Community Elements

June 29, 2016  |  Julie Miller, Editor in Chief

Rosecrance has announced a merger with Community Elements in a move that expands the scale of the organization during tough economic times in Illinois.

Medicaid rule puts IMD exclusion in better context

June 7, 2016  |  Alison Knopf

For behavioral health providers, the most significant provision of the new rule allows Medicaid to pay for 15 days of inpatient treatment in a facility with more than 16 beds, tempering the often bemoaned IMD exclusion.


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