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Managed Care Payers

Ethics Survey: Behavioral health leaders examine industry conduct

March 1, 2017  |  Julie Miller, Editor in Chief
article

It’s difficult to quantify the prevalence of unethical practices in behavioral health, but most agree it's more a case of criminal enterprise than treatment centers gone bad. See the survey results with expert analysis.

Facing pressure, insurance plans loosen rules for covering addiction treatment

February 23, 2017  |  Kaiser Health News
article

Aetna will stop requiring prior authorization for prescribing medications to treat opioid addiction, following similar moves from Anthem and Cigna.

Christie aims to nix prior authorization for opioid treatment

February 2, 2017  |  Joanne Sammer
article

Legislation advances that would mandate 180 days of inpatient and outpatient substance-abuse treatment without prior authorization.

Opioid crisis brings paradigm shift

January 30, 2017  |  Joanne Sammer
article

New approaches to reimbursement for opioid addiction treatment might include measures of evidence-based care protocols as well as patient outcomes.

Anthem easing access to MAT and counseling services

January 25, 2017  |  Tom Valentino, Senior Editor
article

Anthem has announced changes that will double the number of members who receive behavioral health services as part of their medication-assisted treatment. The insurer has also dropped its preauthorization requirement.

Providers remain concerned about ACA repeal

January 10, 2017  |  Julie Miller, Editor in Chief
article

County behavioral health service providers are especially uneasy about a wholesale repeal of ACA and what the near future might bring without a practical transition plan.

Not-for-profit CEOs command higher salaries

December 20, 2016  |  Julie Miller, Editor in Chief
article

A new survey report from the National Association of Addiction Treatment Providers reveals 41% variation between for-profit CEO salaries and their not-for-profit counterparts

Providers concerned about future Medicaid block grant models

December 1, 2016  |  Julie Miller, Editor in Chief
article

Healthcare providers are concerned about proposals that aim to transform Medicaid into a block grant model, potentially resulting in less funding in the future.

Your 2017 strategic plan

November 28, 2016  |  Julie Miller, Editor in Chief
article

Behavioral health experts are weighing in on a number of issues that absolutely must be on the radar for treatment centers in 2017.

Opioid crisis drives Medicaid policy

October 14, 2016  |  Julie Miller, Editor in Chief
news

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
article

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
news

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

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