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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.

Rosecrance at 100

May 2, 2016  |  Julie Miller, Editor in Chief

CEO Philip Eaton has seen an evolution in attitudes toward behavioral health as well as new opportunities to serve the changing needs of patients.

Betty Ford adds in-network options

April 18, 2016  |  Julie Miller, Editor in Chief

The Betty Ford West Los Angeles outpatient center now has in-network status among 14 managed care health plans, a move meant to increase access to services for those who use insurance benefits.

Avoid these 6 financial mistakes in the era of accountable care

February 15, 2016  |  Brian Albright

Cost management and quality outcomes will be critical for treatment centers that hope to stay in the black under new value-based reimbursement arrangements.

Retrospective audits must include parity discussion

January 11, 2016  |  Julie Miller, Editor in Chief

Blue Cross Blue Shield of Kansas is discontinuing the requirement for prior authorization of mental health services, however, the plan instead will audit providers retrospectively. 

Molina buys mental health providers

September 3, 2015  |  Julie Miller, Editor in Chief

A large Medicaid managed care organization is acquiring two behavioral health providers, further evidence of an industry trend.

The business case for building an integrated model of care

August 4, 2015  |  Julia Brown, Associate Editor

The business case for integration is in the cost savings as well as patient and provider satisfaction. But making such a change can be hard. 

Research leader: Addiction field needs new model to make integrated care happen

August 3, 2015  |  Gary A. Enos, Contributing Editor

Treatment Research Institute adviser David Gastfriend, MD, says the SBIRT model should be turned on its head.

Leverage population health to compete in today's market

August 3, 2015  |  Julie Miller, Editor in Chief

Mental health and substance use treatment providers must learn to speak the language of other stakeholders and play a role in population health initiatives.

Prominent sex addiction program ceases operations

July 14, 2015  |  Gary A. Enos, Editor

Over the last two decades, the Sexual Recovery Institute became one of the most prominent programs treating sexual addiction and intimacy disorders. Its closing reflects the increasing availability of other levels of care.

Humana renames behavioral health unit

July 8, 2015  |  Julie Miller, Editor in Chief

Health insurer Humana has renamed its LifeSynch unit, which it purchased in 2005, as Humana Behavioral Health. The unit will continue to manage the behavioral health provider network.

BREAKING: The least you need to know about the Supreme Court ruling

June 25, 2015  |  Julie Miller, Editor in Chief

Nothing has changed. If you accept Medicaid payment or commercial insurance at your treatment center, all is status quo.


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