As part of a $300 million settlement, UnitedHealthcare will no longer require policyholders to demonstrate abstinence from drugs and alcohol for six months before receiving coverage for a costly hepatitis C medication.
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.
Congressmen and their key staffers were receptive to the messages, and many said they are in fact working hard to advance legislation to increase funding, increase treatment capacity and improve access.
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.
A group of addiction treatment centers in California is launching the Addiction Treatment Advocacy Coalition, a not-for-profit entity that aims to drive parity enforcement and improved coverage of addiction services by insurance companies.
Panelists at the National Association of Addiction Treatment Providers (NAATP) annual conference emphasized that even when insurers' violations of the parity law are successfully challenged, close monitoring of insurer behavior must continue.
May 3, 2016 | Ron Manderscheid, PhD, Executive Director, NACBHDD and NARMH
It is very timely for the federal government to assure that parity legislation is implemented broadly, but the question for the president's new task force is: What steps should the federal government take?