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Reimbursement

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.

Market realities keep psych patients waiting for care

October 17, 2016  |  Julie Miller, Editor in Chief
article

New data from the American College of Emergency Physicians shows that psychiatric patients are waiting in emergency rooms every single day with no immediate care available.

Avoid These Common Revenue Pitfalls

October 14, 2016  |  William McCormick, CEO
article

We are in an era of complex healthcare billing that can cost providers lost revenue due to lack of knowledge and proper training.

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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.

The least you need to know about MACRA

October 4, 2016  |  Julie Miller, Editor in Chief
blog

Last year, the president signed the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), which creates a new payment model for seasoned Medicare providers. Final rules are expected on November 1.

Implications of SBIRT for early identification of substance use disorder

September 16, 2016  |  Paige Pennington
article

Optimal implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) will require practical solutions for overcoming operational barriers.

Claims study quantifies growing impact of opioid crisis

September 13, 2016  |  Julie Miller, Editor in Chief
article

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.

Insurer drops drug screen requirement for hep C coverage

September 13, 2016  |  Tom Valentino, Senior Editor
news

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 least you need to know about Clinton’s mental health policy

August 30, 2016  |  Julie Miller, Editor in Chief
blog

Hillary Clinton released a mental health policy proposal Monday that includes a few noteworthy investments, such as the expansion of the Certified Community Behavioral Health Clinic program.

Leaders seek avenues to work collaboratively

August 10, 2016  |  Julie Miller, Editor in Chief
blog

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
article

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.

Implement and track the new metrics and quality measures

August 2, 2016  |  Lisette Wright
blog

How do you prepare your organization to engage a model of care that emphasizes value, measures and population health reporting? Let’s start with some simple concepts.

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