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Managed Care Payers

Cigna reduces opioid prescribing by 12%

April 12, 2017  |  Julie Miller, Editor in Chief
article

Insurance giant Cigna recently reported that use of prescribed opioids has declined 12% among its member population in the past year, almost halfway along its previously announced goal to reduce opioid use by 25% over three years.

Fixing the psychiatrist shortage requires multifaceted solution

March 28, 2017  |  Julie Miller, Editor in Chief
article

It’s ironic that as demand grows for psychiatry services, the supply of providers is at a critical low, according to a new report from the National Council for Behavioral Health. Solutions include enhanced reimbursement and more use of telehealth.

Behavioral health benefits shift with GOP plan

March 14, 2017  |  Julie Miller, Editor in Chief
article

While Congress considers the American Health Care Act, many treatment center executives are wondering how the proposed legislation will ultimately affect their patients.

Simple Recovery sees in-network status as sustainability strategy

March 8, 2017  |  Julie Miller, Editor in Chief
article

The national conversation about addiction is changing, and as more people seek treatment, managed care organizations will likely give providers a closer look—especially the out-of-network providers that are submitting high-priced claims.

Network adequacy echoes parity laws

March 6, 2017  |  Jill Sederstrom
article

One of the reasons for network inadequacy is that many mental health providers feel the reimbursement rates being offered by insurers are too low, and they’d rather not accept insurance.

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

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