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Simple Recovery sees in-network status as sustainability strategy

March 8, 2017  |  Julie Miller, Editor in Chief

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.

Not-for-profit CEOs command higher salaries

December 20, 2016  |  Julie Miller, Editor in Chief

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

Implications of SBIRT for early identification of substance use disorder

September 16, 2016  |  Paige Pennington

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

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

August 30, 2016  |  Julie Miller, Editor in Chief

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.

Here’s why your claims are being rejected

April 1, 2016  |  Lisette Wright

Medicare and Medicaid programs have been rejecting claims for certain diagnoses. It seems the common thread for these rejections is the utilization of certain unspecified diagnoses that are obtained directly out of the DSM-5 purple book.

Value-based models gain traction

March 4, 2016  |  Julie Miller, Editor in Chief

Federal health leaders say Medicare has already met its goal with 30% of payments now tied to value-based models. Meanwhile, commercial insurers, health systems, employers and organizations have kept a similar pace.

House introduces reform bill

February 2, 2016  |  Julie Miller, Editor in Chief

Today House members of a health subcommittee introduced the Comprehensive Behavioral Health Reform and Recovery Act of 2016 with provisions that reflect several other proposals currently on the Hill.

Democratic candidates debate ‘single-payer,’ but what does that mean?

January 22, 2016  |  Kaiser Health News

Sen. Bernie Sanders released more details about his healthcare proposal recently, which includes a Medicare-for-All program with more generous benefits.

Fed’s effort to tie medical services to social needs

January 6, 2016  |  Kaiser Health News

The federal government has announced a $157 million project to help 'Accountable Health Communities' link Medicare and Medicaid patients to needed social services that have a big impact on health.

Abilify, duloxetine rank on Medicare cost list

December 22, 2015  |  Julie Miller, Editor in Chief

Two of the top 15 most costly drugs for Medicare in 2014, according to newly released data, were Abilify (aripiprazole), which is an antipsychotic, and generic Cymbalta (duloxetine HCI), which is typically used as an antidepressant or anti-anxiety drug.

CMS releases opioid mapping tool

November 3, 2015  |  Julia Brown, Associate Editor

Interactive data allows the public to search Medicare prescription drug benefit opioid claims data at the state, county, and ZIP code levels. The Centers for Medicare and Medicaid Services (CMS) hopes transparency will inform community awareness.

CleanSlate capitalizes on unmet need for MAT

September 10, 2015  |  Julia Brown, associate editor

A provider of outpatient medication-assisted therapy (MAT) is filling a need for opioid-abuse treatment among Medicaid populations. The organization has expanded into Pennsylvania with one center open currently and another scheduled to open in October.


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