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Medicare places few restrictions on opioid prescribing

October 16, 2017  |  Tom Valentino, Senior Editor
article

A study released by researchers at Yale University shows one-third of opioid medications were prescribed with no limitations from Medicare plans.

The opioid emergency declaration is not dead

September 18, 2017  |  Julie Miller, Editor in Chief
article

New Jersey Gov. Chris Christie said that the notorious state of emergency declaration is still in play, but remember that practical developments are on hold until federal officials complete the legwork.

FACT FILE: OIG flags opioid misuse, questionable prescribing in Medicare Part D

August 10, 2017  |  Tom Valentino, Senior Editor
news

A study of Medicare Part D data from 2016 by the U.S. Department of Health and Human Services Office of Inspector General identifies cases of extreme use of opioids, questionable prescribing and doctor shopping by beneficiaries.

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.

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

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.

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.

Here’s why your claims are being rejected

April 1, 2016  |  Lisette Wright
blog

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
news

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
news

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
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
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.

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