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Reimbursement

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.

Patient-centered solutions increase access to behavioral healthcare

August 1, 2016  |  Ed Jones, PhD
article

The main question in an evolving patient-centered world is whether our services and processes have been designed with the convenience of the provider or the patient in mind.

Well-planned partnerships ease the transition to Medicaid managed care

July 22, 2016  |  Mark Ishaug
article

Making the shift to the managed care Medicaid model means developing strong partnerships with managed care entities in your state.

How to leverage population health strategies

July 12, 2016  |  Donna Marbury
article

Though challenges arise, it is essential that behavioral health providers create population health strategies to increase patient engagement and eventually cut healthcare costs.

Medicaid rule puts IMD exclusion in better context

June 7, 2016  |  Alison Knopf
article

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.

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