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Insurer drops drug screen requirement for hep C coverage

September 13, 2016  |  Tom Valentino, Senior Editor

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

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

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

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

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

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

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

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

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.

Regulators probing whether Health Net is stiffing drug treatment providers

June 6, 2016  |  Kaiser Health News

California insurance officials are looking into whether Health Net Inc. has improperly withheld payments to addiction treatment centers for months while the company investigates concerns about fraudulent claims.

Should we aim for cured, doing better or still working on it?

June 6, 2016  |  Ed Jones, PhD

As more behavioral healthcare services are offered to meet demand, and as expectations rise for better outcomes and lower costs, this will of necessity lead to measurement—of access, outcome and cost.

New provider coalition fights for parity

May 26, 2016  |  Julie Miller, Editor in Chief

A group of addiction treatment centers in California is launching the Addiction Treatment Advocacy Coalition, a not-for-profit entity that aims to drive parity enforcement and improved coverage of addiction services by insurance companies.


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