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Regulators probing whether Health Net is stiffing drug treatment providers

June 6, 2016  |  Kaiser Health News
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
article

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
article

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.

BILLING COMPANY TAKES LEAD IN ETHICAL TREATMENT CENTER GROWTH

May 13, 2016  |  William McCormick, CEO
article

The platitude of offering true customer service can sometimes be voided by the daily hustle and bustle associated with operational demands, industry changes and other entrepreneurial related barriers of success.

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Cigna and ASAM data dive will distill best treatment practices

May 4, 2016  |  Julie Miller, Editor in Chief
article

Rather than yet another study, the Cigna and ASAM research collaboration aims to leverage a trove of detailed claims data to identify the treatment variables that lead to optimal outcomes with lower costs.

It’s the best of times in behavioral health…maybe

May 3, 2016  |  Julie Miller, Editor in Chief
blog

Positive developments that bring new business opportunities also warrant cautionary tales for treatment center operators.

UnitedHealth names labs, treatment centers in federal fraud case

May 2, 2016  |  Julie Miller, Editor in Chief
article

UnitedHealth and its Florida affiliate filed a $50 million federal lawsuit against several testing labs, treatment centers and individuals, alleging financial kickbacks, fraud and other complaints.

Rosecrance at 100

May 2, 2016  |  Julie Miller, Editor in Chief
article

CEO Philip Eaton has seen an evolution in attitudes toward behavioral health as well as new opportunities to serve the changing needs of patients.

Patient financial responsibility in addiction treatment up for debate

April 25, 2016  |  Harry Nelson, Esq.
article

It is of little surprise that failure to collect patient copays has become a problem. Insurers have begun to zero in on waivers of patient responsibility as a form of fraud and abuse.

Betty Ford adds in-network options

April 18, 2016  |  Julie Miller, Editor in Chief
article

The Betty Ford West Los Angeles outpatient center now has in-network status among 14 managed care health plans, a move meant to increase access to services for those who use insurance benefits.

FRAUDULENT PRACTICES IMPACTING BEHAVIORAL HEALTH SERVICES

April 15, 2016  |  William McCormick, CEO
article

During a recent behavioral healthcare related event, healthcare Attorney, Harry Nelson, talks about the fraud and questionable practices in the behavioral health industry and how it's impacting the cost of healthcare services.

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New group funds patient copays for treatment

April 13, 2016  |  Julie Miller, Editor in Chief
article

The new not-for-profit Insured Consumer Access Network (ICAN) will provide scholarships for patients' out-of-pocket costs for treatment within a network of ethical providers.

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