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Reimbursement

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.

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.

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