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Legal and Regulatory challenges

Insight Treatment Center Struggles with Health Net’s Failure to Pay

Saturday, July 15, 2017,
Author: Joan Borsten
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For 25 years Insight Treatment Center’s highly regarded drug and alcohol program for teenagers has kept thousands of kids off the streets, out of the legal system​, and back to their families to lead healthy and productive lives. ​Now this valuable program is threatened by health insurance...

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How Centene and Health Net’s CEO Got Rich on the Backs of California’s Out-of-Network Substance Abuse Providers and Rendered Worthless Health Net PPO Benefits

Thursday, May 11, 2017,
Author: Joan Borsten
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Much has been said and written in the last 20 months about the acquisition of Health Net Inc. and Health Net Life Insurance Company by Missouri-based Centene Corporation...

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Avoid Fraud: AATA’s Patient Financial Responsibility Toolkit Answers Call from the Addiction Treatment Industry

Wednesday, April 19, 2017,
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The American Addiction Treatment Association (AATA) published the Patient Financial Responsibility Toolkit to answer burning questions that are troubling the addiction treatment industry.  Insurers are accusing providers and programs of fraud and abuse when they offer discounts and waive fees.  What’s legal and what’s abusive?   What approach should programs and professionals take to avoid a world of trouble in mishandling patient financial responsibility?

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Does Pay-to-patient Cost California $100m Per Year In Lost Tax Revenues?

Wednesday, April 19, 2017,
Author: Joan Borsten
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In the past 6 years, to balance the State budget, California has slashed spending for social services, health, education, state parks, state worker compensation, as well as prison and court programs. Additional tax revenues would have made a difference.

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Perceptions of Protection

Saturday, February 25, 2017,
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The first movie scene that pops into my head when I think of Truth is that emotional scene between Tom Cruise and Jack Nicholson in a Few Good Men.  Cruise, the Navy JAG lawyer says “I Want the Truth.”  The Commander replies “You Can’t Handle the Truth.”  Well, I disagree with the Commander.  We are not just a few good men, we are several hundred thousand clinicians, CEOs and advocates within the substance use disorder (“SUD”) field who are committed to helping the people who need hope and healing who can handle the truth, and who search for truth and higher purpose.

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Fairness in the Criminal Justice System

Thursday, December 8, 2016,
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If someone had pulled aside the signers of the Declaration of Independence 240 years ago and told them that, one day, the country they founded would be home to the largest number of imprisoned people in the world, they might have been more than a little disappointed.

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If Cannabis is Legal Does That Mean it is Safe?

Thursday, December 8, 2016,
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If Cannabis is Legal Does That Mean it is Safe?

Just because cannabis is legal on the West Coast and in Colorado, that doesn't mean it is safe.  Marijuana stimulates the nucleus accumbens and that will always come with a flood of dopamine.  Dopamine is the brain chemical that tells you, Do It Again! 

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Continued Rise in Opioid Overdose Deaths in 2015 Shows Urgent Need for Treatment

Wednesday, December 7, 2016,
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The Centers for Disease Control and Prevention (CDC) released new data that show that overdose deaths associated with prescription and illicit opioids increased to 33,091 in 2015 (see data summary below). The increase in deaths was driven in large part by continued sharp increases in deaths involving heroin and synthetic opioids such as fentanyl.

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DRUG AND ALCOHOL TREATMENT FACILITIES FACE UNIQUE CHALLENGES IN 2015

Wednesday, March 11, 2015,
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There is probably no part of the healthcare sector other than the drug and alcohol treatment industry that faces as much scrutiny and challenge today. The key change and challenge invited by the change in the industry boils down to one thing:  the provision of medical services.     

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