Commercial Payers’ Negotiated Reimbursement Rates Vary Across All Levels Of Facility-Based Addiction Treatment Care

Negotiated reimbursement rates vary substantially across all American Society of Addiction Medicine (ASAM) Levels of Care for facility-based services—even after standardizing codes and removing outliers, according to a recent analysis released by the National Association of Addiction Treatment Providers (NAATP).

The variation in reimbursement rates existed within and across payer networks, reflecting a fragmented reimbursement environment rather than clinically driven consistency, the report stated. Reimbursement patterns did not consistently align with clinical intensity.

The report is based on an analysis of in-network negotiated rates for more than 8,300 provider organizations publicly posted by four major national . . .