Addiction Treatment Services

Addiction is a chronic disease, which causes individuals to seek “reward” from substance-use or other activities whether or not they may cause harm. Addiction treatment has been in the spotlight as payers, policymakers, and health systems struggle to address the opioid crisis and increasing substance-related mortality rates. As a result, the addiction treatment market is shifting—there is expanded coverage for residential treatment, a push towards greater integration and care coordination, and new competitors entering the market—creating new challenges and opportunities for organizations working in addiction treatment.


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Value In Addictions Treatment—What’s New? What’s Next?

Yesterday, we wrote about the increase in substance use during the pandemic—and the likely increase in demand for addictions treatment in the next normal (see The Addictions Treatment Market: Demand, Digital, Investment, & Expansion). The market has responded with increasing investment, more digital tools coming to market, and provider organizations expanding their services. Preparing for this… Read

On October 22, 2021, the Ohio Department of Medicaid (ODM) submitted an amendment to its Medicaid Substance Abuse Treatment Waiver demonstration to adjust budget neutrality projections. The demonstration waiver was approved on September 24, 2019 and went live on October 1, 2019. It allows the state Medicaid program to reimburse for addiction treatment services received in an institution of mental disease (IMD), which is defined as a facility with more than 16 beds that primarily provides residential or inpatient behavioral health treatment. However, due to the state’s increases in the Medicaid managed care capitation rate during 2020, the state . . .
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