Carrum Health, which provides value-based Centers of Excellence (COE) for specialty care, partnered with Lyra Health, which provides workforce mental health solutions. For their mutual clients, the partnership integrates Carrum’s specialty care services including surgical, cancer care, and substance use disorder (SUD) treatment with Lyra’s comprehensive behavioral health services to enable seamless care coordination and improve clinical outcomes.

As a specialty care COE partner, Carrum’s service lines are integrated into Lyra’s workflow, enabling Lyra’s Care Navigators to refer members who may need specialty care services to Carrum. Likewise, Carrum members receiving specialty care will . . .

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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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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 and inequitable reimbursement environment rather than one driven by clinical outcomes, the report stated. The report outlines national commercial reimbursement patterns for Aetna, Blue Cross Blue Shield, Cigna, and United, including the Optum carrier networks.… Read