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With only 25% of adults in need of treatment for opioid use disorder (OUD) receiving medication for opioid use disorder (MOUD), virtual prescribing can expand access, and digital wraparound solutions can support treatment with additional services, including peer support, care navigation, and educational content. Virtual solutions can be as effective as usual, medication-based treatment and can help increase treatment retention by an average of 13 more days over six months, a recent study found.

To support the wider adoption of virtual solutions for OUD and to increase access to treatment for those who need care and are not receiving . . .

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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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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 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

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