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Welcome to the OPEN MINDS Circle library! For over 30 years, our team has covered the news, trends, metrics, regulatory changes, and thought leaders shaping the sectors of the health and human service field that affect consumers with chronic conditions and complex support needs. This is your gateway to this $860 billion market — all the information your team needs to stay on top of the market, make strategic decisions, and manage highly effective organizations.


Executive Briefing

Addiction By The Numbers

By Monica E. Oss

How should addiction treatment programs be evaluated? That was the focus of the session, Quality Measurement In Addiction Treatment: Advancing Adoption Of Best Practices, at The 2019 OPEN MINDS Management Best Practices Institute, featuring Samantha Arsenault, MA, Vice President of National Treatment Quality Initiatives, Shatterproof; Eric Bailly, LPC, LADC, Business Solutions Director, Anthem, Inc.; and Doug Nemecek, M.D., MBA, Chief Medical Officer – Behavioral Health, Cigna. Shatterproof, with a coalition of payers and other interested stakeholders, is taking on the challenge of quantifying the effectiveness of addiction treatment programs. Why? There is large variation in the use of evidence-based practices in addiction treatment programs and currently, provider organizations don’t have a standardized research tool to assess and benchmark themselves. Consequently, individuals don’t have reliable...


The term long-term services and supports (LTSS) refers to care provided to individuals with functional limitations and chronic illnesses who need help completing activities of daily living. Activities of daily living include activities such as bathing, dressing, preparing meals, and administering medication. Under a managed long-term services and supports (MLTSS) system, state Medicaid programs choose to finance and manage...
For calendar year 2020, Medicare will add new codes for telehealth services that include a bundled episode of care for treating opioid use disorder (OUD). Additionally, Medicare will add opioid treatment programs (OTPs) as entities that can bill Medicare Part B for providing methadone as medication assisted treatment (MAT) for OUD. The new telehealth addiction treatment codes are Healthcare...

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