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#BCBS Insurance Substance Abuse Treatment
findaddiction · 2 years
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Cover Rehab Costs With BCBS Insurance
Find out the best way of getting your rehab covered with our BCBC insurance plans for healthcare treatments at Find Addiction Rehabs. For more information, reach out via our 24-hour addiction hotline now at 877-959-7271 or visit our website.
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relocators · 1 year
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horizon bcbs medical policy is a comprehensive health insurance policy covering a wide range of medical services, including inpatient and outpatient care, mental health and substance abuse treatment, prescription drugs, and preventive care services.
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antoine-roquentin · 5 years
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You thought deaths of despair were an affliction of deplorables. Silly you. In case you weren’t paying attention, young people are under a lot of stress too and many don’t have reason to think their state will get much better. Short job tenures and the rise of McJobs mean not just uncertain incomes, which are bad enough, but weak social attachments due to shallow relationships with co-workers and often too little discretionary income to mix regularly with contemporaries. Student debt is another major source of anxiety. We’ve also written, virtually from the inception of this site, that high levels of income inequality are bad for health, even for the wealthy.
And the reality of the accelerating effects of global warming weighs more on the young than the old, who can hope to die before serious dislocations kick in. The Jackpot is indeed coming.
Psychological, income, and time stress have knock-on health effects, including depression, poor coping mechanisms (alcohol and substance abuse; overeating), lack of time and/or money to take care of oneself well (good diet and exercise, as well as stress reducers like vacations and spending time with friends). And no or crappy health insurance means a lot of people who would benefit from health treatment or therapy won’t get it or won’t get enough. Look at the stories of deaths from inability to afford insulin.
So the results of a Blue Cross Blue Shield study which we have embedded at the end of this post, that Millennials are on track to have worse health outcomes than their GenX predecessors, should not come as any surprise, save perhaps for the degree of decay. However, the document perversely tries to make a case that the health of Millennials generally is deteriorating, when the data clearly shows that the rise in mortality is due to accidents, meaning significantly overdoses, and suicides. And the other information they muster on the health of Millennials generally does not provide much support for the notion of worsening physical health, but of worsening mental health.
My assumption is BCBS spent a lot of effort mining health data, and the authors were tasked to write about that because that’s where the work went, as opposed to where the findings were. In fairness, the study also estimated what higher health care costs would mean to Millennials’ budgets.
The overview:
1. Millennials are seeing their health decline faster than the previous generation as they age. This extends to both physical health conditions, such as hypertension and high cholesterol, and behavioral health conditions, such as major depression and hyperactivity. Without intervention, millennials could feasibly see mortality rates climb more than 40% compared to Gen-Xers at the same age.
2. These accelerated declines will result in greater demand for treatment and higher healthcare costs in the years ahead. Under the most adverse scenario, millennial treatment costs are projected to be as much as 33% higher than Gen-Xers experienced at a comparable age.
3. Poorer health among millennials will keep them from contributing as much to the economy as they otherwise would, manifesting itself through higher unemployment and slower income growth. Under the most adverse set of projections, lower levels of health alone could cost millennials more than $4,500 per year in real per- capita incomes compared to similarly aged Gen-Xers. Such impacts would be most likely concentrated in areas already struggling economically, potentially exacerbating instances of income inequality and contributing to a vicious cycle of even greater prevalence of behavioral health conditions.
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droecmos-blog · 5 years
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Highly Informative Details Regarding Alcohol Rehab
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In the modern-day times world, our youngsters and adolescent era are generally dependent on exploitation things. These people don't be aware of precisely how dangerous it really is for their health and fitness hence; to overcome the addicted people through drugs and alcohol craving different rehab units are founded. Finding the optimum drug rehab centre is not really a straightforward matter as it is the matter of the loved one’s well being hence at that time northbound addiction treatment services assist you to find very good rehabilitation centre for your beloved alongside they can help out with hiring main health insurance expert services just like blue cross blue shield insurance coverage regarding drug and alcohol rehabilitation. The primary motive of northbound addiction treatment service is to support and advice the family members concerning the best alcohol rehab center for his or her dearly loved one where by they will fulfill all the requirements and needs. They also have a group of experts who utilized their best expertisefor the healing of the hooked one. They first of all detect to know the affected individual's bodily healthiness, psychological healthiness and also the amount of neglect materials in their body system.
In addition to educating folks concerning cravings as well as healing additionally they tutored them diverse abilities and protection to manage their depression and anxiety that is raised due to abusing drugs. Northbound Addiction center is linked with esteemed along with proven liquor and drug treatment centers which offer the perfect solutions and cures in which every patient is accepted recovery speedily. They can constantly recommend the most suitable programs to the people that they believe most suitable for their healthiness. The main one another factor that furthermore they assist in discovering all those rehabilitation centers which include insurance protection of cravings remedy like Blue Cross Blue Shield insurance coverage for substance abuse rehabilitation. This is a countrywide health insurance coverage corporation which supplies their plan to nearly 105 million family members and individuals. Their every alcohol and drug rehab policy contains massive advantages to people. Some of the remedy insures by BCBS for instance:
- Inpatient treatment
- Out-patient treatment method
- Residential hospital stay
- Partial hospitalization treatment
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Blue cross blue shield is a popular as well as esteemed corporation of insurance coverage; they also have various equipment as well as methods for that neglect substances cure. They provide a variety of options regarding folks like bronze level, silver level, gold level, and platinum level treatment. Bronze level treatment methods are the cheapest plan along with low monthly expenses and the maximum insurance deductibles as well as gold or platinum is definitely the enormous price programs with the cheapest insurance deductibles. Consequently, the general public relied on blue cross blue shield medical care insurance corporations because they supply the best plan to their potential customers. If you would like to know alot more, you can go to their webpage. They are available round the clock for customer support.
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berrythomas15-blog · 5 years
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Alcohol and drug rehab: Insurance policy
Recovering from a drug or alcohol addiction is one of the most challenging things anyone has to endure. Beyond the physical symptoms they face, rehab and recovery can bring about complicated emotions. But even though it is uncertain, rehab and therapy are an essential part of recovery. That being said, many people whose health benefits are covered by insurance may still wonder whether their insurance covers rehabilitation expenditures. But ultimately it all demands on the insurance company and the type of insurance they have for themselves.
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For those who have the Blue Cross Blue Shield insurance, a high number of rehabilitation facilities across the country accept BCBS insurance for all types of substance abuse treatment services.  Blue Cross Blue Shield is accepted in all 50 states and covers more than 100 million Americans. As a network, BCBS is made up of more than 35 independent locally operated agencies. All of which help policyholders navigate state laws regarding health care. More than 96 percent of hospitals and 92 percent of health care provider work directly with a BCBS agency.  To find added information on Blue Cross Blue Shield please go to Addiction Treatment Services
A Blue Cross Blue Shield policy for inpatient drug treatment varies for each state. Coverage is dependent on state laws and regulations. It also depends on the state and facility where the member receives care and treatment services. For example, coverage for an individual who gets treatment at a hospital may differ from coverage for a member who receives treatment at a residential addiction treatment center. Also, service provided by a physician’s office will cover different amounts than a service provided at a hospital or treatment facility.
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Additionally, BCBS plans might call for pre-certification for those who are planning to attend an inpatient hospital or facility for substance treatment and services. If an individual’s insurance policy covers their addiction treatment, it will do so regardless of the type of substance abuse problem. The policy should be able to help, whether they are suffering from a dependence on opioid painkillers or alcohol addiction.
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Addiction Treatment Centers That Accept Medicaid
Contents
Drug and alcohol rehab
Mental health disorders
Experience similar things durring call for
Center serving low- income residents
Residential Treatment Centers. ARMS ACRES. Location: … The Ashley program is based on a traditional approach to addiction treatment, … Covered by Medicaid, …
While not everyone with BPD will need to enter residential treatment, many people with Borderline Personality Disorder will benefit from the comprehensive support a residential treatment center for BPD provides.
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Rehab Centers That Accept Medicaid – Find the Best drug and alcohol rehab Centers !
Medicaid and Medicare can cover the costs of drug and alcohol rehab. Learn about finding affordable treatment with Medicaid/Medicare.
Drug Treatment Centers That Accept Medicaid – Find the Best Drug and Alcohol Rehab Centers !
Drug Treatment Centers and … Medicaid may be able to supplement Medicare … AAC's family of addiction treatment facilities includes programs that …
There are a total of 181 drug treatment centers listed under the category Medicaid drug rehab in mississippi. If you have a facility that is part of the … A New Day Senior PSR accepts Medicaid, State financed health insurance plan other than Medicaid as viable methods of payment. Financial assistance programs are offered …
Our programs are not 12 step based. We have a strong focus on the underlying emotional issues, including depression and anxiety. We specialize in the treatment of co-occurring substance abuse and mental health disorders. We are contracted with Aetna, BCBS, Anthem, Cigna, United Health Care, Medicaid/ Colorado …
Talk to a Treatment Specialist Today. Call: 877-752-6506. Or fill out the form below. Check this box. Talk With A Treatment Specialist. (888) 682-5929. logo. Questions about treatment? Call: (877) 752-6506 · Find Rehab · Top Rated Rehabs · Featured Experts · Expert Articles · Paying …
Addiction Treatment Alberta Contents Journey now. call for Talking about this Treatment services for women Are looking for conselling What is AHS doing about it? Alberta Health Services is committed to reducing harm associated with alcohol, other drugs and gambling by strengthening the availability of addiction information, prevention and treatment services. Addiction treatment and drug rehab Alberta, Alberta
The DSHS Division of Behavioral Health and Recovery (DBHR) provides funding and oversight for substance use treatment services to people enrolled in Medicaid. During 2013-2015, the agencies we fund served more than 83000 youth and adults in Washington. How do I find state-funded (Medicaid) treatment for a …
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Mar 5, 2012 … This page provides basic information about being certified as a Medicare and/or Medicaid Inpatient Rehabilitation Facility (IRF) and includes links to applicable laws, regulations, and compliance information. IRFs are free standing rehabilitation hospitals and rehabilitation units in acute care hospitals.
Call now !1-800-304-2219. Behavioral health services and substance abuse treatment programs are available within the North Range Behavioral Health program. There are specific programs for children and families, teens, and adults, along with integrated care, medical services, counseling services and peer programs.
My Addiction Treatment Centers That Accept Medicaid
Colorado Drug And Alcohol Rehab Centers That Take Medicaid Currently in the state of Colorado, there are over 60 different centers, both drug treatment and health care that will accept Medicaid state health insurance as coverage.
Help With Crack Addiction – Treatment Centers That Accept Medicaid [ Help With Crack Addiction ] !!!
Treatment For Gambling Addiction – Dave Matthews Rehab, See It Now!
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Services offered here are: Substance abuse treatment, Transitional housing or halfway house with therapeutic programs and groups unique to Persons with HIV or AIDS, Lesbian, gay, bisexual, or transgender (LGBT) clients, Adult women, Adult men. Acadiana CARES accepts Medicaid, Private health insurance, Cash or …
Medicaid Drug And Alcohol Addiction Treatment Programs In Texas Currently in the state of Texas, Medicaid is accepted at just over 130 different treatment centers which help with treating different forms of drug and alcohol addiction.
Signs Of Methadone Addiction, Treatment Centers That Accept Medicaid – We Selected The 5 Best Drug Treatment Centers
Substance Abuse Treatment Centers That Accept Medicaid – Explore treatment options and professional care for addiction [ Substance Abuse Treatment Centers That Accept Medicaid ] !!!
Rayville Recovery is a drug and alcohol addiction treatment center serving low- income residents of Louisiana. Our business is your recovery.
Find Drug Rehab Centers That Accept Medicaid in Florida
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Signs Of Methadone Addiction, Treatment Centers That Accept Medicaid – We Selected The 5 Best Drug Treatment Centers
Feb 11, 2018 … The facilities first need to agree to accept Medicaid reimbursement. Walthall says she has faith they'll quickly jump on board. The newly-approved HIP waiver also includes a provisions that have come under fire from advocates who say they could act as a barrier to recovery. For instance, certain HIP …
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Alcohol And Drug Rehabs That Accept Medicaid. … Not all addiction-treatment centers accept Medicaid, which sometimes presents difficulties for people seeking treatment.
To examine factors associated with Medicaid acceptance for substance abuse ( SA) services by outpatient SA treatment programs. …. Cunningham and Nichols ( 2005) summarized several studies examining physician willingness to accept Medicaid and found the following factors were significant: type of physician practice, …
Drug Treatment Centers That Accept Medicaid : The Best Rehabs for 2018. Get Discounts at Best Rehab Centers! [ Drug Treatment Centers That Accept Medicaid ] !!!
Dual diagnosis, non 12-Step rehab. We’re a very different program, find out why!
Browse through our comprehensive directory of medicaid drug treatment centers in TX.
Treatment For Gambling Addiction – Dave Matthews Rehab, See It Now!
To find a recovery provider that accepts Medicaid, get in touch with the Substance Abuse and Mental Health Services Administration … Browse drug rehab centers.
Under the 2010 Affordable Care Act (ACA), also known as “Obamacare,” insurance providers (including Medicaid) must cover all basic aspects of drug and alcohol dependency recovery. While Medicaid covers substance abuse treatment, not all facilities accept Medicaid as a form of payment. To find a recovery provider that …
Find Drug Rehab Centers That Accept Medicaid By State.
Call now !1-800-304-2219. Behavioral health services and substance abuse treatment programs are available within the North Range Behavioral Health program. There are specific programs for children and families, teens, and adults, along with integrated care, medical services, counseling services and peer programs.
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There are just over 50 different health centers and drug and alcohol treatment facilities throughout the state of Florida, which will accept state funded Medicaid health insurance as coverage for treatment. Many low-income households are unable to afford treatment, but have Medicaid health insurance to help out.
Call now !1-800-304-2219. Behavioral health services and substance abuse treatment programs are available within the North Range Behavioral Health program. There are specific programs for children and families, teens, and adults, along with integrated care, medical services, counseling services and peer programs.
Not all addiction-treatment centers accept Medicaid, which sometimes presents difficulties for people seeking treatment. If you are covered by Medicaid and seeking help for an addiction, here are some steps you should take to secure the treatment you need: Contact the local Medicaid office and talk to a caseworker.
Browse through our comprehensive directory of medicaid drug treatment centers in CO.
Find drug and alcohol rehabilitation facilities for Medicaid recipients by state.
Addiction treatment programs in states with more restrictive Medicaid benefits for addiction treatment had lower odds of accepting Medicaid enrollees (AOR = 0.65; CI = 0.43, 0.97). The predicted probability of Medicaid acceptance was 35.4% in highly restrictive states, 48.3% in moderately restrictive states, and 61.2% in the …
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Call now !1-800-304-2219. Behavioral health services and substance abuse treatment programs are available within the North Range Behavioral Health program. There are specific programs for children and families, teens, and adults, along with integrated care, medical services, counseling services and peer programs.
Find the best rehab centers in your state. Finding the best addiction treatment program isn't always easy. … Rehabs That Accept Medicaid;
The post Addiction Treatment Centers That Accept Medicaid appeared first on A.R.T. Group.
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efrainwillmsus · 4 years
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Blue Cross Blue Shield Drug Rehab Insurance
BCBS stands for Blue Cross Blue Shield and is among the biggest of the healthcare insurance providers across the United States. They provide coverage to over 100 million people every year. Blue Cross Blue Shield offers drug rehab program insurance also. These substance abuse treatment policies vary according to the coverage amount and by the […]
The post Blue Cross Blue Shield Drug Rehab Insurance appeared first on Rehabinfo.com.
Via https://rehabinfo.com/blue-cross-blue-shield-drug-rehab/
source https://rehabinfo1.weebly.com/blog/blue-cross-blue-shield-drug-rehab-insurance
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karsonkohlerus · 4 years
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Blue Cross Blue Shield Drug Rehab Insurance
BCBS stands for Blue Cross Blue Shield and is among the biggest of the healthcare insurance providers across the United States. They provide coverage to over 100 million people every year. Blue Cross Blue Shield offers drug rehab program insurance also. These substance abuse treatment policies vary according to the coverage amount and by the […]
The post Blue Cross Blue Shield Drug Rehab Insurance appeared first on Rehabinfo.com.
source https://rehabinfo.com/blue-cross-blue-shield-drug-rehab/ source https://rehabinfo1.tumblr.com/post/625899295890194432
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rehabinfo1 · 4 years
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Blue Cross Blue Shield Drug Rehab Insurance
BCBS stands for Blue Cross Blue Shield and is among the biggest of the healthcare insurance providers across the United States. They provide coverage to over 100 million people every year. Blue Cross Blue Shield offers drug rehab program insurance also. These substance abuse treatment policies vary according to the coverage amount and by the […]
The post Blue Cross Blue Shield Drug Rehab Insurance appeared first on Rehabinfo.com.
source https://rehabinfo.com/blue-cross-blue-shield-drug-rehab/
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opioid0 · 4 years
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via Opioid,
Addiction treatment startup Eleanor Health expands reach with Horizon BCBSNJ partnership
by Tina Reed | May 12, 2020 4:00pm
Eleanor Health—which launched in October 2019 in partnership with Blue Cross Blue Shield of North Carolina—was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis. (Getty/KatarzynaBialasiewicz)
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What is the most effective way to treat addiction?
As concerns around the opioid crisis dominated headlines over the last several years, it was a question a group of healthcare industry veterans wrestled with before coming up with Waltham, Massachusetts- and Asheville, North Carolina-based Eleanor Health.
The addiction and mental health services startup—which launched last October in partnership with Blue Cross Blue Shield of North Carolina—is no 28-day program. Instead, they say it was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis.
They’ve got backing from some heavy hitters. To date, the group has raised more than $15 million in investor backing including from Town Hall Ventures, the venture firm started by former Centers for Medicare & Medicaid Services (CMS) acting Administrator Andy Slavitt and Oxeon Holdings.
Now, amid the COVID-19 crisis, it’s expanding with a new value-based partnership with Horizon Blue Cross Blue Shield of New Jersey. Eleanor plans to serve hundreds of patients across New Jersey with ten additional clinics in 2020 and 2021.
RELATED: Former CMS administrator Slavitt’s venture firm closes $115M fund
Eleanor also recently expanded addiction care on a digital basis with its first virtual clinic in Asheville, North Carolina.
“There’s been a lot of misunderstandings and bad actors in this space,” said CEO Corbin Petro, who’s previously served as founding CEO and president of Benevera Health, a first-of-its-kind payer-provider joint venture with Harvard Pilgrim Healthcare’s New Hampshire insurance business and a newly formed population health services company. Petro was also formerly the chief operating officer of the Massachusetts Department of Medicaid.
“We really are literally following the evidence and the outcomes and treating addiction as a chronic condition,” she said.
New kind of addiction treatment
Eleanor began with a mission to deliver evidence in a setting that was designed to be warm and welcoming.
Treatment is based on what Petro called a “harm-reduction approach” which measures success based on improvements rather than black and white metrics.  That means a patient doesn’t get disqualified from care, for instance, if a patient only reduces but doesn’t completely abstain from alcohol consumption, Petro said. 
The organization officially launched its first clinics in North Carolina with the help of partner BCBS of North Carolina, an insurer that has established itself as a leader in value-based care. It was a move that was key to standing up a care model that would be more effective, she said.
“That’s the tough part, being able to do this work and do it sustainably. In order to do that, you really have to get buy-in from payers,” Petro said.
RELATED: Industry Voices—More than dollars: Following the evidence to better addiction treatment
When it comes to insurers investing in value-based payments for chronic conditions, there is always the hurdle of churn: Will their members stay members long enough to reap the benefits of their improved long-term outcomes?
“When you think about Blue Cross of North Carolina, they are by far the dominant health insurer in that state. They have such market share, they’re not losing a lot of people. For them, from a business perspective, they have patients longer than a state where you might have five or six competitors.”
They are also philosophically committed to the idea of value-based payments.
“They’re doing that on the primary care side with Aledade, with City Block on the Medicaid side. Iora is coming into the state,” Petro said. “So they’re really trying to push value-based care as sort of a fundamental principle with the hopes of longterm gain. And part of it is, they just don’t see as much churn.”
RELATED: Blue Cross NC, Quartet roll out value-based payment model for mental health
Kate Hobbs Knutson, the chief of behavioral health at BCBS of North Carolina, said the insurer decided to partner with Eleanor because of the strength of the talent behind it as well as its commitment to the comprehensive approach needed in value-based care.
“There are a few key things: One of them is same-day access. That’s really important with substance use,” Knutson said. “If a person is in a place where they are ready to change and seek treatment, you have to be available to help that need and that intention at that moment. Eleanor being able to do that has been really important.” 
Going virtual
Of course, access is one of the primary challenges for any addiction services provider in the midst of shelter-in-place orders. Eleanor quickly had to shift to expand its virtual services, Petro said. 
“Quarantine, isolation, and lack of mental health services can have an adverse effect on those in recovery and the public at large,” she said. “Because we recognize the increased need for mental health services, higher incidences of alcohol and other drug use, and decreased access to addiction treatment as a result of COVID-19 and social distancing, Eleanor Health is now opening our suite of fully virtual services to anyone living in NC.”
The virtual clinic was the fifth of more than 10 Eleanor Health plans to open in North Carolina this year, officials said.
It will be fully staffed for virtual care, offering medication-assisted treatment, psychiatric management, therapy, nurse care navigation and recovery support services online, they said. It will also have limited walk-in hours and in-person appointments for those who are unable to connect virtually.
RELATED: Industry Voices—Is healthcare leaving a fifth of us behind? How joint ventures can prioritize rural America
“We built our model to be comprehensive and flexible—able to be delivered in our clinics, in patients’ homes or communities, and virtually—100% of our clinical model has always been able to be delivered virtually,” Petro said. “Still, some patients want to come in person, and we have enhanced procedures in place and screen all patients for COVID. We have delivered care from behind glass, in the car, and adhering to the six-foot distancing.
Petro said the group has seen increased anxiety from community members being treated for addiction. That can make them more susceptible to more negative outcomes since they are still building their recovery capital. “We’re doing a lot more checking in and outreaching to community members, and seeing a lot more inbound emails, phone calls, and other correspondence.”
The goal is to ultimately continue proving Eleanor’s model by capturing data that shows its ability to engage retain and improve the outcomes of our patients.
“Really our goal ultimately is to provide a national platform for substance use disorder and addiction,” Petro said. “In 2021, our aim is to go into an additional three markets, grow the markets we’re in, and partner with innovative plans that really want to address this.” 
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findaddiction · 2 years
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Perfect Rehab Coverage Of Blue Cross Blue Shield
We provide standard blue cross blue shield rehab coverage from medical professionals for those undergoing treatment of severe addiction. To know more details, visit our website.
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detox0000 · 4 years
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Eleanor Health Expands to NJ!
Addiction treatment startup Eleanor Health expands reach with Horizon BCBSNJ partnership
by Tina Reed | May 12, 2020 4:00pm
Eleanor Health—which launched in October 2019 in partnership with Blue Cross Blue Shield of North Carolina—was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis. (Getty/KatarzynaBialasiewicz)
ShareFacebookTwitterLinkedInEmailPrint
What is the most effective way to treat addiction?
As concerns around the opioid crisis dominated headlines over the last several years, it was a question a group of healthcare industry veterans wrestled with before coming up with Waltham, Massachusetts- and Asheville, North Carolina-based Eleanor Health.
The addiction and mental health services startup—which launched last October in partnership with Blue Cross Blue Shield of North Carolina—is no 28-day program. Instead, they say it was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis.
They’ve got backing from some heavy hitters. To date, the group has raised more than $15 million in investor backing including from Town Hall Ventures, the venture firm started by former Centers for Medicare & Medicaid Services (CMS) acting Administrator Andy Slavitt and Oxeon Holdings.
Now, amid the COVID-19 crisis, it’s expanding with a new value-based partnership with Horizon Blue Cross Blue Shield of New Jersey. Eleanor plans to serve hundreds of patients across New Jersey with ten additional clinics in 2020 and 2021.
RELATED: Former CMS administrator Slavitt’s venture firm closes $115M fund
Eleanor also recently expanded addiction care on a digital basis with its first virtual clinic in Asheville, North Carolina.
“There’s been a lot of misunderstandings and bad actors in this space,” said CEO Corbin Petro, who’s previously served as founding CEO and president of Benevera Health, a first-of-its-kind payer-provider joint venture with Harvard Pilgrim Healthcare’s New Hampshire insurance business and a newly formed population health services company. Petro was also formerly the chief operating officer of the Massachusetts Department of Medicaid.
“We really are literally following the evidence and the outcomes and treating addiction as a chronic condition,” she said.
New kind of addiction treatment
Eleanor began with a mission to deliver evidence in a setting that was designed to be warm and welcoming.
Treatment is based on what Petro called a “harm-reduction approach” which measures success based on improvements rather than black and white metrics.  That means a patient doesn’t get disqualified from care, for instance, if a patient only reduces but doesn’t completely abstain from alcohol consumption, Petro said. 
The organization officially launched its first clinics in North Carolina with the help of partner BCBS of North Carolina, an insurer that has established itself as a leader in value-based care. It was a move that was key to standing up a care model that would be more effective, she said.
“That’s the tough part, being able to do this work and do it sustainably. In order to do that, you really have to get buy-in from payers,” Petro said.
RELATED: Industry Voices—More than dollars: Following the evidence to better addiction treatment
When it comes to insurers investing in value-based payments for chronic conditions, there is always the hurdle of churn: Will their members stay members long enough to reap the benefits of their improved long-term outcomes?
“When you think about Blue Cross of North Carolina, they are by far the dominant health insurer in that state. They have such market share, they’re not losing a lot of people. For them, from a business perspective, they have patients longer than a state where you might have five or six competitors.”
They are also philosophically committed to the idea of value-based payments.
“They’re doing that on the primary care side with Aledade, with City Block on the Medicaid side. Iora is coming into the state,” Petro said. “So they’re really trying to push value-based care as sort of a fundamental principle with the hopes of longterm gain. And part of it is, they just don’t see as much churn.”
RELATED: Blue Cross NC, Quartet roll out value-based payment model for mental health
Kate Hobbs Knutson, the chief of behavioral health at BCBS of North Carolina, said the insurer decided to partner with Eleanor because of the strength of the talent behind it as well as its commitment to the comprehensive approach needed in value-based care.
“There are a few key things: One of them is same-day access. That’s really important with substance use,” Knutson said. “If a person is in a place where they are ready to change and seek treatment, you have to be available to help that need and that intention at that moment. Eleanor being able to do that has been really important.” 
Going virtual
Of course, access is one of the primary challenges for any addiction services provider in the midst of shelter-in-place orders. Eleanor quickly had to shift to expand its virtual services, Petro said. 
“Quarantine, isolation, and lack of mental health services can have an adverse effect on those in recovery and the public at large,” she said. “Because we recognize the increased need for mental health services, higher incidences of alcohol and other drug use, and decreased access to addiction treatment as a result of COVID-19 and social distancing, Eleanor Health is now opening our suite of fully virtual services to anyone living in NC.”
The virtual clinic was the fifth of more than 10 Eleanor Health plans to open in North Carolina this year, officials said.
It will be fully staffed for virtual care, offering medication-assisted treatment, psychiatric management, therapy, nurse care navigation and recovery support services online, they said. It will also have limited walk-in hours and in-person appointments for those who are unable to connect virtually.
RELATED: Industry Voices—Is healthcare leaving a fifth of us behind? How joint ventures can prioritize rural America
“We built our model to be comprehensive and flexible—able to be delivered in our clinics, in patients’ homes or communities, and virtually—100% of our clinical model has always been able to be delivered virtually,” Petro said. “Still, some patients want to come in person, and we have enhanced procedures in place and screen all patients for COVID. We have delivered care from behind glass, in the car, and adhering to the six-foot distancing.
Petro said the group has seen increased anxiety from community members being treated for addiction. That can make them more susceptible to more negative outcomes since they are still building their recovery capital. “We’re doing a lot more checking in and outreaching to community members, and seeing a lot more inbound emails, phone calls, and other correspondence.”
The goal is to ultimately continue proving Eleanor’s model by capturing data that shows its ability to engage retain and improve the outcomes of our patients.
“Really our goal ultimately is to provide a national platform for substance use disorder and addiction,” Petro said. “In 2021, our aim is to go into an additional three markets, grow the markets we’re in, and partner with innovative plans that really want to address this.” 
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rehab006 · 4 years
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Addiction treatment startup Eleanor Health expands reach with Horizon BCBSNJ partnership
by Tina Reed | May 12, 2020 4:00pm
Eleanor Health—which launched in October 2019 in partnership with Blue Cross Blue Shield of North Carolina—was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis. (Getty/KatarzynaBialasiewicz)
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What is the most effective way to treat addiction?
As concerns around the opioid crisis dominated headlines over the last several years, it was a question a group of healthcare industry veterans wrestled with before coming up with Waltham, Massachusetts- and Asheville, North Carolina-based Eleanor Health.
The addiction and mental health services startup—which launched last October in partnership with Blue Cross Blue Shield of North Carolina—is no 28-day program. Instead, they say it was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis.
They’ve got backing from some heavy hitters. To date, the group has raised more than $15 million in investor backing including from Town Hall Ventures, the venture firm started by former Centers for Medicare & Medicaid Services (CMS) acting Administrator Andy Slavitt and Oxeon Holdings.
Now, amid the COVID-19 crisis, it’s expanding with a new value-based partnership with Horizon Blue Cross Blue Shield of New Jersey. Eleanor plans to serve hundreds of patients across New Jersey with ten additional clinics in 2020 and 2021.
RELATED: Former CMS administrator Slavitt’s venture firm closes $115M fund
Eleanor also recently expanded addiction care on a digital basis with its first virtual clinic in Asheville, North Carolina.
“There’s been a lot of misunderstandings and bad actors in this space,” said CEO Corbin Petro, who’s previously served as founding CEO and president of Benevera Health, a first-of-its-kind payer-provider joint venture with Harvard Pilgrim Healthcare’s New Hampshire insurance business and a newly formed population health services company. Petro was also formerly the chief operating officer of the Massachusetts Department of Medicaid.
“We really are literally following the evidence and the outcomes and treating addiction as a chronic condition,” she said.
New kind of addiction treatment
Eleanor began with a mission to deliver evidence in a setting that was designed to be warm and welcoming.
Treatment is based on what Petro called a “harm-reduction approach” which measures success based on improvements rather than black and white metrics.  That means a patient doesn’t get disqualified from care, for instance, if a patient only reduces but doesn’t completely abstain from alcohol consumption, Petro said. 
The organization officially launched its first clinics in North Carolina with the help of partner BCBS of North Carolina, an insurer that has established itself as a leader in value-based care. It was a move that was key to standing up a care model that would be more effective, she said.
“That’s the tough part, being able to do this work and do it sustainably. In order to do that, you really have to get buy-in from payers,” Petro said.
RELATED: Industry Voices—More than dollars: Following the evidence to better addiction treatment
When it comes to insurers investing in value-based payments for chronic conditions, there is always the hurdle of churn: Will their members stay members long enough to reap the benefits of their improved long-term outcomes?
“When you think about Blue Cross of North Carolina, they are by far the dominant health insurer in that state. They have such market share, they’re not losing a lot of people. For them, from a business perspective, they have patients longer than a state where you might have five or six competitors.”
They are also philosophically committed to the idea of value-based payments.
“They’re doing that on the primary care side with Aledade, with City Block on the Medicaid side. Iora is coming into the state,” Petro said. “So they’re really trying to push value-based care as sort of a fundamental principle with the hopes of longterm gain. And part of it is, they just don’t see as much churn.”
RELATED: Blue Cross NC, Quartet roll out value-based payment model for mental health
Kate Hobbs Knutson, the chief of behavioral health at BCBS of North Carolina, said the insurer decided to partner with Eleanor because of the strength of the talent behind it as well as its commitment to the comprehensive approach needed in value-based care.
“There are a few key things: One of them is same-day access. That’s really important with substance use,” Knutson said. “If a person is in a place where they are ready to change and seek treatment, you have to be available to help that need and that intention at that moment. Eleanor being able to do that has been really important.” 
Going virtual
Of course, access is one of the primary challenges for any addiction services provider in the midst of shelter-in-place orders. Eleanor quickly had to shift to expand its virtual services, Petro said. 
“Quarantine, isolation, and lack of mental health services can have an adverse effect on those in recovery and the public at large,” she said. “Because we recognize the increased need for mental health services, higher incidences of alcohol and other drug use, and decreased access to addiction treatment as a result of COVID-19 and social distancing, Eleanor Health is now opening our suite of fully virtual services to anyone living in NC.”
The virtual clinic was the fifth of more than 10 Eleanor Health plans to open in North Carolina this year, officials said.
It will be fully staffed for virtual care, offering medication-assisted treatment, psychiatric management, therapy, nurse care navigation and recovery support services online, they said. It will also have limited walk-in hours and in-person appointments for those who are unable to connect virtually.
RELATED: Industry Voices—Is healthcare leaving a fifth of us behind? How joint ventures can prioritize rural America
“We built our model to be comprehensive and flexible—able to be delivered in our clinics, in patients’ homes or communities, and virtually—100% of our clinical model has always been able to be delivered virtually,” Petro said. “Still, some patients want to come in person, and we have enhanced procedures in place and screen all patients for COVID. We have delivered care from behind glass, in the car, and adhering to the six-foot distancing.
Petro said the group has seen increased anxiety from community members being treated for addiction. That can make them more susceptible to more negative outcomes since they are still building their recovery capital. “We’re doing a lot more checking in and outreaching to community members, and seeing a lot more inbound emails, phone calls, and other correspondence.”
The goal is to ultimately continue proving Eleanor’s model by capturing data that shows its ability to engage retain and improve the outcomes of our patients.
“Really our goal ultimately is to provide a national platform for substance use disorder and addiction,” Petro said. “In 2021, our aim is to go into an additional three markets, grow the markets we’re in, and partner with innovative plans that really want to address this.” 
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drugrehb9 · 4 years
Link
via Drug Rehab,
Addiction treatment startup Eleanor Health expands reach with Horizon BCBSNJ partnership
by Tina Reed | May 12, 2020 4:00pm
Eleanor Health—which launched in October 2019 in partnership with Blue Cross Blue Shield of North Carolina—was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis. (Getty/KatarzynaBialasiewicz)
ShareFacebookTwitterLinkedInEmailPrint
What is the most effective way to treat addiction?
As concerns around the opioid crisis dominated headlines over the last several years, it was a question a group of healthcare industry veterans wrestled with before coming up with Waltham, Massachusetts- and Asheville, North Carolina-based Eleanor Health.
The addiction and mental health services startup—which launched last October in partnership with Blue Cross Blue Shield of North Carolina—is no 28-day program. Instead, they say it was designed to be the first to use a value-based delivery and payment model for substance abuse treatment delivered on an outpatient basis.
They’ve got backing from some heavy hitters. To date, the group has raised more than $15 million in investor backing including from Town Hall Ventures, the venture firm started by former Centers for Medicare & Medicaid Services (CMS) acting Administrator Andy Slavitt and Oxeon Holdings.
Now, amid the COVID-19 crisis, it’s expanding with a new value-based partnership with Horizon Blue Cross Blue Shield of New Jersey. Eleanor plans to serve hundreds of patients across New Jersey with ten additional clinics in 2020 and 2021.
RELATED: Former CMS administrator Slavitt’s venture firm closes $115M fund
Eleanor also recently expanded addiction care on a digital basis with its first virtual clinic in Asheville, North Carolina.
“There’s been a lot of misunderstandings and bad actors in this space,” said CEO Corbin Petro, who’s previously served as founding CEO and president of Benevera Health, a first-of-its-kind payer-provider joint venture with Harvard Pilgrim Healthcare’s New Hampshire insurance business and a newly formed population health services company. Petro was also formerly the chief operating officer of the Massachusetts Department of Medicaid.
“We really are literally following the evidence and the outcomes and treating addiction as a chronic condition,” she said.
New kind of addiction treatment
Eleanor began with a mission to deliver evidence in a setting that was designed to be warm and welcoming.
Treatment is based on what Petro called a “harm-reduction approach” which measures success based on improvements rather than black and white metrics.  That means a patient doesn’t get disqualified from care, for instance, if a patient only reduces but doesn’t completely abstain from alcohol consumption, Petro said. 
The organization officially launched its first clinics in North Carolina with the help of partner BCBS of North Carolina, an insurer that has established itself as a leader in value-based care. It was a move that was key to standing up a care model that would be more effective, she said.
“That’s the tough part, being able to do this work and do it sustainably. In order to do that, you really have to get buy-in from payers,” Petro said.
RELATED: Industry Voices—More than dollars: Following the evidence to better addiction treatment
When it comes to insurers investing in value-based payments for chronic conditions, there is always the hurdle of churn: Will their members stay members long enough to reap the benefits of their improved long-term outcomes?
“When you think about Blue Cross of North Carolina, they are by far the dominant health insurer in that state. They have such market share, they’re not losing a lot of people. For them, from a business perspective, they have patients longer than a state where you might have five or six competitors.”
They are also philosophically committed to the idea of value-based payments.
“They’re doing that on the primary care side with Aledade, with City Block on the Medicaid side. Iora is coming into the state,” Petro said. “So they’re really trying to push value-based care as sort of a fundamental principle with the hopes of longterm gain. And part of it is, they just don’t see as much churn.”
RELATED: Blue Cross NC, Quartet roll out value-based payment model for mental health
Kate Hobbs Knutson, the chief of behavioral health at BCBS of North Carolina, said the insurer decided to partner with Eleanor because of the strength of the talent behind it as well as its commitment to the comprehensive approach needed in value-based care.
“There are a few key things: One of them is same-day access. That’s really important with substance use,” Knutson said. “If a person is in a place where they are ready to change and seek treatment, you have to be available to help that need and that intention at that moment. Eleanor being able to do that has been really important.” 
Going virtual
Of course, access is one of the primary challenges for any addiction services provider in the midst of shelter-in-place orders. Eleanor quickly had to shift to expand its virtual services, Petro said. 
“Quarantine, isolation, and lack of mental health services can have an adverse effect on those in recovery and the public at large,” she said. “Because we recognize the increased need for mental health services, higher incidences of alcohol and other drug use, and decreased access to addiction treatment as a result of COVID-19 and social distancing, Eleanor Health is now opening our suite of fully virtual services to anyone living in NC.”
The virtual clinic was the fifth of more than 10 Eleanor Health plans to open in North Carolina this year, officials said.
It will be fully staffed for virtual care, offering medication-assisted treatment, psychiatric management, therapy, nurse care navigation and recovery support services online, they said. It will also have limited walk-in hours and in-person appointments for those who are unable to connect virtually.
RELATED: Industry Voices—Is healthcare leaving a fifth of us behind? How joint ventures can prioritize rural America
“We built our model to be comprehensive and flexible—able to be delivered in our clinics, in patients’ homes or communities, and virtually—100% of our clinical model has always been able to be delivered virtually,” Petro said. “Still, some patients want to come in person, and we have enhanced procedures in place and screen all patients for COVID. We have delivered care from behind glass, in the car, and adhering to the six-foot distancing.
Petro said the group has seen increased anxiety from community members being treated for addiction. That can make them more susceptible to more negative outcomes since they are still building their recovery capital. “We’re doing a lot more checking in and outreaching to community members, and seeing a lot more inbound emails, phone calls, and other correspondence.”
The goal is to ultimately continue proving Eleanor’s model by capturing data that shows its ability to engage retain and improve the outcomes of our patients.
“Really our goal ultimately is to provide a national platform for substance use disorder and addiction,” Petro said. “In 2021, our aim is to go into an additional three markets, grow the markets we’re in, and partner with innovative plans that really want to address this.” 
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bayinsurancefl · 5 years
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Reasons To Buy BCBS In Naples And Port Charlotte FL
Being able to afford the costs of healthcare becomes imperative as one advances in years. True, most of the employed individuals can hope to find respite on becoming qualified for Medicare but that may not cover every requirement compelling the concerned person to look for additional insurance option. The ‘Blue Cross Blue Shield’ alternatively known as BCBS in Naples and Port Charlotte FL can definitely help an individual find the right solution negating the need for looking elsewhere for extensive coverage.
While there are plans galore for individuals and families who choose to buy BCBS, there are a few health essentials covered by almost all of the plans. It is thus advantageous to find the following coverage via BCBS.
· Outpatient services
· Emergency Requirements
· Hospitalization
· Care for mother and new born child
· Mental Health Disorders that may include substance abuse
· Treatment for Behavioral Disorder
· All prescription drugs
· Rehabilitation
· Cost of Essential Medical Equipment
· Diagnostic Tests
· Preventive Care
· Wellness Services
· Management of Chronic Conditions
The insured persons are pleased to find that the preventive services are totally covered via their BCBS plan without any need for co-payments. The other benefits stated above are covered only after the deductible amount is met. The coinsurance and co-payment needs vary from plan to plan, however.
It is most important to be aware about the extent if coverage provided by each plan before deciding to go for one or the other. The plans are associated with a number of hospital and physician networks and also use the services of other health care professionals as and when required.
The “health maintenance organization” plan or HMO provides the individuals with the assistance of a single physician who is responsible for providing primary care to the patient. This makes it imperative to obtain a reference from the said physician for visiting other doctors during the course of treatment. However, emergencies are exempt from this rule. Thankfully, the female patients do not need any reference for visiting a gynaecologist in order to go through routine tests as well as annual checkups.
While many people find it to be a trifle restrictive, it does help to have a single point of contact as there is little paperwork to take care of and much reduced costs for ensuring good health for all the members of the family.
However, many of insured individuals find it more convenient to opt for the PPO plan that is an acronym for "preferred provider organization."  This plan is ideal for people who do not like the idea of going to a doctor within the network always. A person who chooses this plan is free to go visit any physician both in and out of the network. However, using the services of a doctor not in the network can result in steeper ‘out of pocket’ expenses while the physicians within the network charge much less.
It definitely makes sense to consider Florida Blue insurance in Bradenton and Cape Coral FL to avail of a tailor made plan that is created exclusively for a customer in accordance to the requirement and budgetary constraints.
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alexdmorgan30 · 6 years
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Are Insurance Companies Making Opiate Treatment More Difficult?
One of the hurdles that struggling opiate addicts have to deal with is in getting the medication that could help them to beat their addiction.
This is unfortunate, because it could be so much easier. But it’s not.
The News and Observer says that “BCBS requires providers to request prior authorization to start buprenorphine. These prior authorizations can require days of back-and-forth discussions until approval, during which time a person seeking treatment is at risk of overdose.”
It is also unfortunate that less helpful forms of MAT, such as methadone maintenance, are cheaper and far easier to get than Suboxone.
For some reason they did not want doctors being able to prescribe Suboxone easily, even though it is far safer than traditional opiates or other forms of MAT like methadone. So what they have done is to make it so that far more hoops have to be jumped through in order to prescribe it.
Insurance companies do not really want to pay the money for a medication such as Suboxone, so their goal (it would seem) is to deny people the medication. They know that this is a maintenance type of medication that might be taken for a long period of time, and therefore they know that if they put people on this medication then they are going to be paying out a lot of money for it. Their goal, it seems, is to make the process of getting authorized to get on Suboxone maintenance as difficult as possible.
This is the basic economics of the opiate crisis–nobody really wants to pay for it, and we also don’t really know what to do about it.
One thing that demonstrates decent results–especially in the short run–is MAT approaches such as using Suboxone. We can send people to inpatient treatment, and they can go through a medical detox process, get some counseling, and be exposed to group therapy, but without a solid plan in place for aftercare, they are likely just going to go back out and relapse.
This is where MAT comes into play. The new standard of addiction treatment is both inpatient treatment, counseling, support meetings, and MAT–all combined into one big effort. But in order for this to be viable we need to make the medication more accessible. If we have something that even comes close to being a real “cure” for the opiate crisis, wouldn’t we want to get that solution to as many people as possible?
Part of the problem when it comes to treating opiate addiction is that many people who are struggling are not yet in a state of full surrender. In order for treatment to be effective the person really has to be at “rock bottom” in their addiction, and they have to be nearly out of hope completely. This is the state of surrender that seems to produce good results–regardless of the treatment or methodology that is used.
It is important to realize that opiate addiction has a strong physical dependence component to it that goes beyond most other substances. The opiate addict is literally rewiring their brain on a physical level when they abuse opiates for an extended period of time. So when the struggling opiate user finally attempts to get clean, they have an extra difficult struggle ahead of them because their body is now working against them.
Consider for a moment how the human body regulates its own dopamine. Your brain has certain receptors that will accept dopamine molecules, and your body can–in times of extreme stress–deliver an extra dose of natural dopamine to your body in order to get you through a flight or fight situation.
Because your body has this ability, it must also have a baseline that allows this system to exist in the first place. So that baseline means that every human body has a small amount of dopamine flowing through it at all times. Your body produces this dopamine and it trickles it out to your brain, every second of every day. It is always there so that you have a baseline for natural pain relief.
When the opiate addict starts abusing opiates, the opiate molecules that they put into their body–whether it is vicodin or heroin or fentanyl–go into the receptor sites in the brain and they provide instant pain relief. The problem is that if you are consistently abusing opiates then at some point the human body will realize that the natural dopamine production is no longer needed. So at that point your body stops producing the natural dopamine that it creates every day, and instead it just relies on the drugs you are abusing.
This works great until the addict stops abusing opiates, at which time their brain is going to cry out in protest: “Where are my opiate molecules? Where is my dopamine? I need something to fill in these hungry opiate receptors!”
And that is what produces withdrawal symptoms, and sends the opiate addict into a miserable state of existence that prompts them to want to relapse.
So a struggling opiate addict can deal with this withdrawal by going to an inpatient detox center, where they would be treated with medications to help ease them through the detoxification process. However, even after the opiate addict has been fully detoxified and is completely clean, they still have a problem: Their body has not really started to produce its own natural dopamine again.
After a week or so, the body will turn that natural dopamine production back on. However, because the opiate addict has abused drugs for an extended time period, their brain is now rewired to require greater and greater amounts of dopamine or opiates in order to satisfy it. So what happens is that the person is going to feel slightly sick, lethargic, and unmotivated due to a lack of opiates. And this phase of their long term withdrawal symptoms can last for over a year.
So you can see why there might be a strong case to be made for Suboxone therapy. Struggling opiate addicts who cannot feel normal and healthy without it will have much better chances of success in recovery if they have access to this medication.
The opiate crisis shows no signs of slowing down, and it is up to us to find new solutions and new ways to treat opiate addiction. The more methods we can test, the more we can learn about what the best practices truly are for treating the crisis.
The post Are Insurance Companies Making Opiate Treatment More Difficult? appeared first on Spiritual River Addiction Help.
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