Some thoughts from Joan and Josie before casting a vote or Attorney General this Tuesday...
Josie Herndon and I, Joan Borsten Vidov, took two important messages away from the "Dave Jones for Attorney General" fundraiser last Friday evening.
1) Dave Jones has only 6 more months as Insurance Commissioner and there are still many facilities that have yet to be paid by Health Net; probably because their lawyers are waiting to see if the next Insurance Commissioner will be more supportive of Health Net
2) Having an Attorney General who understands the health insurance insurance industry would be a very good thing for the addiction treatment industry.
Our State, unlike let's say New York, is painfully under regulated because oversight is divided between the Department of Insurance (with an elected commissioner) and the Department of Managed Health Care (which reports to the Governor). Additionally a third agency, the US Department of Labor's Los Angeles office, oversees California employer funded plans. While Commissioner Jones was eager to explain his position on serious issues like access to addiction treatment for those exiting the criminal justice system, ATAC members were more focused on whether as Attorney General he could find a way to end the regulatory disfunction in California that is impacting all who pay premiums to health insurance carriers, out-of-network addiction treatment facilities and probably the in-network as well. Jones was well aware of the problem, if not the solution. He explained the creative ways he found to resolve some of the thorny problems that faced him even when he lacked the legal authority and that gave us some hope. Thanks to Ken Seeley and Eric McLaughlin from Intervention 911 for sponsoring the event with West Hollywood City Council member John Heilman. Other ATAC members in attendance were Alex Van Kovn from Alta Centers and Erin Burke from Hansei Billing and a member of the Underpayments Steering Committee.
Joan and Josie
Addiction Treatment Advocacy Coalition
Hello my Friends and colleagues!
We are looking into getting a CRM system in place and I'm curious if anyone has any feedback on the different options available. We are looking at Salesforce, as well as KIPU systems and I wonder if anyone is either currently using one of these and what their experience is. Now we currently have KIPU electronic charting, so I lean towards using something we already 'have in place', but then I heard that w/KIPU our marketing data become free knowledge and lacks protection...? True or false?
Which system is most cost effective?
Which is easiest to learn?
ATAC waged a public relations campaign to demonstrate the damage Health Net has done to their insured and addiction treatment facilities in California. this included stories in Kaiser Health Newsletter, in a financial publication, and in the Los Angeles Times.
We also produced two videos demonstrating the impact on the insured and providers of Health Net's long term failure to pay for treatment. We believe that Health net has settled with over 100 facilities and others are still in negotiation.
In the Los Angeles Fire Department's continuing efforts to meet the challenges of our increasing EMS call load and the increasing number of homeless individuals, our EMS Bureau is in the process of implementing a pilot program called the LAFD SOBER (Sobriety Emergency Response) Unit. This pilot project is anticipated to be staffed by a Firefighter, working alongside a Los Angeles Homeless Services Authority (LAHSA) outreach worker.
Ken Alltucker, The Republic | azcentral.com
The only "Obamacare" health insurer in metro Phoenix and Pima County is ensnared in a legal dispute with several addiction treatment centers over the cost of care amid an Arizona opioid epidemic that is taking an average of two lives each day.
Nine alcohol and drug rehabilitation centers claim in a Maricopa County Superior Court lawsuit that the health insurance company Health Net of Arizona improperly withheld or delayed lucrative payments for treatment of people struggling with addiction.
But Health Net says in a counterclaim that there was widespread fraud among Arizona and California drug rehab centers in 2015 and 2016, when it alleges"teams of brokers" recruited out-of-state clients to fraudulently obtain insurance policies and to seek treatment in Arizona.
Those actions have cost the insurance company — and Arizona consumers through higher monthly premiums — tens of millions of dollars, the Health Net counterclaim says.