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Current Issues

Issues That May Be Critically Important to Your Organization

2026 ATAC Conference Presentations

2026 ATAC Conference Presentations

The 2026 ATAC Conference was high value event featuring groundbreaking presentations by industry leaders on issues that impact your treatment center B

Learn More

More About The Issues

More about the issues ATAC is advocating for

2026 State of the Substance Use Treatment Industry

2025 – State of the Substance Use Treatment Industry

2025 ATAC Conference Presentations

The 2025 ATAC Conference was the largest to date and featured groundbreaking presentations by industry leaders on issues that impact your treatment center Below are the presentations from the 2025 ATAC Conference Click any link to download the pr Learn More

2024 State of the Substance Use Treatment Industry

2023 State of the Substance Use Treatment Industry

2022 State of the Substance Use Treatment Industry

This presentation highlights key changes in the substance use treatment industry and ATAC s role in advocating for positive change

ATAC on Mental Health Parity

Strength in Numbers: An Overview of What ATAC Does and Who We Represent

Important Industry News


Feds drop bomb on Multiplan in legal war over healthcare ‘price-fixing’ algorithms

The US Justice Department on Thursday weighed into an antitrust legal war that alleges algorithmic price fixing by healthcare services by MultiPlan and its health insurance clients.


Ninth Circuit Revives Class Action Suit Against UnitedHealth for Alleged Violations of the Mental Health Parity and Addiction Equity Act

In Ryan S. v. UnitedHealth Group Inc., 2024 U.S. App. LEXIS 8729, the Ninth Circuit Court overturned a lower court decision and found that UnitedHealth Group (UHG) must face a class action suit alleging it violated the Mental Health Parity and Addiction Equity Act.


Drug, substance abuse and addiction statistics 2024

Drug and substance abuse continues to be a major problem across the United States, with 1 in 4 Americans over the age of 12 admitting that they used illicit drugs in 2022.


Aetna Sues California Addiction Treatment Providers for Exploiting Patients and Insurance Fraud

A Closer Look at Fraud and Abuse in the Addiction Treatment Industry in Orange, Los Angeles, and Riverside Counties


Aetna clarifies updated telehealth policy does not apply to fully insured enrollees


UnitedHealth, Cigna face lawsuits over alleged automated claims denials



Owner of Southern California sober living homes sentenced to 2 years for fraud


Bakersfield attorney admits to scheme that turned urine to gold after overbilling insurance firms for medical tests


Insurers slam mental health parity plan


Cigna faces second class-action suit over automated claims denials


Cigna using AI to reject claims, lawsuit charges


Cigna Health Giant Accused of Improper Violation of California Law


UnitedHealth, Nation’s Biggest Health Insurer, Reports Record Use Of Behavioral Care Services


UnitedHealthcare vs. Aetna vs. Centene: 10 key comparisons to know in 2023


SB-858 Health care service plans: discipline: civil penalties.



Elevance Health to Acquire Blue Cross and Blue Shield of Louisiana



For addiction treatment, longer is better. But insurance companies usually cut it short


California Plans Deny Mental Health Claims Despite New Law


The Failed Promise of Online Mental-Health Treatment

Heavy advertising and other strategies from Silicon Valley’s playbook

boost providers’ growth but not the quality of care

. Remote treatment of mental-health problems surged in the pandemic, as in-person treatment became difficult while pandemic-driven isolation increased anxiety and depression.


HHS Proposes New Protections to Increase Care Coordination and Confidentiality for Patients With Substance Use Challenges


Self-funded plans sue Anthem, alleging overcharging and other ERISA violations


Employers claim that the health care company, now known as Elevance Health,

breached its fiduciary duties under ERISA

because they were denied access to plan claims due to mismanagement of funds.


What Will UnitedHealth’s New Trove of Claims Data Mean for Consumers?

A federal judge allowed the company to acquire a
clearinghouse of health insurance claims
. UnitedHealth says it won’t use the data to give itself an edge, even as some company documents suggest otherwise.


What employers must know about mental health parity


Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations

On Nov. 2, 2021, Nevada Gov. Steve Sisolak’s reelection campaign

received 10 separate $10,000 contributions

from what appeared to be unrelated health insurance plans from across the country.


California Providers Can’t Keep Up With Mental Health Parity Law


Longest Strike Ends: California Mental Health Care Workers Win Big


Pritzker Administration Announces a $1.25 million fine for Celtic Insurance Company for Violation of the Mental Health Parity and Addiction Equity Act and the Network Adequacy and Transparency Act


States need help to enforce mental health parity laws, report finds


Justice Department sues Cigna for allegedly exaggerating conditions of Medicare Advantage members


US health insurance prices went up nearly 30% over the past year


Blue Shield of California sues state over Medi-Cal changes

Blue Shield of California has filed a lawsuit against the state’s Department of Health Care Services alleging the department of

failing to supply documents

detailing plans for how it will contract with for-profit insurers who seek participation in Medi-Cal, California’s Medicaid program.


A Law Designed To Protect Health Consumers Has Ended Up Hurting Them


Federal Court Gives Green Light to Deny Coverage


House Passes Behavioral Health Parity Bill That Could Penalize Insurers


Patients, doctors sue to hold Cigna accountable for underpayments


Payers oppose House mental health parity bill that introduces new insurer fines


Wyden calls for insurers to face consequences for running ‘ghost’ provider networks


In a blow to DOJ, judge allows UnitedHealth-Change Healthcare merger to move forward

A federal judge will allow

UnitedHealth Group’s acquisition of Change Healthcare

to proceed, dealing a blow to the Biden administration’s healthcare antitrust efforts.


Push for mental health parity hits turbulence


AMA, Other Medical Groups Go After

CIGNA

over Underpayments – RevCycleIntelligence

The groups joined a class action lawsuit against

Cigna

, claiming that the private payer reimbursed providers in the MultiPlan network at lower rates than previously agreed upon.


Kaiser Mental Health Workers Allege State Law Violation


A Cautionary Tale

Nick Carusillo died when he was
hit by multiple vehicles on a Georgia interstate
, just days after he was abruptly discharged from an addiction treatment center. Now his parents hope a substantial jury verdict in their favor will prompt change that helps others suffering from mental illness and substance abuse.


Inpatient vs. Outpatient Rehab: Which Is More Effective?

Even before the coronavirus pandemic occurred, the number of people in the U.S. age 18 and older with at least one substance use disorder (SUD) was estimated to be over 

20 million

.  Since the dawn of the pandemic, researchers have noted 

increases

 in substance use disorders and drug overdoses. With those statistics in mind, the need for rehab is more important than ever today. However, not all rehab approaches are the same. Here’s how inpatient and outpatient compare with each other.


California health care union calls for $25 per hour minimum wage

The union has pushed for ordinances in California cities establishing a minimum hourly wage of the same amount for workers at private healthcare facilities. It said that
raising the minimum wage
would help address workforce challenges.


California probes Kaiser over enrollee access to mental health appointments

The California Department of Managed Health Care has launched a targeted enforcement investigation into whether Kaiser Permanente health plans are providing patients with timely access to appointments, as required by law, during a

strike by mental health clinicians

at the system’s facilities, a DMHC spokeswoman confirmed in an email to Healthcare Dive on Sunday.


Kaiser faces state probe over mental health access amid strike

The California Department of Managed Health Care has opened a targeted enforcement investigation to examine whether Oakland, Calif.-based Kaiser Permanente is providing timely access to appointments during an ongoing strike by mental healthcare workers


Study: Costs to add substance abuse coverage to Medicare to only increase spending by nominal amount

The

study, released Wednesday

(PDF) by the Legal Action Center, comes as Congress is eyeing legislation to expand access to coverage for mental health and substance abuse disorders. Researchers found that any increase in costs to Medicare would be offset by lower costs for related healthcare conditions.


Q&A with Aetna’s Chief Medical Officer Dr. Kyu Rhee on creating a ‘values-based system’

Kyu Rhee, MD, is a senior vice president at CVS Health and chief medical officer at Aetna. He sat down with

Becker’s

to discuss ongoing trends across the healthcare industry and how he is working to create a ”
values-based
” care system through opportunities offered by a global pandemic.


Cigna’s Evernorth, Kaiser Permanente ink 5-year network agreement

Cigna’s Evernorth and Kaiser Permanente have inked a
multi-year network agreement
that aims to drive greater convenience and affordability.


Shareholders approve CVS-Aetna acquisition

Shareholders at both CVS Health and Aetna voted Tuesday to approve the drugstore chain’s
acquisition of the health insurer
, a deal valued at $69 billion.


Major insurers running billions of dollars behind on payments to hospitals and doctors

Anthem Blue Cross, the country’s second-biggest health insurance company, is
behind on billions of dollars in payments
owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, say hospital officials in multiple states.



Essential Reading:

Murphy, Blumenthal, Colleagues Reintroduce the Behavioral Health Coverage Transparency Act

WASHINGTON—

U.S. Senators Chris Murphy (D-Conn.),

a member of the U.S. Senate Health, Education, Labor, and Pensions Committee, and

Richard Blumenthal (D-Conn.)

joined 12 of their Senate colleagues in reintroducing the


Behavioral Health Coverage Transparency Act


, legislation that would strengthen oversight and enforcement of federal parity laws.



Essential Reading:

No Surprises Act Implementation: What to Expect in 2022

The

No Surprises Act

(NSA) establishes new federal protections against surprise medical bills that take effect in 2022.

Surprise medical bills

arise when insured consumers inadvertently receive care from out-of-network hospitals, doctors, or other providers they did not choose.


CareFirst unveils new virtual primary care practice, CloseKnit

Blues insurer CareFirst is launching a new virtual primary care practice called CloseKnit.


Major payers including Aetna, UHC sign on to California primary care initiative

Six organizations in the state

have signed

a memorandum of understanding, agreeing to invest in boosting access to advanced primary care, a model that emphasizes whole-person care for high-quality outcomes.


Battle lines are drawn over California deal with Kaiser Permanente

California counties, health insurance plans, community clinics, and a major national health care labor union are lining up against a controversial deal to grant HMO giant Kaiser Permanente a
no-bid statewide Medicaid contract
as the bill heads for its first legislative hearing Tuesday.


Payers Suit alleges Blue Shield improperly denied mental health, drug treatment claims

Blue Shield of California and its claims administrator wrongly restricted patients’ access to outpatient and residential mental health treatment, a class-action 

lawsuit

 says.


Hospitals launch campaign to repeal L.A.’s new healthcare minimum wage

A coalition of Los Angeles hospitals and other health facilities launched a campaign on Tuesday


to repeal a newly enacted ordinance boosting the minimum wage for thousands of healthcare workers to $25 per hour, saying the law will have a harmful effect on medical care across the city.


AHIP and BCBSA analysis finds new law prevented more than 2M surprise medical bills

More than 2 million potential surprise medical bills across all patients in commercial plans were prevented in the first two months a key law went into effect, a new study said.

Insurance groups AHIP and the Blue Cross Blue Shield Association

released a survey and analysis

(PDF) of the impact of the No Surprises Act, which banned surprise medical bills starting this year. The analysis comes as providers and the Biden administration continue to battle in court over how to handle disputes over surprise bills.


How much health insurers pay for almost everything is about to go public

Consumers, employers, and just about everyone else interested in healthcare prices will soon get an unprecedented look at what insurers pay for care, perhaps helping answer a question that has long dogged those who buy insurance: Are we getting the best deal we can?


Senator Wiener’s Health Plan Accountability Act, SB 858, Passes Assembly Health Committee


SACRAMENTO

– Today, Senator Scott Wiener’s (D-San Francisco) legislation to improve health plan accountability, Senate Bill 858, passed the Assembly Health Committee by a vote of 11-2. SB 858 will now head to the Assembly Appropriations Committee.


Sober Home Owner Sentenced to 30 Months in Prison for $4.5 Million Kickback Scheme

A Florida woman was sentenced today to 30 months in prison for a scheme to solicit and receive illegal kickbacks and bribes in exchange for referring residents of her sober home to a substance abuse treatment center.


Ninth Circuit Reverses Decision Requiring Reprocessing of 67,000 Behavioral Health


Claims; Hands United Healthcare a Win

The Ninth Circuit Court of Appeals recently reversed the Northern District of California’s landmark decision against UnitedHealth Group Inc.’s behavioral health unit, United Behavioral Health (“UBH”), under which UBH had been ordered to reprocess tens of thousands of behavioral health claims.


United Healthcare and Anthem Sued for Coverage Denial on Residential Treatment Claims

Two separate suits were filed in the District of Utah on Tuesday.

The first health insurance suit

was filed against defendants Anthem Blue Cross Life and Health Insurance Company and the Snap Inc.




2022 MHPAEA Report to Congress



Realizing Parity, Reducing Stigma, and Raising Awareness: Increasing Access to Mental Health and Substance Use Disorder Coverage


Senators Hassan, Murkowski, Luján Introduce Bipartisan Bill to Increase Investments in Substance Misuse Prevention, Treatment, and Recovery

U.S. Senators Maggie Hassan (D-NH), Lisa Murkowski (R-AK), and Ben Ray Luján (D-NM) introduced bipartisan legislation to increase investments in substance misuse prevention, treatment, and recovery programs. The Substance Use Prevention, Treatment, and Recovery Act reauthorizes and strengthens the Substance Abuse Block Grant program, including by requiring that funding goes to evidence-based services, including medication-assisted treatment.


Governor Newsom’s CARE Court Proposal Moves Forward

SACRAMENTO – On the heels of California

awarding over half a billion dollars

for housing and services serving people experiencing mental health and substance use crises, Governor Gavin Newsom’s

CARE Court proposal

today cleared a major legislative hurdle.


‘Untreated’: Patients with opioid addiction could soon lose access to virtual care

Federal regulations that have allowed practitioners the flexibility to prescribe buprenorphine virtually — and to patients outside their state — are due to expire along with the Covid-19 public health emergency.


Alcohol and Cannabis are Top Reasons People Seek Substance Misuse Treatment

A new report finds that alcohol and cannabis are the most common reasons people pursue substance misuse treatment.


Addiction Treatment Facility Operators Sentenced in $112 Million Addiction Treatment Fraud Scheme

Two brothers who operated multiple South Florida addiction treatment facilities were sentenced to prison Friday for a $112 million addiction treatment fraud scheme that included paying kickbacks to patients through patient recruiters and receiving kickbacks from testing laboratories.


How segregated payments keep comprehensive substance use disorder care out of reach

Despite an

overall drop

in opioid prescribing over the past decade, opioid-related overdose deaths have

continued to rise.


Court OKs denying coverage for mental health, substance-use care

If allowed to stand, a three-judge panel decision from the 9th U.S. Circuit Court of Appeals will destroy the progress that has been made in helping ensure that patients receive the medically appropriate mental health and substance-use disorder care they need and deserve, physicians tell a federal appeals court.



Change Healthcare Partners with the American Society of Addiction Medicine to Transform Utilization Management for SUD



The ASAM Criteria® Powered by InterQual® brings efficiency for payers and providers to assess the millions of patients suffering from substance use disorders.


FTC requests additional details on UnitedHealth’s acquisition of LHC Group

The Federal Trade Commission has issued a second request for information on UnitedHealth Group’s $5 billion planned acquisition of home health provider LHC Group.


Aetna Cancels Contract With Cerebral Over Controlled Substance Prescribing Issues

Health insurer Aetna is canceling its in-network contract with Cerebral in August, the mental health startup’s CEO told employees on Wednesday.


Why insurers may be breaking the law with restrictive mental health coverage

While the pandemic has put everyone’s


mental well-being


at risk, adolescents have taken it especially hard and have struggled with the social isolation and heightened caution of the “new normal.”


As Anthem Rebrands To Elevance, Healthcare Services To Be Named ‘Carelon’

Health insurer Anthem’s rebrand to Elevance Health will include the new name of “Carelon” for its healthcare services and the return of “Wellpoint” for certain government-subsidized health insurance products.

ATAC’s Perspective

stampp preso

2025 State of the Substance Use Treatment Industry

February 4 2025

2024 State of the Substance Use Treatment Industry

March 7 2024

YOUR COMPANY, YOUR VISION, YOUR FATE

July 7 2020

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