Tag Archives: recovery

The Positive Economic Impact of the Treatment Industry and Recovery Community

The health care industry is the job engine of many parts of the U.S., aided by funding as a result of the Affordable Care Act.

Florida, California, Texas, and other states are no different, specifically and including the number of well-paying jobs for professionals and para-professionals in the drug and alcohol treatment industry.

While some cities would prefer not to have treatment providers and recovery residences in their jurisdiction, that really cutting off the proverbial nose to spite one’s face.

We don’t have the numbers (yet) but no one will doubt the major economic driver that the treatment and housing industry is for the South Florida region.

According to a newly-released report by the New York Times in relation to Republican efforts to “repeal and replace” the Affordable Care Act:

“Whatever happens, the economy of every state will be affected. Across the country, the health care industry has become a ceaseless job producer — for doctors, nurses, paramedics, medical technicians, administrators and health care aides. Funding that began flowing in 2012 as a result of the Affordable Care Act created at least a half-million jobs, according to an analysis by Goldman Sachs.”.

Similarly, universities such as Florida Atlantic, University of Miami, and Nova Southeastern, that have strong social work and other behavioral clinical programs, rely upon the robust treatment industry and recovery community for employment for their graduating students.

An economic impact review by the American Hospital Association concluded that workers’ earnings combined with their spending on groceries, clothing and the like generate millions of dollars per year in economic activity and helped create thousands of jobs beyond their own. “The goods and services hospitals purchase from other businesses create additional economic value for the community. With these “ripple effects” included, each hospital job supports about two additional jobs, and every dollar spent by a hospital supports roughly $2.30 of additional business activity.”

Similar results apply to the robust treatment and housing industry within Palm Beach County and throughout Florida, as well as the rest of the nation.

In the effort to regulate the treatment and housing industry, we have used chemotherapy to rid the scourge of bad players from the playing field. However, in doing so, we may have found that many good providers have been scared off too, fearful that regulators and law enforcement are using this is a pre-text at the behest of the electorate, where one may be able to “beat the rap” but will be unable to “beat the ride.”

In the meantime, recognition of the positive economic benefit that this industry has on Florida and the entire nation should be further studied, recognized, and supported.

The alternative is to eliminate the entire system, and to leave those suffering with no alternatives whatsoever.

The Wearable Medical Tech Industry Keeps Going

Happy Fall to everyone. With the release of the new iPhone 6 and the new Apple Health App, the “wearable tech” market is really gaining traction. Along with the exercise bracelets which are now ubiquitous, many other tech companies will soon be releasing their own gadgets to compete on what is expected to be the next big thing.

I was reading this morning the following at Politico.com: http://www.politico.com/story/2014/09/health-applications-wearables-congress-111299.html

As the market for the devices grows, however, the companies that make them and collect the data are coming under increasing scrutiny over privacy and security issues, because everything from heartbeats to insulin deficiencies will be stored on the devices and possibly on the cloud. Under the old Health Insurance Portability and Accountability Act (HIPAA), these devices – Fitbits, Jawbones and the like – aren’t covered. But some regulators and lawmakers believe that at least some of them should be regulated like other medical devices.

The tech industry is trying to stay one step ahead of the regulators, and Apple is leading the way.

Again, it is only a matter of time before someone sits down to create the app to monitor sobriety, blood levels, and the like. You could be the one…..

Top 10 Reasons to Register for the FARR Annual Conference

1. If Recovery Residences don’t demonstrate that we have successfully organized under the FARR umbrella, well-funded and highly organized NIMBY forces will kick our butts in the next legislative session.

2. We’re now beginning to set the agenda rather than simply react to those fueled by stigma and ignorance. This requires unity, solidarity and scale. Join us and help make a difference!

3. Responsible and ethical service providers within the recovery residence and IOP sectors must group together now so that all stakeholders can distinguish the “good guys” from the “bad guys”.

4. This is your trade association! Your voice and active participation matters. Sitting idly by, pointing fingers and lamenting the sad state of affairs isn’t going to change much, is it? Let’s get connected!

5. Those of us who are “fighting the good fight” on behalf of this sector need your support. Surely it’s not too much to ask for a one day & $95.00 commitment to support those who volunteer hundreds of their own?

6. Conference content is timely, on task and addresses important issues impacting all sectors along the care continuum. Together we can shape the future of ROSC here in Florida.

7. State legislators and local, municipal leaders are betting on their belief that as a group we’re too self-centered to gain organized momentum. Don’t let them gloat next session with a smug “told you so”.

8. FADAA represents the ‘managed entities” here in Florida. These are potential referral sources for many recovery residences. DAF, CARP, BARC, Henderson, New Horizons, Operation Par, Stewart Marchman to name but a few.

9. Aren’t most of us all about the value of peer-to-peer interactivity? This conference is a very real opportunity to network with your peers and engage in dialog concerning issues that directly impact the entire spectrum.

10. In the substance abuse treatment continuum, it all comes down to “reputation, reputation, reputation”. Florida has developed a national reputation as the Wild, Wild, West. Together, we become a force to restore our good name.

If you are interested in attending, you can register here. Get a conference schedule here and I hope to see you at my townhall discussion about the “Legal Challenges with Rent Assistance.”

How to Reconcile Integration with Anti-Kickback Laws and Market-Based Compensation

“Many hospitals are hiring and contracting with doctors to boost referrals and serve members in their coordinated-care networks. But how to pay those doctors has become a legally perilous area under the federal Stark and anti-kickback laws and the False Claims Act, with whistle-blowers, their attorneys and the Justice Department watching these transactions closely. Halifax and other recent big-dollar whistle-blower cases involving allegations that hospitals violated Stark self-referral rules in paying physicians highlight the huge stakes for hospitals, which are at risk for triple damages under the False Claims Act. Those damages are based on total billings, making the potential damages in these cases enormous.”

“The tough part for hospital leaders is that these legal pressures are at odds with public policy and market forces pushing health systems toward greater integration to improve care coordination and reduce costs. The federal government hasn’t reconciled its goal of encouraging integration with its desire to prove that it’s tough on fraud and abuse. As a result, systems pursuing integration will need to be even more vigilant because they’re stepping closer to the line where traditional Stark law enforcement might come into play.”

Read the full story here:
http://www.modernhealthcare.com/article/20140308/MAGAZINE/303089982/caught-between-competing-pressures?AllowView=VXQ0UnpwZTVDZlNXL1I3TkErT1lBajNja0U4VUNlWlZFQk1JQmc9PQ==&utm_campaign=am

The Future of Substance Abuse Treatment

I just received the attached from Addiction Professional Magazine, which, in my opinion, is a must read about the antiquated system of substance abuse treatment models that are employed and how existing RESEARCH needs to be reviewed and implemented.

Quote: [Integration] is not a gift to the mental health and substance abuse field. We¹re not being given something just because it’s fair, just because it’s our time, or just because there¹s a Democratic administration. You can¹t run the rest of healthcare if you don¹t manage substance use and mental health.

Me: Housing is an integral part of this equation as well. The best treatment outcomes occur when safe and secure housing exists. It’s a human necessity.

This is a great article that discusses Integration:
Integration demands highest standard of care

Zoning – Cities Can’t Discriminate Against Providers

Once again (and again, and again), the NIMBY (Not In My Backyard) and the CAVEmen (Citizens Against Virtually Everything) pitchforks came out in mass to protest a methadone clinic opening in Philadelphia, notwithstanding that methadone clinics are otherwise allowed.

“The court also used a Third Circuit finding to bolster its conclusion, citing a 2007 ruling that found that municipalities are not free to hold methadone clinics to different zoning standards than ordinary medical clinics.”

There is no basis to treat medical and health clinics any differently from substance abuse clinics, but for the type of person to be treated.

I often find it comical (not really) when I bring to NIMBY’s attention that a MOD (medical office building) permits psychiatrists who have the right to see would-be mass murderers and potential child molesters, but heaven forbid people seeking recovery and solace from the scourge of drug abuse seek similar (if not less intense) medical and behavioral care, and the pitchforks and torches come off the shelves.

Check out this LAW360 article:
Pa. Court Says Philly Zoning Can’t Preclude Meth Clinics

Prompt Pay Laws

Many have been calling in recent days regarding insurance carriers refusing to pay for claims for treatment, essentially saying “sue us for your money.” Aside from potentially discriminatory undertones, this is patently illegal.

The State of Florida has what are known as “Prompt Pay” laws which require an insurance carrier to do just that. While I won¹t get into the details here, I thought I would share this article with you to illustrate that ³you are not alone² when it comes to this headache.

Read more about them with Law360’s article:
Hospitals Can Sue Under Prompt Pay Law: NY Appeals Court