Fraud and Fakery at the Country's Largest Chain of Methadone Clinics
Source: NYT
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Methadone is a narcotic, and the clinics are heavily regulated by federal and state governments. In addition to handing out methadone, the clinics are required to provide counseling and other services, like drug testing.
But Acadia often fails to provide that counseling, according to five dozen current and former employees in 22 of the 33 states where the company has clinics. Instead, employees at times falsify the medical records that Acadia uses to bill insurers, according to the employees and internal emails.
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Acadias business is built on volume. Its counselors carry caseloads that are sometimes more than double the limit set by state regulators, according to employees and inspection records. With so many patients, the clinics can become assembly lines, offering little more than a cup of methadone.
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In addition to methadone clinics, the company runs psychiatric hospitals around the country. In September, a Times investigation found that those hospitals, which account for more than half the companys revenue, often held patients against their will to maximize payments from insurers.
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Read more: https://www.nytimes.com/2024/12/07/health/acadia-methadone-clinics-fraud.html
ancianita
(38,871 posts)Re West Virginia
https://www.justice.gov/usao-sdwv/pr/united-states-attorney-announces-17-million-healthcare-fraud-settlement
Re Virginia
https://www.justice.gov/usao-wdva/pr/roanoke-based-opioid-treatment-center-settles-civil-case-united-states
Re Florida, Georgia, Michigan and Nevada and 12 of 19 states in which these healthcare profiteers stole money -- "...the problems were widespread at Acadia. Its not by accident or a few bad apples, he said, its by design. Those treatment "policy problems" extended to Acadia's competitors.
https://www.justice.gov/opa/pr/universal-health-services-inc-and-related-entities-pay-122-million-settle-false-claims-act