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ABA Insurance Fraud Counterclaim: Point32Health Files $19 Million Suit Against ABA Centers of America

ABA Insurance Fraud Counterclaim: Point32Health Files $19 Million Suit Against ABA Centers of America

by Ethan Webb | Apr 28, 2026 | Regulation

Key Takeaways ABA Centers of America sued Point32Health in Massachusetts Superior Court on December 31, 2024, seeking $80 million in damages and alleging the insurer placed thousands of claims in pend status, effectively halting payment for over a year. ABA Centers...
Addiction Treatment Cost Savings: Why the $12-to-$1 ROI Argument Hasn’t Changed How Payers Pay

Addiction Treatment Cost Savings: Why the $12-to-$1 ROI Argument Hasn’t Changed How Payers Pay

by Ethan Webb | Apr 23, 2026 | Regulation

Key Takeaways Substance use disorders cost the United States more than $700 billion a year, according to NIDA. The White House Council of Economic Advisers estimated in 2025 that the opioid epidemic alone imposed costs of $2.7 trillion in 2023, equivalent to roughly...
Behavioral Health Outcomes Measurement Has a Problem. Payers Are Done Waiting.

Behavioral Health Outcomes Measurement Has a Problem. Payers Are Done Waiting.

by Ethan Webb | Apr 21, 2026 | Regulation

Key Takeaways There is no industry-wide consensus on what constitutes a measurable outcome in substance use disorder treatment. Different payers use different definitions, creating a moving target for operators trying to build measurement infrastructure. Longitudinal...
Addiction Recovery Care Kentucky: How the State’s Largest SUD Provider Collapsed from 30 Facilities to “Desperate Straits”

Addiction Recovery Care Kentucky: How the State’s Largest SUD Provider Collapsed from 30 Facilities to “Desperate Straits”

by Ethan Webb | Apr 21, 2026 | Regulation

Key Takeaways Addiction Recovery Care (ARC) was Kentucky’s largest substance use disorder treatment provider, operating more than 30 facilities at its peak in summer 2024. By January 2026, it had shrunk to 14 locations, was enmeshed in multiple federal lawsuits,...
ABA and Behavioral Health M&A in Q1 2026: The Compliance Reckoning Is Splitting the Market in Two.

ABA and Behavioral Health M&A in Q1 2026: The Compliance Reckoning Is Splitting the Market in Two.

by Ethan Webb | Apr 20, 2026 | Regulation

Key Takeaways ABA and behavioral health M&A bifurcated sharply in Q1 2026. Scaled, compliant operators drew competitive bids. Everyone else did not. Wall Street Journal investigations into Medicaid ABA billing, published in March, triggered federal OIG audits...
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