June 09, 2021

Substance Use Disorder Treatment Centers: Uncovering Fraud and Advancing Policies to Promote Best Practices

Webinar

Overview

The opioid epidemic in the U.S. has led to a rise in the number of treatment facilities that provide valuable, evidence-based treatment services for people with substance use disorder (SUD). Unfortunately, these facilities are far less regulated than other health care settings, creating an opportunity for unethical individuals to provide fraudulent and substandard care and to profit at the expense of patients and health insurers who pay for these services. Arnold Ventures, researchers at the Boston University School of Public Health, and Faegre Drinker have partnered to investigate trends in unethical and substandard SUD treatment and to develop recommendations to drive an appropriate legislative, regulatory and law enforcement response.

This virtual event will feature panels of speakers from health insurers, law enforcement agencies and SUD advocacy organizations who will discuss the current scope of this problem and ways they are working to prevent, detect and address SUD treatment fraud. We hope you will join us to learn more about this important issue.

Questions? Please contact Pamela Lashbrook or call +1 215 988 2483.

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Agenda

1:00-1:10 | WELCOME AND LOGISTICS

Chris Hensman, Director of New Programs, Arnold Ventures
Lauren Bloch, Director, Faegre Drinker Consulting

1:10-1:30 | OVERVIEW: WASTEFUL AND FRAUDULENT SUD TREATMENT

Mike Adelberg, Principal, Faegre Drinker Consulting

1:30-1:50 | THE HUMAN COST SUD OF TREATMENT FRAUD: A REAL STORY

Ed Mahon, Investigative Reporter, Spotlight PA
Aneri Pattani, KHN National Correspondent
Moderated by: Austin Frakt, PhD, Professor of Health Law, Policy & Management, Boston University School of Public Health

1:50-2:20 | PANEL: CURRENT ENFORCEMENT EFFORTS

Mark Berrey, Investigator, Florida Office of the State Attorney
Jim Hayes, Senior Litigation Counsel, Criminal Division, U.S. Department of Justice
Bill Stewart, Special Agent, Federal Bureau of Investigations
Moderated by: Tony Pozos, Partner, Faegre Drinker

2:20-2:30 | BREAK

2:30-3:30 | USING ALGORITHMS TO DETECT WASTE AND FRAUD IN SUD TREATMENT

Melissa Garrido, PhD, Research Associate Professor, Boston University School of Public Health
Siva Palani, PhD, Postdoctoral Associate of Health Law, Policy & Management, Boston University School of Public Health

REACTION AND PERSPECTIVES

Aneta Andros, Senior Director – Analytics, Cigna
Tom Hixson, Senior Director – Special Investigations, Cigna
Bradley F. Sorte, MSW, MBA, EVP/Chief Strategy and Growth Officer, President and CEO-elect, Caron Treatment Centers
Moderated by: Kiersten Strombotne, PhD, Assistant Professor, Boston University School of Public Health

3:30-3:40 | BREAK

3:40-4:10 | PANEL: EFFORTS TO WEED OUT FRAUDULENT SUD TREATMENT PROVIDERS

Caroline Lannon, Project Counsel, National Association of Attorneys General
Peter Thomas, Director of Quality Assurance, National Association of Addiction Treatment Providers
Jen Velez, Chief Impact Officer, Shatterproof
Moderated by: Mike Adelberg, Principal, Faegre Drinker Consulting

4:10-4:30 | COMPLEMENTARY PROJECTS AND CLOSING REMARKS

Chris Hensman, Director of New Programs, Arnold Ventures

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