Although young adults are typically the ones who struggle with the highest rates of addiction substance abuse among medicare beneficiaries has increased noticeably over the past two decades many older individuals continue to struggle with addiction to alcohol and other substances such as prescription drugs which they are likely to be prescribed for various health conditions such as chronic . In 2016 the centers for medicare and medicaid services cms issued a final rule to provide direction to states on how to implement parity regulations in their medicaid programs 11 states were required to compare quantitative for example annual service limits and copayments and nonquantitative such as preauthorization and concurrent review limits on addiction treatment benefits with . Drug addiction treatment in the united states 19 national institute on drug abuse 2018 treatment and recovery 20 new york state office of alcoholism and substance abuse services 2012 survey ten percent of american adults report being in recovery from substance abuse or addiction. Using a serial cross sectional design from 2008 to 2013 to evaluate medical claims for vermont medicaid beneficiaries with opioid dependence or addiction 6158 in the intervention group 2494 in the control group this study assesses the treatment and medical service expenditures for those receiving medication assisted treatment compared to those receiving substance abuse treatment without . Factors in addiction treatment drop out a review of research literature from 1992 to 2013 identifies risk factors associated with dropout rates in addiction treatment which are as follows cognitive deficits personality disorder younger age and low treatment alliance one of the most important risk factors to be addressed is the bond between the therapist and the client the therapeutic
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