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Michael Krowne
Michael Krowne
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2026 Outlook: Where Addiction Treatment Growth Will Actually Come From
Demand for addiction treatment services has grown significantly over the past decade. Greater public awareness of substance use disorders, declining stigma around behavioral health treatment, and increased insurance coverage have all contributed to higher treatment utilization. However, the structure of care delivery is shifting. Outpatient treatment programs continue to expand across the country. Partial Hospitalization…
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Scientists Are Testing a Vaccine That Could Block Fentanyl From Reaching the Brain
Fentanyl vaccine enters human clinical trials in 2026 January 2026
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What Happens to Addiction Treatment if ACA Subsidies Expire?
tl;dr summary If enhanced ACA subsidies expire, premiums for 24 million marketplace enrollees will roughly double (and sometimes triple). Millions will lose coverage outright. Marketplace PPOs are already scarce: only 14% of plans are PPOs, and 37% of Americans live in states with zero PPO options. Subsidy expiration accelerates this decline. Out-of-network reimbursement is a…
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Aftercare Isn’t an Add-On. It’s the Core of Recovery
leads to superior alcohol and marijuana abstinence outcomes. Two weeks. That's the window where intervention matters most, and that's exactly when most facilities lose track of their clients. Elite programs aren't measuring success by how many people completed treatment. They're measuring it by how many people are still sober in year three. Year five. Year…
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What SAMHSA Cuts Mean for Your Treatment Center (And Why You Should Care Even If You’ve Never Taken a Dime From Them)
More than 100 jobs got cut from SAMHSA this week. That's on top of the several hundred eliminated earlier this year. The Substance Abuse and Mental Health Services Administration (the federal agency that's been the backbone of addiction treatment infrastructure since George H.W. Bush was president) has had its workforce cut nearly in half. If…
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I’ve Listened to Thousands of Admissions Calls. Here’s What Most Treatment Centers Get Wrong.
A mom calls in tears at 9:14 p.m. Her son overdosed last weekend. She's been sleeping with one eye open for months. The rep answers, thanks her for calling, and asks for his date of birth and insurance member ID. You can feel it through the recording - the air just goes out of the…
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