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SPOTLIGHT ON:CareStone Health Network VALUE BASED SERVICES This month’s Service Provider Spotlight takes a look at CareStone Health Network, Inc. CareStone, based in Sunrise, Florida, provides national value-based intermediary services for out-of-network treatment providers. ENTREPRENEUR AND SENIOR EXECUTIVE President and CEO William McCormick founded the new business venture. McCormick has his BS in Business Administration and Management from Florida Memorial University and his MBA in Health Care Administration from Colorado Technical University. When asked about his background in the behavioral health industry McCor- mick says, “I’ve been in the healthcare industry my entire professional career. I have owned and operated several healthcare related businesses, a retail pharmacy, a durable medical equipment company, and a home infusion pharmacy business that I sold to Eckerd Corporation, which later became CVS. For more than twelve years I provided HIV/AIDs and cancer patients with home delivery services for south Florida communities in Broward, Palm Beach and Dade County. Our business model let patients receive quality care treat- ment at home versus having to go and stay in the hospital. “My connection to the behavioral health field is from a business standpoint. I’m not in recovery, I don’t drink, I don’t smoke, and I never did any drugs. I came to the industry to bring some of my business acumen to help with revenue cycle management, marketing, advocacy, and outreach, that’s my level of expertise.54 | NOVEMBER 2016 | Behavioral Sightings
CareStoneHealth Network VALUE BASED SERVICES This month’s Service Provider Spotlight takes a look at CareStone Health Network, Inc. CareStone, based in Sunrise, Florida, provides national value-based intermediary services for out-of-network treatment providers. Entrepreneur and Senior Executive President and CEO William McCormick founded the new business venture. McCormick has his BS in Business Administration and Management from Florida Memorial University and his MBA in Health Care Administration from Colorado Technical University. When asked about his background in the behavioral health industry McCor- mick says, “I’ve been in the healthcare industry my entire professional career. I have owned and operated several healthcare related businesses, a retail pharmacy, a durable medical equipment company, and a home infusion pharmacy business that I sold to Eckerd Corporation, which later became CVS. For more than twelve years I provided HIV/AIDs and cancer patients with home delivery services for south Florida communities in Broward, Palm Beach and Dade County. Our business model let patients receive quality care treat- ment at home versus having to go and stay in the hospital. “My connection to the behavioral health field is from a business standpoint. I’m not in recovery, I don’t drink, I don’t smoke, and I never did any drugs. I came to the industry to bring some of my business acumen to help with revenue cycle management, marketing, advocacy, and outreach, that’s my level of expertise. Behavioral Sightings | NOVEMBER 2016 | 55
NEW BEHAVIORAL HEALTH VENTURE provides patients, providers, and third-party payers withMcCormick founded CareStone Health Network in August important information to help them select the best facility2016. He came up with a multi-part business model after based upon their needs.about 3 years of planning and surveying the behavioralhealth market. VALUE BASED SERVICES When asked to elaborate on the many services offered byCareStone works with “out of network” behavioral treat- CareStone McCormick says, “When we talk about valuement providers and helps them get the best possible based reimbursement that is the paradigm shift from seekingnegotiated value reimbursement for the work they do. In service to being paid for the patient’s getting better. So we’llorder for them to use the services and be listed on the go out and negotiate the best rate possible based on what wewebsite, the facility has to be an approved member of the think is a good market value with the payers. Then we’ll say toCareStone Health Network. all our members in our network, if you go through our monthly rigorous process to get your treatment facility listed with ourCareStone then collaborates with the major insurance service we’ll help you get access to higher reimbursements.payers so they can better understand the services eachfacility offers. They also reassure the insurance companies “The treatment facility development services we offer are forthat each center has gone through a rigorous vetting any facility that doesn’t meet our preliminary requirements forprocess before they are allowed to join the network. approval. If you need training, if you need staff development, if you need policy and procedure development, if you needThe third part of the business model is going out and assistance with special investigation, we can provide it. Youeducating the general public on what to look for and don’t have to spend time finding someone to help; we eitherexpect when they are trying to find a treatment center. do it ourselves, or will refer you to one of the vendors in ourWhen someone is looking for a facility they are presented network.with many choices. It’s not an easy task to pick the rightplace for a loved one. All the facilities they work with are “Then under our general healthcare consulting services, let’seither certified, or working with CareStone to get certified, say you have a treatment center and you don’t know the valuethat is part of the process of becoming a member of their you are getting from your billing company. We can help younetwork. perform predictive analytics on the revenue cycle data and give you a clear understanding on how your facility is perform-McCormick says, “Let’s take a look at a hypothetical ing. I have worked closely with The Joint Commission in thetreatment center and let’s say they are a good operator past so our consulting services can also help you with all thebut they are lacking some of the services other centers steps to get your facility accredited.offer because they just don’t have the resources to do itthemselves. CareStone has vetted a group of consultants “We also offer special investigative unit (SIU) advocacyand vendors so the facility can rest assured that they are services. Let’s say for instance a certain insurance companyin good standing. We’ve even negotiated with our vendors has put your claims under review because they just don’tto offer our members a special rate. know what you are doing or need proof of care. The facility would call our SI unit who will help present your case to the“Our members report back on how the work the vendor payers with the goal of getting all your claims paid in a timelyprovided transpired. We can track this feedback and let manner.the vendor know if our members were satisfied with thequality of work. And you know what, if the vendor showed “And finally, we offer operational analysis services. A lot ofup late, or didn’t do a good job, then they are going to facility owners are in recovery themselves and have never runhave a hard time getting more referrals from our network.” a business. But they are good people with caring hearts and we want to help them understand there are some fundamen-FIND A TREATMENT FACILITY tal things they can do. We have collaborated with FBI trainedThe CareStone Health Network website lets anyone professionals on ethics; one approved vendor is a retiredconduct a search of the treatment centers currently in special agent who was in charge of field office operations. Hetheir database. Simply enter a zip code and select the was in charge of his department and he really understandslevel of care for a list of certified and accredited treatment proper operational compliance procedures, risk management,facilities and service providers in that area. and ethical standards.”The search feature covers all levels of care includingdetox, residential, inpatient, PHP, and IOP. It also56 | NOVEMBER 2016 | Behavioral Sightings
GIVING BACK TO THE COMMUNITY Throughout his 27 years of healthcare industry experience,CareStone Health Network is committed to giving back to the McCormick has always seen the world through a unique lenscommunity on both a local and national level. The company that connects seemingly unrelated ideas to give insight and tostrives to offer community assistance and improve the lives of make life and business a little more human. McCormick says,those they can through monetary and product donations, \"I’m excited to launch CareStone Health Network along with avolunteering, and event participation. professional team of industry leaders to continue that legacy of advocacy, innovation, transparency and collaborativeMcCormick says, “We’ll work with any charity that supports relationships.\"sobriety treatment or educates the public on the issuesaffecting our industry. That’s my advocacy for the public, to For more information, visit www.CareStoneHealth.comprovide thought leadership, educational opportunities, andgive them options to make informed decisions. Corporategoodwill has always been part of my life, not just in businessbut also in my personal life.” Behavioral Sightings | NOVEMBER 2016 | 57
EveSnIGt HTINGSTHEArReofcover Phoenix, AZ • September 17, 2016 The Art of Recovery Expo, Create the Change, took place on Saturday, September 17 at the Phoenix Convention Center. The Expo was free to the public and offered educa- tional opportunities, resources, and solutions from top professionals and service providers working in the behavioral health industry. The annual one-day event, held to help celebrate National Recovery Month, placed a special emphasis on adolescent, young adult, and family recovery. Over 100 recognized industry leaders and exhibitors were present. Vendors included Traditions Transitional Living, Adult Children of Alcoholics, Body & Brain Yoga Tai Chi, Women for Sobriety, Chandler Christian Church, Not My Kid, Pinnacle Peak Recovery, Genotox Laboratories, Pills Anonymous, Healthy Futures, and Co-Dependents Anonymous. Art of Recovery featured special Keynote Speaker, Greg Williams. Williams a health policy advocate, award-winning documentary filmmaker, and has been in long-term recovery since he was 17. His first independent feature-length film, “The Anonymous People”, was screened throughout the day during the expo. The film focuses on the 23 million Americans who are in long-term recovery from addiction to drugs and alcohol. artofrecoveryexpo.com 60 | NOVEMBER 2016 | Behavioral Sightings
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Will We See YouAt Our Next Inner Circle Network Luncheon?In keeping with our basic philosophy, “friends help you grow your business exponentially,” we have developed an international referral network whose potential knows no limits. Becoming a member of the Inner Circle Network offers you a chance to experience an interactive addiction treatment networking opportunity Please join us at our next Inner Circle Network event, schedules updated regularly at our website innercirclenetwork.com. Inner Circle Network Friends help you grow your business exponentially 866.679.2116 See our website for more details innercirclenetwork.com
FULL CONTINUUM OF CAREPHP, IOP, OP, Sober Living, Strong and active Alumni ProgramSatori Waters incorporates and combines severalsuccessful facets of substance abuse treatments: Full psychological and psychiatric evaluations Cognitive-behavioral techniques Neurofeedback intervention Group-based therapy Individual therapy Interactive journaling Nutrition counseling 12-step program based principles.JCAHO accreditedDCF accredited Our programs include: satoriwaters.com Traditional Program 10/12/16 11:05 A M Christian Program Pregnant Women's Program First Responders' Program 866.613.9684BS Issue 06 November 2016.indd 51
EveSnIGt HTINGSGaudenziaHouse of HealingOpen House & RibbonCutting CeremonyErie, PA • September 14, 2016Gaudenzia Erie Addiction Treatment& Rehabilitation Services just held aceremony to dedicate their newfamily inclusive residential treatmentprogram for women, pregnantwomen, and women with childrenunder 12. The Open House andRibbon Cutting Ceremony forGaudenzia House of Healingoccurred on Wednesday, September14th from 1 to 3 pm in Erie, Pennsyl-vania.Gaudenzia Erie House of Healing notonly serves the needs of families atrisk due to substance use disorder,but also provides trauma-informedcare for mothers and support fortheir children. House of Healing is afully licensed drug and alcohollong-term treatment program.The new facility includes aplayground, chapel, kitchen, androom for up to 16 women plus theirchildren. The House of Healinggratefully acknowledges the supportof Community Care BehavioralHealth, Erie Community Foundation,Erie Insurance, Hopey’s HeartFoundation, Wesleyville BaptistChurch, and the Erie County Depart-ment of Drug and Alcohol Services.gaudenzia.org64 | NOVEMBER 2016 | Behavioral Sightings
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EveSnIGt HTINGSPROMISESFOUNDATIONPolo in the PalisadesPacific Palisades, CA • September 18, 2016Promises Treatment Centers andThe Promises Foundation honoredRecovery Month during the 11thannual Polo in the Palisades charitypolo match. The event was held onSunday, September 18 from 11 amto 3 pm at Will Rogers State HistoricPark in Pacific Palisades, California.The event was hosted by ThePromises Foundation to benefitMiriam’s House, a sober livingtransitional home for low-incomewomen and their children in WestLos Angeles. This year, The Promis-es Foundation honored threewell-deserving individuals for theirdedication to helping those in need.Shireen Janti-Reid, CADC II, adirector at MusiCares, was awardedthe Promises Foundation Award forDistinguished Service in the Field ofRecovery for her 27 years of workhelping those with addictions. JudgeBernard J. Kamins, Superior Court ofCalifornia, received the Bob TimminsAward for Outstanding Service for hiswork rehabilitating people withsubstance abuse issues who arefacing incarceration. Jerry McDonald,ACATA, Vice President Operationsand Strategic Planning at BeaconHouse, accepted the Award forLifetime Achievement in the Field ofRecovery for his 35 years of servicein addiction treatment.promises.com66 | NOVEMBER 2016 | Behavioral Sightings
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EveSnIGt HTINGSTRINIFOUNDATIONAshtanga Yoga ColumbusColumbus, OhioThe Trini Foundation is a non-profitorganization dedicated to bringingthe life-changing tool of Ashtangayoga to those struggling with drugand alcohol addiction. Taylor Hunt isboth the Executive Director for theFoundation and a teacher at theAshtanga Yoga studio in Columbus,Ohio.In addition to teaching yoga, Hunt isalso the author of “A Way FromDarkness”, a book he wrote to sharehis personal experiences of overcom-ing addiction and his journey back tohealth through yoga. He says, “Itliterally took me 9 years of practicingyoga before I was okay with my past.For far too long I thought I was alone,and that is no way for any of us tolive. This practice has totally changedmy life.”The Trini Foundation partners withtreatment centers, halfway houses,and prisons to bring the transforma-tive practice of Ashtanga yoga tothose struggling with alcoholism andaddiction. They also work withtherapists, dietitians, and otherprofessionals to help those newlysober gain the skills necessary tosuccessfully integrate back intosociety.trinifoundation.com68 | NOVEMBER 2016 | Behavioral Sightings
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