Fact Sheets

Value-Based Care for Addiction Treatment

Eden House Foundation's Model for SUD Treatment Works

To advance our mission of Recovery For Life, we developed insurance partnerships to increase the access to high quality care to treat more people. As evidenced in a 2016 Independence Blue Cross (IBC) pilot study of value-based care, which was presented at the 2021 RxSummit, Eden House Foundation's model for substance use disorder (SUD) treatment works. Eden House Foundation partnered with IBC to pilot a reimbursement model that allowed us to provide the patient-centric care we knew worked. The high rate (94.4%) of 90-day post-treatment recovery shows that Eden House Foundation's approach on quality, interdisciplinary treatment protocols with a median inpatient stay of 25 days, combined with a long-term disease management plan, is successful.

Why is value-based care important?

A value-based, or outcomes-driven, reimbursement model supports the treatment of SUD as a chronic, treatable brain disease because it prioritizes the use of evidence-based practices, medically appropriate modalities, and appropriate length of stay.

When you treat addiction as the chronic disease it is, by focusing on the individual needs of the patient mentally, physically and spiritually as well as the family and having the length of time you need to truly treat the individual – you get better outcomes for patients."

Dr. Joseph Garbely
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Multiple insurance partners increases access to high quality care.

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