Bruce Rosenberg and Steven Hall

Talk Recovery Radio

This week on Talk Recovery Radio we have 2 amazing guests. First on the show we welcome Bruce Rosenberg, co founder of Rosenberg Law, Bruce has made a name for himself in the area of healthcare fraud litigation defense. Second on the show is Steven Hall, a person in long term recovery sharing his personal story of recovery from addiction. Catch it all on Facebook Live on Talk Recovery's Facebook page.

About Bruce Rosenberg

Bruce Rosenberg is a founding partner of Rosenberg Law, P.A. With over 30 years of experience litigating in New York and Florida, Mr. Rosenberg now concentrates his practice in healthcare regulatory compliance and civil racketeering litigation. He has successfully litigated a wide array of cases on behalf of healthcare professionals and businesses. Mr. Rosenberg also frequently advises other general practice and criminal attorneys on issues of corporate compliance, HIPAA privacy compliance, contracts, medical staff issues, and billing issues.

Before specializing in healthcare law, Mr. Rosenberg represented insurance companies in subrogation cases and with defense issues. This experience allows him to serve healthcare providers more efficiently and effectively. His working knowledge includes complex commercial litigation, acquisitions, assignments, joint ventures, partnerships, civil defense of banking and leasing institutions as well as banking compliance.

Mr. Rosenberg is an active member of the Sarasota Bar Association. He also currently serves on the Florida Bar Technology Committee.

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DRUG ADDICTION/SUBSTANCE ABUSE REHAB COVERAGE

The Affordable Care Act (ACA) eliminated addiction from the list of preexisting conditions, thus ensuring health insurance coverage for alcohol and drug rehabilitation services; this is because the ACA sought to improve access to medical health services during a time of rising widespread mental health issues.

The ACA classified addiction treatment as an "essential medical benefit".

Pursuant to the ACA, insurance plans cover addiction evaluation and treatment medication, alcohol and drug testing, anti-craving medication, clinic and home health visits, family counseling, certain interventions, and medical detox programs. Plans obtainable through the Health Insurance Marketplace provide varying degrees of coverage for rehabilitation–60% for Bronze plans, 70% for Silver plans, 80% for Gold plans, and 90% for
Platinum plans.

As a result, the ACA makes addiction treatment more affordable and allows patients to select a greater range of rehabilitation services. However, inpatient programs may be excluded by ACA/public plans. Since the passage of the ACA, private plans offer varying levels of coverage for rehabilitation. State laws that regulate private plans typically require insurance providers to cover substance abuse treatment and other mental health rehab services.

Though costlier than public insurance, private insurance ordinarily provides more options for treatment coverage than public plans, especially for alcohol and drug addiction rehab. However, some private plans do not cover substance abuse rehab, which makes public plans more favorable in those circumstances. Note that the difference between drug addiction and substance abuse–substance abuse is using a substance in a way not intended or more often/in higher amounts than necessary, while a