That year, the company’s East Indiana Treatment Center in Lawrenceburg saw 2,479 patients -- just 380 of them from Indiana, records show.To counteract state proposals aimed at restricting methadone treatment, the American Society of Addiction Medicine has begun an advocacy campaign, said president Stuart Gitlow. Long story short, the profit motive shows in the quality of care and the price charged to Medicaid. He reported receiving between $100,000 and $1 million in dividends, interest and capital gains from that holding, as well as income from two other Bain funds with interests in CRC, according to the financial disclosure he filed with the U.S. Office of Government Ethics in June.Once they’ve helped addicts quit other drugs, for-profit clinics have a built-in incentive that may hurt their patients’ chances of ending their dependence on methadone, said Rod Bragg, assistant commissioner of Tennessee’s Department of Mental Health and Substance Abuse Services.“With a nonprofit, the incentive is to get people to treatment and wean them off,” Bragg said. At least five state legislatures are considering bills to tighten oversight of methadone clinics after allegations that take-home doses of the drug are contributing to illegal street sales, misuse and deaths.Measures in West Virginia, Minnesota, Indiana, Pennsylvania and Maine, if passed, could increase costs or limit revenue for the nation’s largest methadone chains -- both of them backed by private equity firms: CRC Health Corp. is owned by Boston-based Bain Capital Partners LLC; and Colonial Management Group LP is in the portfolio of Warwick Group Inc. of New Canaan, Connecticut.Police, prosecutors and state regulators have linked clinics operated by CRC and Colonial to doses of the synthetic narcotic that were diverted into black-market sales -- sometimes with deadly results.The array of legislation reflects concerns that some for-profit clinics -- which distribute the synthetic narcotic to help patients beat addictions to heroin and other opiates -- don’t provide enough services, said Robert Lubran, director of pharmacologic therapies at the U.S. Substance Abuse and Mental Health Services Administration.“We know for-profit providers often provide a lower level of service” than non-profit counterparts, Lubran said.“It’s a question across the nation: Is it a cash cow these providers are running or are they really trying to help our citizens?” said Meshea Poore, a Democratic member of West Virginia’s House of Delegates.Many of the legislative proposals are misguided and pose a threat to methadone treatment, which is already rigidly regulated and has been used effectively to treat drug addiction for decades, said Mark Parrino, president of the American Association for the Treatment of Opioid Dependence, a methadone advocacy group.“The system is in need of reform, but good reform,” said Joycelyn Sue Woods, executive director of the National Alliance for Medication Assisted Recovery, a patient advocacy organization. A Sick Society? Since these programs offer free treatment, waiting lists to actually enter a program can be fairly long. “They come here, get their take homes and some sell them,” she said.Poore offered an amendment to the West Virginia bill that would bar out-of-state residents from seeking treatment in West Virginia. That changed in 2011 survey data, which showed “significant … Plemons died hours later, after ingesting a lethal mix of methadone and other drugs, according to police reports.CRC is owned by Boston-based Bain Capital Partners LLC and is the largest U.S. provider of methadone treatment.Liquid methadone, used for decades to help addicts abate withdrawal symptoms as they quit heroin or other opiates, is leaking into illegal street sales via take-home doses, according to law-enforcement officials in Indiana, Kentucky, Virginia and West Virginia. Lawmakers also stripped out language that would have limited methadone treatment in Indiana clinics to two years.Miller’s bill was revised after her committee heard testimony from five opponents -- two who represented CRC, two from a non-profit mental health agency and a professor of addiction psychiatry at Indiana University’s school of medicine.CRC served 69 percent of Indiana’s 14,200 methadone patients in 2011, according to state records. Clinics would also have to report to a legislative oversight panel on the number of take-home doses they distribute -- methadone that patients carry out instead of taking under staff supervision.West Virginia clinics distribute take-home doses more often than those in neighboring Kentucky and Ohio, contributing to a high number of out-of-state patients, said Poore.
Romney may be able to claim that the decisions to purchase the methadone clinics were made by his successors, but he remains a principal in the ownership and is receiving profits that represent funds shifted from these unfortunate working-class souls to Romney and his rich friends.The next time you see one of those PATIENTS-NOT-PROFITS placards, think of Mitt Romney and his wife’s Cadillacs and what that means for patients who need help with their chemical dependencies but who are instead sacrificed for the benefit of the bottom line. By Steve Dubb. … It has been referred to the House of Delegates’ judiciary committee after passing the health committee.Cupertino, California-based CRC, which operates seven of West Virginia’s nine methadone clinics, will oppose “any regulations that would restrict an individual’s access to quality, evidence-based treatment options,” said spokeswoman Kristen Hayes. Recovery Centers ; Methadone Clinics; Substances of Abuse. The company follows state and federal rules in distributing take-home doses, he said, and its clinics require patients to account for their carryout bottles.Pennsylvania lawmakers last year created a “methadone death and incident review team” that’s charged with examining the circumstances of methadone-related deaths in the state, including car crashes and overdoses.“We need to get a handle on how the deaths happen and where the methadone is coming from,” said Gene DiGirolamo, a Republican from Bensalem who helped craft the bill. Public funding for methadone clinic treatment costs comes in different forms from various funding sources, some of which include: State block grants; Medicaid; Non-profit agencies; Free methadone clinics typically receive funding from state block grants issued through the federal government. US life expectancy recovered slightly in 2018, increasing by one month and ending a period of steady decline.
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