The recent uptick in heroin and opioid addiction along with new laws are making addiction treatment an attractive target for investors:
Every crisis presents an opportunity, as the saying goes. And when it comes to opioid addiction, investors and businesses are seeing a big opportunity in addiction treatment. Places like [Gosnold on Cape Cod] are being gobbled up by private equity companies and publicly-traded chains looking to do what is known in Wall Street jargon as a roll-up play. They take a fragmented industry, buy up the bits and pieces and consolidate them into big, branded companies where they hope to make a profit by streamlining and cutting costs.One company that advises investors listed 27 transactions in which private equity firms or public companies bought or invested in addiction treatment centers and other so-called behavioral health companies in 2014 and 2015 alone. Acadia Healthcare is one national chain that has been on a shopping spree. In 2010 it had only six facilities, but today it has 587 across the country and in the United Kingdom.What's driving the growth? The opioid addiction crisis is boosting demand for treatment and two relatively recent laws are making it easier to get insurers to pay for it. The Mental Health Parity Act of 2008 requires insurers to cover mental health care as they would cover physical health care. "Mental health parity was the beginning. We saw a big benefit. And then the Affordable Care Act was very positive for our industry," says Joey Jacobs, Acadia's CEO. He spoke at an investor conference last month.
Every crisis presents an opportunity, as the saying goes. And when it comes to opioid addiction, investors and businesses are seeing a big opportunity in addiction treatment. Places like [Gosnold on Cape Cod] are being gobbled up by private equity companies and publicly-traded chains looking to do what is known in Wall Street jargon as a roll-up play. They take a fragmented industry, buy up the bits and pieces and consolidate them into big, branded companies where they hope to make a profit by streamlining and cutting costs.
One company that advises investors listed 27 transactions in which private equity firms or public companies bought or invested in addiction treatment centers and other so-called behavioral health companies in 2014 and 2015 alone. Acadia Healthcare is one national chain that has been on a shopping spree. In 2010 it had only six facilities, but today it has 587 across the country and in the United Kingdom.
What's driving the growth? The opioid addiction crisis is boosting demand for treatment and two relatively recent laws are making it easier to get insurers to pay for it. The Mental Health Parity Act of 2008 requires insurers to cover mental health care as they would cover physical health care. "Mental health parity was the beginning. We saw a big benefit. And then the Affordable Care Act was very positive for our industry," says Joey Jacobs, Acadia's CEO. He spoke at an investor conference last month.
Marketplace has an article about how data and new databases are being used to track and prevent addiction. It cites the following report from Health Affairs:
Prescription Drug Monitoring Programs Are Associated With Sustained Reductions In Opioid Prescribing By Physicians (DOI: 10.1377/hlthaff.2015.1673)
Oh sure. Obamacare is great for profit. For the people who remain uninsured, nothing Changed. Thanks for nothing, Obama.
It's not a surprise that the Affordable Care Act allows some companies to benefit at the expense of others.
Closed; not fixing - works as intended.
Are the financial types that are doing these "roll-ups" the same ones that contract to run prisons?
If capitalists are finding new ways of making profits, they must be exploiting a bad system!
Is that you, Bernie?
HIPAA doesn't apply to search engines. Bing "black tar danvers ma" and your insurance rate may go through the roof before you're addicted.
Even without the addiction issue, opioids are very very bad. With perfectly legitimate use, they tend to kill people because they suppress breathing. The people most in need of opioids are those with the most risk of death, and opioids push them over the edge.
Oh, you're nearly dead from a car crash, so let's suppress your breathing! WTF, this shit is horrible.
It's not as if we don't have alternatives. Depending on need, we have everything from plain aspirin to exotic stuff like Ziconotide.
Ask your doctor about ziconotide! Side effects may include dizziness, nausea, confusion, nystagmus, headache, weakness, hypertonia, ataxia, abnormal vision, anorexia, somnolence, unsteadiness on feet, vertigo, urinary retention, pruritis, increased sweating, diarrhea, nausea, vomiting, asthenia, fever, rigors, sinusitis, muscle spasms, myalgia, insomnia, anxiety, amnesia, nystagmus, tremor, memory impairment, induced psychiatric disorders, auditory and visual hallucinations, thoughts of suicide, acute renal failure, atrial fibrilation, cardiovascular accident, sepsis, new or worsening depression, paranoia, disorientation, meningitis, seizures and explosive ennui.
Actually, they're not bad at all when used judiciously. If you're nearly dead from a car crash, you're likely on a respirator. Part of the problem is patients getting cut off cold turkey to please the DEA. Ziconotide btw, must be injected directly into the spine. I can see it's value in some cases but I'll bet most people would rather take their chance with opioids where feasible.
For people in chronic pain, addiction isn't as much of a problem as tolerance and wind up(it's not like they can stop taking whatever painkiller they're on anyway).
You've young and don't have chronic pain, nor have ever broken a bone. Aspirin barely does a damn thing, and even ibuprofen can barely take a dent out of pain when it alleviates swelling. The lowering of breaths does not happen without massive abuse or an already-near-death patient.
To prevent alleviation of pain is immoral and a greater sin than allowing people to knowingly risk themselves to avoid it.
I broke a finger and a foot. I didn't get shit for either. I kept hopping around with the broken foot, then got a camwalker boot and went about my business almost like normal.
I'm over 40 now. My joints hurt. My teeth hurt. My cracked heels hurt. My butthole hurts. My muscles often hurt. My drug usage: aspirin about once per year, normally when I'm sick.
Maybe putting up with pain runs in my family. My grandma had temporal arteriasis, which is some horrible inflamation of blood vescles in the brain, and really bad twisted and deformed feet. She never complained. My dad had his rib cage sawed open and his heart valve replaced, was up and walking the next day, demanded to be off the opioids after a day or two, and was out of the hospital in less than a week. (4 days if I remember right)
Try not be be a wuss, OK? That's how you end up a druggie.
You are a fucking idiot. The human body heals faster and better when relaxed than when tense, you wuss.
I guess heroin addicts must be in great health.
A private "addiction treatment center" has absolutely zero incentive on actually getting you off the addictive drugs and plenty of incentive to keep you on them.
Opioid should be reserved for dying patient. Amphetamines are generally more effective to manage chronic pain when there is no inflammation (I learned that in a footnote in the Canadian vyvanse monography and tested it on my wife), cannabis is as effective when there is inflammation (see patent US6630507 secondary claims) and NDMA agonist like ephenidine, ketamine or tiletamine are stronger for acute pain. The fact that opioïdes are still preferentially used for pain management reeks of hypocrisy and ignorance
Or maybe malice and rent seeking
Hmm, where have I heard this before? A product that locks the consumer in, offers a free trial version, relentlessly pressures the consumer with ads based on fear of death, and pop-ups with no way to refuse? No, not systemd, something much more insidious. What was it called?
Those that ignore history (in the search for profits) are doomed to repeat it. I believe you are looking for the historical precedent called "The Opium Wars." Perhaps they did not have ads as you discuss, but the whole opium trade was rigged against ignorant consumers.
Except now, insurance pays for it with a veil of legality--up until the patient is cut off, of course. That's when the most obvious problems start for a user. I find it hard to believe there are so many people that don't remember this stuff in social studied at school, or whatever their world history was called. Even the ancient Greeks respected opium -- and the harm it could cause. Imperialism depended on it to fund itself many centuries later.
They say that if you smoke three pipes a day, you are an addict. Today, it is more like here is a 10 day supply, come back if you are still in pain. It takes about that long to habituate on some of these painkillers...
It doesn't help that the industry was very well rewarded for solving the pain problem. Drug dealers are not much different... insurance, trial doses.. the first one is free... both are very still true tenets for subscription sales and the consumer, and the pharmaceutical and medical industries.
Those doomed to repeat it weren't the drug dealers, but the consumers. Just like then, the the real pain was felt by the lay person -- not the industry.
I was going for Windows 10. Oh, well, wars against English drug lords is almost the same.
I agree! Opiates... are the opiates of the masses, but to keep them under control when they are not addicted, we have windows 10. The first year is free!
But is this being pushed through the mass media because the war on some drugs profiteers need a new purpose, now that marijuana is becoming legal?
The way I understand it, addictions to prescription opiates are on the rise, and when you run out of ways to get the prescriptions, you turn to stuff like heroin and fentanyl. Heroin in particular is very cheap compared to the prescription opiates. Heroin has been a schedule I drug since 1970. Fentanyl is only schedule II.
I don't think there's anything new about heroin, cocaine, etc. being targets of the Drug War. What's new is that a relatively safe and massively overscheduled drug is coming off the list (slowly).
I was thinking the same thing. Big pharma isn't going to win either way. People who have access to it often prefer cannabis flower for controlling pain instead of whatever concoctions big pharma makes from opium. The method of action is different, too. With cannabis flower, the pain doesn't become numb. It becomes manageable instead of debilitating.
For puritans, though, this is a massive travesty, and they need to focus their efforts elsewhere. Such as the Narrative I've seen where the puritans are trying to convince everyone that the same benefits as cannabis flower can be had simply with talk therapy.
I've often suspected that people like Mr. "I only use aspirin once a year" up there have overactive endocannabinoid systems.