REHAB CENTERS RUN DRY

KICKING THE HABIT OF 30-DAY, INPATIENT TREATMENT, SUBSTANCE-ABUSE CLINICS RETOOL FOR MANAGED CARE

FIVE YEARS AGO, SIERRA TUCSON WAS the model of a happy farm for substance abusers. Thousands of people from across the country came to the manicured 325-acre "campus" to deal with their addictions to alcohol, drugs, food, sex or gambling among the saguaros and sagebrush in the foothills of Arizona's Santa Catalina mountains. It was a Cadillac of the substance-abuse centers, and a company-provided Cadillac at that: employee health insurance routinely covered most of the costs of the standard 30-day stay there. Today, Sierra Tucson is a different place. Where there used to be 313 beds for people with a host...

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