Ginger Plots Course to Grow Value-Based Business, Break into Medicaid

Ginger, the on-demand virtual behavioral health care system with a $1.1 billion valuation, recently raised $100 million in a Series E funding round led by funds managed by Blackstone Growth. But even more notable than the financing itself is what Ginger plans to do with it — from diving deeper into value-based care to building […]

PE Firm Reportedly Looking to Sell SpringStone for $1B

Welsh, Carson, Anderson & Stowe is reportedly looking to sell SpringStone, its network of more than 30 behavioral health facilities, according to PE Hub.  The news outlet cited “four sources with knowledge on the matter,” reporting that the private equity firm is hoping to get upward of $1 billion for the Louisville, Kentucky-based business it […]

Transactions: KKR’s $1.2B Behavioral Deal; IBH buys Uprise

KKR to acquire Therapy Brands The global private equity giant KKR has agreed to acquire a majority interest in Therapy Brands, a practice management and EHR software platform for behavioral health and physical rehabilitation providers. The investment firm announced the news Wednesday. While terms of the transaction were not disclosed, Bloomberg reported that KKR is […]

BayMark, Eleanor Health Among Providers Selected for CMS’s New Value-Based OUD Treatment Demonstration

The Centers for Medicare & Medicaid Services (CMS) has announced the 61 providers that it has chosen to participate in its new Value in Opioid Use Disorder (OUD) Treatment Demonstration.  Starting this month, the four-year demonstration will test whether a new care management fee and performance-based incentive for OUD treatment can reduce hospitalizations and improve […]

Optum Behavioral CEO: We Must Expand the Behavioral Health Care Delivery System to Facilitate Value-Based Care

On average, people with behavioral health conditions cost payers about $875 more per member per month than those without behavioral health conditions. Yet, studies show that less than half of the patients who need behavioral health treatment actually receive it. The health care system’s fee-for-service nature is one reason for that, as is the massive […]

How Cognoa Aims to Revolutionize the Autism Diagnosis Process

Applied behavioral analysis (ABA) is widely considered the gold standard for autism treatment, but accessing ABA is easier said than done given the huge number of children on the spectrum.  In fact, families are often forced onto treatment waitlists due to the nationwide shortage of ABA clinicians. And that’s if they can get an autism […]

Improving Integrated Care, What It Could Mean for Behavioral Providers

More than 55% of adults with mental health issues went untreated in 2020, largely due to the supply-demand mismatch that exists in behavioral health. Integrating behavioral health care into medical settings presents an opportunity to change that — and benefit behavioral health providers — but not without policy changes.  The problem is most primary care […]

Cigna Doubles Down on Commitment to Virtual Behavioral Health Post-Pandemic

The health insurance giant Cigna (NYSE:CI) is once again doubling down on its commitment to virtual behavioral health care post-pandemic. Like most insurers, Cigna watched its virtual behavioral health claims spike amid the COVID-19 emergency. And Stuart Lustig, Cigna’s senior medical director for behavioral health, told Behavioral Health Business there’s no going back now. “It […]

Lawyers: Biden Unlikely to Expand Parity to Include Medicare, But Other Behavioral Changes Probable

When President Joe Biden was elected, behavioral health stakeholders were hopeful he would tackle some of the industry’s most pressing issues, chiefly among them being parity.  Even though the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires issuers to make behavioral health coverage no more restrictive than medical coverage, payers frequently come […]