As Congress works to finalize its budget reconciliation package, changes to Medicaid are at the forefront of discussions. Leadership in the U.S. House of Representatives has continued to affirm that the Medicaid policies under consideration ensure that no “deserving” Medicaid beneficiary will lose coverage for which they are legally eligible; instead, they have expressed their […]
Over the past decade, value-based care has transformed primary care and other physical health specialties. When providers are supported and aligned around shared goals, outcomes improve, innovation accelerates, and patients benefit. The results speak for themselves: In 2022 alone, the Medicare Shared Savings Program (MSSP) generated $1.8 billion in gross savings, with over half of […]
Story by Autism Business News freelance reporter Sam Greszes Jonathan Wright’s mother spent her life as an adolescent psychiatrist, helping to improve outcomes for young children with severe mental illnesses. In 2015, Wright took inspiration from his mother’s life’s work to found Opya, an organization based in California that seeks to provide better autism therapy […]
Nearly one million adults aged 65 and older reported a substance use disorder (SUD) in 2018, according to a survey conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). Special attention is required for seniors, age 65 and older when it comes to the prevention and treatment of substance use disorders (SUD). If […]
As a licensed clinician deeply embedded in crisis work for decades, I have had an up-close view of how our healthcare system has evolved to address growing behavioral health needs. This firsthand experience tells me our society urgently needs comprehensive and connected crisis systems. Our community does not currently have the same infrastructure to address […]
For 30 years, we’ve been chasing a panacea for mental health, trying to find the right prescription or the right mix of medications as a substitute for comprehensive treatment. More and more, doctors prescribe medication alone, even though such medications should be supported by counseling. The lack of qualified therapists is compounded by insurance companies […]
With the end of the Public Health Emergency in May 2023, the DEA has set the stage for the return of the Ryan Haight Act by proposing rules, including requiring prescribers to have an in-person visit in order to write prescriptions for controlled substances. The DEA received over 38,000 comments on the proposed rules. The […]
Digital mental health is booming. Declining social stigma and the dramatic increase in demand of recent years have collided head on with the high barriers people have always faced when seeking traditional, in-person care. Given such a fundamental disconnect between supply and demand, private investors have been quick to seize the opportunity for innovation, as […]
Eleanor Health Founded in 2019, Eleanor Health is an addiction treatment provider based out of Waltham, Massachusetts. It was one of the 61 providers chosen for CMS’s New Value-Based OUD Treatment Demonstration in 2021. Since then, Eleanor health has received numerous funding rounds from pursuing its value-based care platform, with the most recent financing being […]
What is Value-Based Care? The concept of ‘Value-Based Care’ was coined by Michael E. Porter and Elizabeth Olmsted Teisberg in Redefining Health Care: Creating Value-Based Competition on Results. Traditionally health care has been fee-for-service, where a patient or insurer pays for a service. However, in a value-based care model, “Value is defined as the outcomes […]
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