ABA Providers Improperly Billed Medicaid for $56M, Audit Reveals

State Medicaid programs are federally required to cover applied behavior analysis (ABA) services for children with autism. In 2020, the state of Indiana’s fee-for-service Medicaid payments totaled $101.8 million, the second highest in the U.S. An audit completed by the Office of Inspector General (OIG) for the United States Department of Health and Human Services […]

Multiple Sexual Assault Cases Reported at Acadia Healthcare Facility, Company Denies Systemic Issues

More allegations about Acadia Healthcare (Nasdaq: ACHC) have surfaced in the press, this time reporting sexual assault at one of the company’s behavioral health hospitals. A male patient at Acadia-owned Options Behavioral Health Hospital raped another patient with severe mental illness, according to reporting by Mirror Indy. A nurse had reported to higher-ups that the […]

Almost Half of Patients Entering Opioid Treatment Already Take Buprenorphine 

Medication-based treatment is the gold standard for treating opioid use disorder (OUD) – yet patients often struggle to access it. Some people seeking buprenorphine, one type of MOUD, turn to diverted medications, which are prescriptions not originally intended for that person. New research shows that almost half of patients who enter virtual OUD treatment were […]

Addiction Treatment in 2024: Navigating Privacy Challenges, Telehealth Shifts, Reimbursement Reforms

The landscape of substance use disorder (SUD) treatment in 2024 was a tapestry of challenges, technological disruptions and unexpected breakthroughs. A staggering data leak exposed the personal information of 100 million patients. Economic pressures forced some SUD providers to retreat from certain state markets, and long-anticipated regulatory changes were once again delayed, leaving the industry […]

Autism Therapy Provider Proven Behavior Solutions Acquires Prism Autism, Expands into Second State

Autism therapy provider Proven Behavior Solutions has acquired Prism Autism Education & Consultation, expanding its footprint into a second state. The acquisition brings Proven’s total facility count to seven. “We are excited to welcome Prism into the Proven family,” Scott Snider, Proven CEO, said in a statement. “This partnership strengthens our ability to offer even […]

Behavioral Health Deal Values Grew by 324% in 2024

Stakeholders in the behavioral health industry can expect dealmaking to accelerate into and throughout 2025. Behavioral health deals in 2024 – while decreased in quantity – already represented a significant increase in value over the previous year, according to a new PwC Health Research Institute report. The substantial sum of available corporate and private equity […]

Patients Want Mental Health Referrals from PCPs or Insurance – But Few Get Them

Nearly half of patients seek out mental health care from their primary care provider or their insurance network. Most of these patients are disappointed. While 47% of patients look for mental health providers through their insurance directories, only 17% find care that way, according to research from mental health patient-matching company Headway. Similarly, 35% of […]

Navigating Digital Behavioral Health’s Growing Pains: From Payer Partnerships to Employer Contracts

Once a rarity, digital behavioral health companies are now an established part of the industry’s ecosystem. However, as this subsector of behavioral health begins to mature, many startups face a number of growing pains, whether it is garnering enough investor dollars to stay afloat or developing contracting strategies with employers. I don’t see these hardships […]

Why Only 44% of Chronic Pain Patients Get Adequate Mental Health Support

More than 50 million Americans suffer from chronic pain. Behavioral health conditions, including mental health and substance use disorders (SUD), are highly prevalent among those with chronic pain. In fact, 56% of U.S. adults with chronic pain have clinically significant anxiety or depression symptoms. And yet, a “staggering” share of this group does not receive […]