Indiana’s Medicaid program wants to cap coverage of applied behavior analysis (ABA) for children and roll out additional workforce regulations. At a state budget committee on Dec. 17, officials with Indiana Medicaid unveiled a plan to limit ABA coverage to “30 hours per week for a duration of no longer than three (3) years,” according […]

This is an exclusive BHB+ story Robots in autism therapy could play a critical role in supporting patient development. But don’t expect to see too many of these showing up in homes or clinics any time soon. Accelerating tech advancements, the increasing rate of autism diagnosis in America and structural challenges within the autism therapy […]

Two private equity firms and an online college have invested in Conway, Arkansas-based Pediatrics Plus. The PE firms – Leavitt Equity Partners and Fulcrum Equity Partners – and Western Governors University have invested in and partnered with Pediatrics Plus. However, the company’s founders, Todd and Amy Denton, will remain its largest shareholders and serve on […]

BlueSprig Pediatrics and its subsidiary Trumpet Behavioral Health are being sued over claims that a behavioral therapist sexually assaulted a patient. Filed in Santa Clara County Superior Court, the civil suit seeks redress for allegations of sexual assault of a minor and negligent hiring, supervision and retention. Court documents allege that a now-former behavioral therapist […]

Ascend Capital Partners has acquired a majority stake in Unison Therapy Services, a Walnut Creek, California-based multi-specialty youth and family behavioral health provider. Announced Jan. 9, the deal sees an in-home, in-school and in-center behavioral health provider centered in applied behavior analysis (ABA) trading hands between private equity firms. Ascend Capital Partners, a New York […]

After a slow dealmaking year in 2024, private equity is eager to get back in the game. While the M&A landscape is ripe to surge, it might not be a season of crowing about deals. Still, getting paid for services rendered will likely be a dicey prospect.  Add on top of those trends in the […]

The fast-growing autism therapy provider ABA Centers of America is claiming $80 million in a contract and payer ghosting lawsuit that it filed against Canton, Massachusetts-based Point32Health. State court documents argue that Point32Health has underpaid claims for services that were authorized for certain patients and since December 2023 has not paid any ABA Centers of […]

It’s that time of the year to reflect on what was to prepare for what may be coming down the way. Greater pressure for care quality, parental involvement, multidisciplinary services and ever-increasing pressure from regulators and payers made 2024 a year that shows how fast the industry is maturing and how far it still has […]

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 […]

In 2024, the autism therapy industry faced a year mainly focused on finally reconciling many of the challenges that the coronavirus pandemic foisted upon the industry. In 2024, workforce challenges normalized or improved, some previously stuck payer rates are seeing incremental movement and the financial markets are moving in such a way to make dealmaking […]