Don’t give up hope just yet on the parity fight in the courts following the latest development in Wit v. United Behavioral Health. But don’t forget this: No shortage of the collective troubles of the American political and business worlds come from expecting the courts to see things a certain way. If behavioral health care wants […]
Fee-for-service reimbursement models incentivize behavioral health providers to deliver more services – in some instances, even when medically unnecessary, some would point out. Value-based care – paying for quality and outcomes instead of volume – has been heralded as the behavioral health industry’s path away from fee-for-service models. Challenges, including tension between health plans and […]
One of the biggest trends defining the health care sector over the last decade has been the slow-but-steady march toward value-based care and alternative payment models. Broadly, supporters of such models say they better link providers’ care quality and outcomes to reimbursement, or more appropriately compensate based on patients’ complexity and clinical needs. Shared-savings models, […]
The allure of being a one-stop-shop for health services is waning for behavioral providers. Instead, we are seeing the rise of partnerships to help with referral pathways and provide specialty care. While there is a drive for more integrated services with a holistic approach, many providers are recognizing their limitations, particularly in the digital space. […]
The federal government has extended COVID-era telehealth flexibilities twice since their creation. These flexibilities are now set to expire in December 2024, putting “life-saving” care at risk, behavioral health industry insiders caution. Some substance use disorder (SUD) providers are now making plans to pivot their clinical models if flexibilities are not cemented, partnering with local […]
In 2020, Derek Bullard felt a calling to help children with autism again. As CEO and founder of Already Autism Heath in Georgia, Bullard has watched his latest company grow rapidly since it began four years ago, expanding its initial service to three additional states. But running a new health care company focused on autism […]
Transcranial magnetic stimulation (TMS) is becoming a more viable option for the treatment of depression in youth and adults, providing hope for those with treatment-resistant depression. Of the roughly 22 million American adults who experienced a major depressive episode in 2023, about 30% have treatment-resistant depression, meaning that multiple medications have failed to alleviate their […]
Dealmaking in the behavioral health space is slow these days — there’s no arguing that. But there are still plenty of lessons to be learned from the deals that have been completed thus far in 2024. With less to look at, there’s more to see. With fewer deals, we can spend more time taking in […]
Autism therapy providers often feel like they find themselves clashing with payer partners to get their clinical hour recommendations. While actions by health plans appear to be pressuring autism therapy providers to provide fewer clinical hours, providers are hoping to get payers onboard with increasingly customized and sophisticated treatment plans. The proliferation of care outcome […]
It’s safe to say that artificial intelligence (AI) will have a role in the future of the behavioral health industry. However, the American public is doubtful of health information generated by AI chatbots. A new poll from health policy organization KFF found that only 29% of the public trusts AI chatbots, like ChatGPT or Google […]
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