Recent Optum Behavioral Health Rate Cuts Bring to Life Harsh Reality of the Payer-Provider Complex

Over the last few months, we’ve watched Optum pull back on behavioral health funding on multiple fronts. While substantive to the specific sectors impacted, it signals that previous worries about payers cutting back on behavioral health reimbursements are warranted. In short, that’s bad news. But it’s not unexpected. Why is that? Because payers are largely […]

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 […]

A 6-Point Behavioral Health Holiday Wishlist

I’ve softened on my no-holiday-music-before-Thanksgiving rule. The nostalgia has become too powerful to resist. Plus, I’m coming to appreciate much more the latent hope for a better world that imbues the spirit of these tunes — even if that spirit is cheaply laced into pop music industry-driven schlocky original songs or uninspired rehashes of classics. […]

Beyond Trial-and-Error: How Precision Psychiatry Is Revolutionizing Mental Health Care

Behavioral health providers are hungry for meaningful innovations in treatment modalities. A cutting-edge technique known as precision psychiatry could be an answer to fostering more timely and improved outcomes, experts told Behavioral Health Business. This practice, an application of the more general term precision medicine, requires significant data and technology investments, however, which could hamper […]

Medicaid, Elevated Behavioral Health Utilization Had Payers Talking in Q3

The ongoing need for behavioral health services will be no surprise to anyone involved in the industry. Patients continue to have high rates of need and often present with greater acuity. This demand for behavioral health services was reflected across payers’ Q3 earnings calls. The result? Sky-high utilization levels. For example, David Cordani, the CEO […]

Earnings Season Proved Behavioral Health Is Under the Spotlight and the Microscope

The coronavirus pandemic and massive influx of capital into the industry over the past five years have put the behavioral health industry centerstage in the proverbial play that is American health care. But the spotlight eventually attracts the microscope. The industry has and will continue to face greater scrutiny, examination, criticism and challenges than ever […]

‘I Could See More Players Pursuing This Model’: Behavioral Health Joint Ventures ‘Proliferating’

The number of joint venture partnerships between hospitals and behavioral health care providers will continue to climb, despite the lumbering process of finalizing such a pairing. “I do think there’s been some challenges in the last year or two that have maybe slowed deals down a shade,” William Teague, managing director of VMG Health, said […]

Going Nuclear: In Suing NIMBY Cities, Behavioral Health Providers Face Major Dilemma

Earlier this year, the city commission of Stuart, Florida, said “no” to a zoning variance requested by Behavioral Health Centers LLC, which sought to repurpose an existing building into a mental health and substance use disorder (SUD) center. The commission, and residents of the Florida Treasure Coast town, feared that the clinic’s patients would cause […]

‘In Marriage, You Can Get Divorced’: The Hidden Complexities of Selling a Behavioral Health Business

Finding a buyer for your behavioral health company is similar to marriage, except there’s more commitment. “It’s not like marriage, because in marriage, you can get divorced, and in this, I think, it might be a little messy,” said Sam Himelstein, the co-founder and CEO of Family Spring, a mental health treatment company based in […]