The Centers for Medicare & Medicaid Services (CMS) proposed a new rule Tuesday designed to increase oversight of Medicaid supplemental payments by creating new reporting requirements. While it’s not yet clear what the changes would mean for the behavioral health care industry, Medicaid is one of the largest financing sources in the space. It accounted […]
While opioid addiction dates back several decades, the phenomena only evolved into an epidemic in recent years. Since 2000, opioid overdose deaths have increased by about 200%, according to the American Association of Addiction Psychiatry. And in 2017 alone, nearly 48,000 people died from opioid overdose, according to the Centers for Disease Control and Prevention […]
It’s impossible to know just how much the U.S. loses every year to health care fraud, with estimates ranging from 3% to 10% of the annual health care expenditure. Similarly, it’s unclear just how much of that fraud exists within the behavioral health care sector. However, one thing leaders in the space and legislators at […]
A first-of-its-kind Medicaid demonstration project aimed to improve care for beneficiaries with serious mental illness (SMI) and/or serious emotional disturbance (SED) has been approved in Washington, D.C. The Centers for Medicare & Medicaid Services (CMS) announced the approval of D.C.’s Section 1115 Medicaid waiver Wednesday. It quite literally waives federal rules that typically prevent Medicaid […]
For decades, behavioral health care was shrouded in stigma, making effective services hard to come by — and pay for. But now, need, payment and technology are aligning to make behavioral health care services more accessible than ever before. In many ways, that’s a good thing: It means more people can successfully address issues related […]
The number of Medicaid beneficiaries receiving medication-assisted treatment (MAT) to fight opioid use-disorder (OUD) is growing — but significant barriers to access remain. Between 2013 to 2017, the number of Medicaid prescriptions for MAT medications boomed, tripling for one drug — buprenorphine — and quadrupling for another — naltrexone. Despite the spike, 56% of beneficiaries […]
As payers continue to recognize the importance of and the demand for behavioral health care, coverage for those services is expanding like never before. While that’s true across the board, the Medicaid program could present special opportunities for behavioral health care providers in the years to come, according to some legal experts. “Medicaid is an […]
As the demand for and use of behavioral health services continues to rise, so do the number of federal and state bills being introduced in an attempt to regulate the industry. Most recently, California Gov. Gavin Newsom signed two such bills into law — and vetoed two others — earlier this month. The new laws […]
Venture capitalists continued to take a special interest in digital behavioral health companies in the third quarter of 2019, keeping alive a three-year steak of hot deal activity in the space. That’s according to a Q3 report from Rock Health, a venture fund that invests only in digital health companies. Across all sectors, digital health […]
The Autism Collaboration, Accountability, Research, Education and Support Act — or the Autism CARES Act — has been reauthorized for another five years. President Donald Trump signed the bill into law on Sept. 30. It authorizes more than $1.8 billion in federal autism funding for 2020 through 2024. The money will help finance autism programs […]
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