FTC Noncompete Ban Presents Several Trade-Offs For Behavioral Health

In case you missed it, Behavioral Health Business has launched a new specialty publication for professionals in the substance use disorder space. You can subscribe to Addiction Treatment Business here: Subscribe today! Behavioral health providers and investors must prepare to lose noncompete agreements as a tool in their arsenal following the Federal Trade Commission’s expected ban on […]

Bill Proposes Enabling Same-Day Access to Physical and Mental Health Care for Kids on Medicaid

Lawmakers have introduced a new bill to Congress that would enable children with Medicaid to access physical and behavioral health care appointments on the same day. Dubbed the Improving CARE for Youth Act, the bill aims to improve access to behavioral health services for pediatric patients.  Congressman Dr. Neal Dunn (R-FL) and Congresswoman Angie Craig […]

CMS Finalizes New Behavioral Health Policies in Medicare Advantage

Federal regulators have been taking steps to hold private health insurance companies working within the Medicare program more accountable. Behavioral health continues to play an essential part in those efforts. One of the most recent moves came on Thursday, when the U.S. Centers for Medicare & Medicaid Services (CMS) finalized a new set of policies […]

CMS Lacks Oversight of State Compliance with Mental Health Parity Rules for Medicaid Managed Care Plans

The Centers for Medicare and Medicaid have fallen short in ensuring several states comply with Medicaid managed care mental health and substance use disorder parity requirements. That’s according to a new audit by the Office of Inspector General (OIG), which evaluated eight states with Medicaid managed care contracts. Four of the states in the review, […]

Concerns Over Federal Methadone Legislation Overblown

Concerns that changing methadone prescription laws will materially impact behavioral health providers are overblown, according to an analyst note from ​​Jefferies Financial Group. The relaxed buprenorphine laws have not substantially increased prescriptions. Therefore, on the business side, the softened methadone prescription regulations would not cause providers such as Acadia Healthcare (Nasdaq: ACHC) to lose a […]

UHS Ordered to Pay $535M in Legal Case

Universal Health Services (NYSE: UHS) intends to challenge a recent verdict that would require the company to pay $535 million in damages related to a sexual assault suit.  Pavilion Behavioral Health System, a subsidiary of UHS, denied any liability in a case that alleged that an underage patient was sexually assaulted by another underage patient […]

Senators Aim to End ‘Fraudulent’ Ghost Networks with Behavioral Health Bill

Inaccurate provider directories, known as “ghost networks,” can land patients with shocking bills and cause providers to miss out on potential patients. Ghost networks have increasingly come under fire by policymakers aiming to hold health plans accountable and protect patients.  A new bill, introduced last week by U.S. Senators Tina Smith (D-Minnesota) and Ron Wyden […]

Expanding Access to Virtual Behavioral Care: Navigating State and Federal Regulations

2024 could prove pivotal for virtual behavioral health as the federal government considers making COVID-era telehealth flexibilities permanent.  Federal and state regulations can heavily influence the availability of behavioral telehealth appointments. For behavioral health providers who provide care to Medicaid beneficiaries, or who prescribe controlled substances for conditions like substance use disorders (SUDs), regulations can […]

HHS’ Becerra: We Can’t Allow Behavioral Health Telehealth Flexibilities to Expire

The Biden administration sees continued behavioral health-telehealth flexibilities as vital to improving access to services. Testifying on Biden’s proposed fiscal year 2025 budget, U.S. Health and Human Services Secretary (HHS) Xavier Becerra touted the federal government’s approach to telehealth and behavioral health during the coronavirus pandemic response as a win. “We can’t allow those flexibilities […]

Biden Unveils $22B Plan to Tackle Opioid Epidemic, Boost Substance Abuse Treatment

The Biden-Harris administration’s proposed budget for 2025 includes substantial funding to support access to substance use disorder (SUD) treatment and prevention. The proposed budget aims to build upon these efforts by allocating $21.8 billion to combat the surge in overdose deaths nationwide. The budget allocates substantial resources specifically to combat the opioid overdose crisis, building […]