This is an exclusive BHB+ story New presidents regularly shift focuses and funding streams when entering office. The Trump administration has done so in an unprecedented manner. A slew of executive orders, including a confusing and then retracted funding freeze order, and Medicaid portal issues created chaos last week. While the funding freeze was retracted, […]
Category: Compliance
This is an exclusive BHB+ story A health insurance industry group has sued the Trump administration with the hope of undoing the latest parity-enforcement rule. Filed Jan. 17., the suit argues that the Biden administration’s rule oversteps what current parity law actually allows, violates health plans’ due process rights and runs afoul of federal rulemaking […]
This is an exclusive BHB+ story The long-awaited special registration rule for telehealth prescribing dropped last week. The proposed rule has already raised some hackles with industry insiders, and the newly installed Trump administration has promptly withdrawn the proposal. Withdrawing the proposal doesn’t mean the rule is dead. After review, the Trump administration may allow […]
Substance use disorder (SUD) treatment providers who prescribe medications for opioid use disorder (MOUD) via telehealth received some good news on Wednesday. The Drug Enforcement Administration (DEA) and the Department of Health and Human Services (HHS) announced a final rule that allows clinicians to prescribe buprenorphine via telehealth or audio-only telehealth visits for up to […]
The Federal Trade Commission (FTC) has sued a substance use disorder (SUD) treatment provider for posing as other providers to get increased business. Florida-based Evoke Wellness allegedly used deceptive Google search ads that appeared to represent other SUD providers, using its competitors’ names as keywords and displaying ads in a way that impersonated other clinics, […]
Congressional leaders unveiled a stopgap funding bill that will largely fund the federal government at present levels for a few months after Republicans assume control of a unified government. On Tuesday, the U.S. House Committee on Appropriations released a 1,547-page bill detailing funding provisions and regulatory tweaks that will carry federal spending through March 14, […]
More allegations about Acadia Healthcare (Nasdaq: ACHC) have surfaced in the press, this time reporting sexual assault at one of the company’s behavioral health hospitals. A male patient at Acadia-owned Options Behavioral Health Hospital raped another patient with severe mental illness, according to reporting by Mirror Indy. A nurse had reported to higher-ups that the […]
The Centers for Medicare & Medicaid Services has prioritized equitable behavioral health care access, proposing a new rule to cap behavioral health costs for Medicare Advantage members. The proposed rule, scheduled to be published on Dec. 10, would require that Medicare Advantage in-network cost-sharing for mental health and substance use disorder (SUD) care not exceed […]
The entanglement of politics and regulation requires behavioral health providers to bolster advocacy efforts more than ever. At the state and federal level, the industry faces a potent mix of increased scrutiny on health care dealmaking — especially the involvement of private equity investment — and historic public underinvestment. These forces pose potential threats to […]
Digital mental health startup Cerebral has reached a nonprosecution agreement with the U.S. Attorney’s Office for the Eastern District of New York. The agreement resolves the investigation of Cerebral’s policies and practices for controlled substance prescribing, specifically stimulants for ADHD. The company now faces fines totaling $6.57 million, according to a copy of the nonprosecution […]