Medicaid Investigators Recovered $98M Through Fraud and Abuse Cases from Behavioral Health Providers

The behavioral health industry saw $98.4 million in Medicaid funding clawed back through civil and criminal actions in federal fiscal 2021, according to a new report released by the Office of Inspector General (OIG) of the Health and Human Services Department. In total, Medicaid Fraud Control Units (MFCUs) recovered about $1.7 billion — $856.6 million […]

Federal Regulators, Lawmakers See MAT Access as Vital to Addressing Nation’s Worsening Overdose Crisis

Bringing additional medication-assisted treatment (MAT) to bear on the nation’s addiction and overdose crisis appears to be top of mind for several federal leaders focused on behavioral health as well as key U.S. senators.  Leaders from agencies within the U.S. Department of Health and Human Services appeared before the Senate’s Health, Education, Labor and Pension […]

OIG Opinion Sees Favorable Outlook for Contingency Management Services

In the fight against substance use disorders (SUDs), a number of providers have been turning to contingency management (CM) services as a solution, and a new report from the government shows it is working. The idea of providing certain incentives to individuals for hitting treatment benchmarks has been backed by various published studies. Additionally, the […]

New Federal Spending Bill Doesn’t Eliminate In-Person Visit Requirement for Mental Telehealth Visits

The latest federal funding bill working its way through Congress will delay a contentious requirement for the use of mental telehealth visits. Despite the rapid ascension of telehealth as a major means of receiving behavioral health care, the Consolidated Appropriations Act 2022 — released on Wednesday — states that clinicians must see their Medicare patients […]

Industry Applauds Tough Talk on Parity, Investment in Behavioral Health Workforce in Biden’s State of the Union

Pres. Joe Biden’s State of the Union address laid out a vision for addressing the ailing American mental health care system that was well-received by leaders and advocates in the behavioral health space. Several industry groups and executives in the space expressed their relief that addressing behavioral health — especially mental health and substance use […]

Behavioral Health Trends to Watch in 2022: Innovation from Payors, Shifting Focus from Access to Quality of Care

The nation’s behavioral health industry keeps growing, with current estimates pegging it to be worth $90 billion. And for those on the frontline advocating for the industry, it is an especially busy time. Like everyone else, the ongoing – and seemingly neverending – pandemic remains front-and-center in the consciousness of behavioral health leaders, as they […]

Insurers, Behavioral Health Advocates Square Off Over Attempts to Influence Parity Bill in Congress

Opposition against Congressional efforts to boost mental health parity enforcement is apparently in full swing. Politico reports that lobbyists and advocates aligned with the American insurance industry are trying to get ahead of the efforts by congressional Democrats to draft and build bipartisan support for two major proposals around parity One proposal would give state […]

U.S. at Turning Point in Youth Mental Health Crisis, APA Calls for $1B Boost in Funding from Congress

American Psychological Association Chief Science Officer Mitch Prinstein believes that the U.S. is at a turning point in how it deals with the imbalance between mental and physical health — an imbalance made worse by the COVID pandemic. He likened this turning point to the era following World War II when the federal government created […]