Lawmakers Question OTP Business Practices of BayMark, Acadia, New Season

Ranking member of the Senate Finance Subcommittee on Health Care, Sen. Maggie Hassan (D-NH), is heading an information probe into the practices and patient outcomes of major for-profit methadone clinics: BayMark, Acadia and New Season.  Opioid treatment programs (OTPs) are a major focus of the inquiry. While they are a primary source of methadone initiation […]

Addiction Providers Cautious on Promised Prior Auth Changes

This is an exclusive BHB+ story Forty-eight health plans voluntarily signed onto a commitment to simplify prior authorizations across all of health care in June. Changes to the scope of prior authorizations won’t immediately take effect in the behavioral health space. Still, some experts told Behavioral Health Business they worry whether this will happen at […]

What $20M in Fines Does for Mental Health Parity Enforcement

This is an exclusive BHB+ story States may begin to take a more active role in enforcing mental health parity laws. Late last week, the Georgia Office of the Commissioner of Insurance and Safety Fire announced $20 million in fines would be levied on dozens of payers for violations of the state’s parity law, passed […]

Upcoming Regulations Will Test SUD Providers’ Telehealth Readiness

Since the Trump administration took the reins for a second term in January, questions about what may be next for providers of substance use disorder (SUD) care have swirled. Between Medicaid cuts and new stipulations for work requirements on top of changes to key agencies like the Substance Abuse and Mental Health Services Administration (SAMHSA), […]

HHS Clips Health Benefits for Citizens Without Legal Status

The Department of Health and Human Services (HHS) has nullified a Clinton administration-era policy that expanded public welfare benefits for individuals in the U.S. without legal status.  Certified Community Behavioral Health Clinics and programs administered by the Substance Abuse and Mental Health Services Administration (SAMHSA) have been added to an expanded list of federal public […]

Geisinger, Acadia Execs Say 190-Day Medicare Psychiatric Limit Must Go

A united front of leaders from Acadia Healthcare (Nasdaq: ACHC) and Geisinger Health System are pressing for the annulment of Medicare’s longstanding 190-day lifetime coverage cap for inpatient psychiatric treatment. Acadia Chief Strategy Officer Andrew Lynch, CEO Chris Hunter and Chief Medical Officer Stephanie Eken, as well as Imad Melhem, chair of psychiatry and behavioral […]