Telehealth services are becoming increasingly accessible for behavioral health providers and the patients they serve. However, regulatory barriers continue to prevent the technology from becoming more widespread. All 50 states and the District of Columbia now provide some degree of coverage for telehealth services for their Medicaid members, according to the latest Telemental Health Laws […]
Category: Regulation
At times, the relationship between payers and behavioral health providers can feel adversarial. However, to ensure the best care for patients, it should be collaborative. Payers and providers tackled how to make that vision a reality, among other issues, earlier this month in Washington D.C. at the Payer’s Behavioral Health Management and Policy Summit, hosted […]
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 […]
The parent company of Blue Cross Blue Shield plan providers in five states is being sued over allegations that it’s been denying behavioral health benefits to members due to overly restrictive guidelines, according to Law360. The federal lawsuit seeking class action status was filed late last month against Chicago-based Health Care Service Corporation (HCSC). The […]
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 […]