Digital health platform and investor darling Transcarent has acquired Accolade (Nasdaq: ACCD), a personalized health and benefits company that offers virtual-first integrated care, including behavioral health services. Transcarent announced on Wednesday that it would acquire Accolade for $7.03 per share in cash, a total equity value of approximately $621 million. The artificial intelligence (AI)-forward companies […]
Category: Reimbursement
Behavioral health is still largely stuck in the fee-for-service reimbursement model, but industry insiders have hung their hopes on value-based care changing that paradigm. Still, this shift may just be the first step in behavioral health’s reimbursement evolution. Population health management could stand as the future of behavioral health beyond value-based care, which payers often […]
The eating disorder treatment sector has transformed dramatically in the past few years, with 2025 poised to bring further disruption through virtual care expansion, market consolidation and evolving patient needs. This evolution is occurring on the heels of a string of notable eating disorder treatment facility closures in 2023 and 2024. Despite the shuttering of […]
Vitalic, a new senior-focused behavioral health provider, has hit the market with $4 million in seed funding. Payvider VNS Health and venture capital investment firm Redesign Health are the company’s first investors. Vitalic’s virtual care model focuses on geriatric psychiatry, including therapy, coaching and medication management. “Despite the fact that this population continues to grow, […]
State Medicaid programs are federally required to cover applied behavior analysis (ABA) services for children with autism. In 2020, the state of Indiana’s fee-for-service Medicaid payments totaled $101.8 million, the second highest in the U.S. An audit completed by the Office of Inspector General (OIG) for the United States Department of Health and Human Services […]
Addiction Treatment in 2024: Navigating Privacy Challenges, Telehealth Shifts, Reimbursement Reforms
The landscape of substance use disorder (SUD) treatment in 2024 was a tapestry of challenges, technological disruptions and unexpected breakthroughs. A staggering data leak exposed the personal information of 100 million patients. Economic pressures forced some SUD providers to retreat from certain state markets, and long-anticipated regulatory changes were once again delayed, leaving the industry […]
Optum is reportedly executing a multi-pronged plan to curb spending on applied behavior analysis (ABA) provided to patients covered by Medicaid. The insurer targets its Medicaid-contracted autism therapy networks in Arizona, Nebraska, Tennessee, Virginia, New Jersey, Indiana and Louisiana, according to a report by the nonprofit investigative journalism outfit ProPublica. The plan is a response […]
Payer partnerships are essential to successfully scaling a behavioral health organization. However, the landscape of those partnerships is quickly changing as payers deal with an uptick in behavioral health utilization and value-based care contracting grows in popularity. Additionally, payers are increasingly looking for a continuum of services. Historically, payers used a carve-out model for behavioral […]
Drug overdose deaths may be on the decline in parts of the U.S. for the first time in years, but the opioid epidemic is far from over. Contributing to the epidemic’s complexity is payers’ refusal to comply with state and federal parity laws and barriers to access medications for opioid use disorder (MOUD), according to […]
An unknown suspect fatally shot the CEO of major health insurer UnitedHealthcare on Wednesday. Brian Thompson, who was named CEO of UnitedHealthcare in April 2021, was shot at approximately 6:40 a.m. outside of a hotel in Midtown Manhattan, according to an NYPD press conference. Law enforcement described the attack as “brazen, targeted” in the press […]
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