Despite years of discourse surrounding value-based care and behavioral health, payers remain fixated on access as the primary concern. Meanwhile, outcomes data and measurement-based care, which have dominated the value-based conversation over the past few years, will likely be important to contracting in a few years. “By bringing access [to members], you bring value,” Dr. […]
Category: Reimbursement
With the growing senior population and rising mental health and substance use issues among this demographic, the Centers for Medicare and Medicaid (CMS) are looking for new approaches to address behavioral health concerns. Roughly 20% of people over the age of 55 have experienced a behavioral health issue, according to the CDC. In order to […]
Last week Cigna’s (NYSE:CI) health service division Evernorth furthered its reach into the mental health sector with the launch of a new behavioral health group. The hybrid behavioral health group, launched with over 1,000 clinicians, will focus on value-based and measurement-based care. Using virtual provider Octave’s technology suite, Evernorth plans to fully scale the service […]
Cigna’s (NYSE:CI) health service division Evernorth has launched a new behavioral health care group. Evernorth Behavioral Health Group will launch with over 1,000 clinicians and guarantee patients an appointment within 72 hours. According to Evernorth data, the industry average wait time is 48 days. “When I think about the impetus of the care group, it’s […]
The Centers for Medicare and Medicaid (CMS) released a new guidance to State Medicaid Directors, opening the door to a larger pool of providers to offer care to beneficiaries and adding a new nurse advice line. As part of the guidance, a new group of behavioral health providers, including master’s level social workers, marriage and […]
In 2024, Talkspace (Nasdaq: TALK) will focus on expanding its services to teenagers and seniors via new partnerships with schools and municipalities, as well as broadening its reach within the Medicare program. Talkspace, which started as a direct-to-consumer company, continues to double down on its payer partnerships and direct-to-enterprise (DTE) strategy. Part of that strategy […]
In case you missed it, Behavioral Health Business has launched a new specialty publication for professionals in the substance use disorder space. You can subscribe to Addiction Treatment Business here: Subscribe today! The U.S. Supreme Court rejected a request by United Behavioral Health to hear a behavioral health claim denial case. The case, titled D.K. […]
Employer mental health companies have flooded the behavioral health startup market. This comes as employees now say behavioral health benefit programs are crucial for establishing positive workplace environments. Conflicting research, however, makes it unclear how effective these plans are in practice. Further, with the market for employer mental health plans becoming increasingly saturated, only the […]
While private equity investors continue to look for new opportunities in behavioral health, there is one area that is still relatively uncharted: serious mental illness (SMI) care. Caring for the SMI population can be very challenging and requires a multipronged approach, as well as a robust patient engagement plan. Due to these challenges, SMI care […]
Despite the higher reimbursement rates from private-pay models, investors are shifting their focus to in-network providers who offer stability. In-network behavioral health providers have faster growth, quicker revenue cycles and better overall returns, industry insiders told Behavioral Health Business. Although developing relationships with payers can be hard work, it can pay off with investors. Private […]