Twenty-eight million adults in the U.S. have alcohol use disorder (AUD), and the life-threatening condition particularly impacts Medicaid populations. Despite the existence of evidence-based medications for AUD, less than half of all Medicaid managed care plans cover all types of medications for AUD, according to a new study published in JAMA Network Open. “The results […]
Category: Reimbursement
This is an exclusive BHB+ story Medicaid faces potential cuts after the Republican-led Congress passed a budget resolution to slash the outlays overseen by the House Energy and Commerce Committee — which oversees Medicare and Medicaid spending — by $880 billion over the next decade. Cutbacks on Medicaid will likely have significant implications for behavioral […]
Universal Health Service (NYSE: UHS) has reported strong annual financial performance – as well as concern regarding potential Medicaid budget cuts. Medicaid changes have negatively impacted UHS’s behavioral health arm before. In 2024, the provider attributed low behavioral health patient days, in part, to Medicaid redeterminations. “We acknowledge that the current political environment has created […]
Robert F. Kennedy Jr. has been confirmed as the Secretary of the U.S. Department of Health and Human Services. The Senate confirmed Kennedy on Thursday in a 52 to 48 vote, mostly along party lines. In his new role, Kennedy will direct $1.7 trillion in federal funds, including those that pay for government health insurance […]
This is an exclusive BHB+ story New presidents regularly shift focuses and funding streams when entering office. The Trump administration has done so in an unprecedented manner. A slew of executive orders, including a confusing and then retracted funding freeze order, and Medicaid portal issues created chaos last week. While the funding freeze was retracted, […]
Not-for-profit behavioral health care provider Rogers Behavioral Health and for-profit workforce mental health provider Lyra Health have forged an alliance. The collaboration, announced Tuesday, gives Lyra access to Rogers’ health plan networks while allowing Rogers to scale its virtual services using Lyra’s national footprint. For Rogers and Lyra executives, the most important aspect of the […]
Fostering successful pilots with health plans is critical for digital mental health startups. These relationships can promise significant promise for providers and payers, but a negative outcome can mean wasted time and resources. While risk is an inherent part of a trial run for a digital mental health provider, both health care companies and payers […]
This is an exclusive BHB+ story When it comes to payer trends in behavioral health, value-based care is generally top of mind for most. And value-based care is certainly a critical movement set to impact the behavioral health industry in 2025 and beyond. But several under-the-radar trends in behavioral health reimbursement could also significantly reshape […]
Virtual opioid use disorder (OUD) treatment provider Bicycle Health has achieved profitability after abandoning its “growth at all costs” mindset and streamlining its business model. The company is now set for long-term, disciplined growth, including acquiring other providers, founder and CEO Ankit Gupta told Addiction Treatment Business. Bicycle will use funds from a new $16.5 […]
Behavioral health providers have faced regulatory uncertainty regarding government funding and access to Medicaid this week. The Trump administration issued a funding freeze on Monday only for it to be blocked by a federal judge on Tuesday. States reported outages to the Medicaid portal on Tuesday and more interruptions on Wednesday, while the White House […]