‘It’s Getting Paid for Doing the Right Thing’: Rethinking Value-Based Care in the Behavioral Health-Medicaid Alliance

Medicaid programs offer a unique venue for behavioral health providers to push the industry toward greater adoption of value-based care. Often, leaders across the industry note that they see the most receptiveness and make the most progress on payment innovation in their alliances within the realm of Medicaid. Still, there is palpable frustration at the […]

UnitedHealth CEO Exit: Implications for Behavioral Health Under Renewed Value-Based Focus

UnitedHealth Group’s (NYSE: UNH) CEO Andrew Witty has announced his plans to step down after leading the health care giant through a period of turmoil, citing “personal reasons.” The company’s former CEO, Stephen Hemsley, will return to the role effective immediately. In addition to his leadership role, Hemsley will remain the chairman of UnitedHealth Group’s […]

Behavioral Health Industry Under Threat as GOP Budget Adds Medicaid Work Requirements, 6-Month Eligibility Reviews

The Republican-led House Committee on Energy and Commerce released budget reconciliation documents that show the GOP has walked back from direct cuts to Medicaid spending, as many in the health care world have feared. Instead, the documents released late on May 11 include several provisions that would eliminate spending on health care programs overseen by […]

ACA Marketplace Changes Could Rock Behavioral Health Industry

This is an exclusive BHB+ story With Medicaid redeterminations on the horizon and Affordable Care Act (ACA) marketplace subsidies set to expire at the end of this year, health care consumers could have few places to turn to for coverage. I foresee these new developments threatening to undermine the behavioral health sector, potentially restricting access […]

Trump Tracker: The Latest Behavioral Health Updates

Behavioral health is in the political crosshairs. This series tracks the Trump administration’s proposed policy changes, funding cuts and structural overhauls that could reshape behavioral health care in the U.S. From HHS reorganizations to Medicaid shifts, we’re following what matters — and what’s at stake — for providers, payers and investors. (Last update: May 8, […]

Trump Administration Autism Data Platform to Focus on ‘Root Causes’ Using Medical Records, Insurance Claims and Wearables

Trump administration health care officials on Wednesday revealed further information about plans to create an autism spectrum disorder (ASD) data bank – a project that has sparked a mix of support, skepticism and alarm from autism-community stakeholders. On May 7, the U.S. Centers for Medicare & Medicaid Services (CMS) announced a new “landmark” partnership with […]

Autism Therapy VBC Accountability Extends to Internal Processes

Making value-based care a reality in autism therapy requires meta, if not somewhat circular, functions. Change management, operational compliance and fraud prevention require autism therapy providers to set up monitoring systems to track their data collection processes. In other words, provider organizations need to set up a process to ensure that their clinical and operational […]