This is an exclusive BHB+ article For years, payers and providers stood on opposite sides of the aisle — one providing care and advocating for services, the other paying for that care while demanding proof of outcomes. But I have seen that as integrated care has grown in popularity, so too has the concept of […]
Aetna, the insurance arm of CVS Health (NYSE: CVS), is launching an inaugural neurodiversity navigation program for its commercial customers beginning in January 2026. There has already been widespread demand and interest in a navigation component; Miriam Ferreira, vice president of mental well-being at Aetna, told Behavioral Health Business. The company plans to focus on […]
Elevance Health (NYSE: ELV) will expand behavioral health interventions as a means to tighten medical cost management. The segment continues to experience elevated cost pressures and high acuity, driving higher utilization. Elevance’s health care services subsidiary Carelon has continued to drive growth for its parent company. During its third-quarter earnings call, executives reported that further […]
A group of anonymous Apple Inc. (Nasdaq: AAPL) and Tesla (Nasdaq: TSLA) employees reached a key legal milestone in their complaint against United Behavioral Health and MultiPlan over underpayment for out-of-network care. On Oct. 3, Judge Yvonne Gonzalez Rogers, of the U.S. District Court for the Northern District of California, signed an order granting the […]
Commercially insured populations now engage more with behavioral health than they do with primary care. Since 2018, behavioral health utilization across the U.S. has increased by 44%, while primary care use has decreased by 7%. In 2024, the total number of behavioral health visits totaled 66.4 million, while the number of primary care visits dipped […]
(Editor’s note, Aug. 29, 2025): Behavioral Health Business has updated this article to include information about Publix’s lawsuit against ABA Centers of America. Fast-growing ABA Centers of America and the beloved retail and grocery chain Publix are suing each other over out-of-network claims for applied behavior analysis (ABA) services provided by the former. On Aug. […]
This is an exclusive BHB+ story States may begin to take a more active role in enforcing mental health parity laws. Late last week, the Georgia Office of the Commissioner of Insurance and Safety Fire announced $20 million in fines would be levied on dozens of payers for violations of the state’s parity law, passed […]
Wit v. United Behavioral Health has reemerged after additional action at the district-court level affirmed two core legal contentions for the case. The recent order, issued on Aug. 5, keeps the case alive and heading in a favorable direction for the plaintiffs, who alleged profit motivations inappropriately tainted how United Behavioral Health, a part of […]
This is an exclusive BHB+ story Behavioral health spending has ballooned since the COVID-19 pandemic – and payers are taking note. This, combined with rising hospital costs and the high cost of GLP-1 medications, has prompted payers to reassess their premiums. One of the main factors driving this change is the trend that therapy has […]
A new class action lawsuit alleges Carelon Behavioral Health, its parent company Elevance Health (NYSE: ELV) and Anthem Health Plans were involved in fraudulent business practices related to ghost networks. This marks the third class action case filed in under a year against these entities over ghost networks, which are effectively “misleading directories” of providers. […]
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