Carelon Behavioral Health Lands ‘Multiple External Business Wins’

Behavioral health has played an integral role in boosting Elevance Health Inc.’s (NYSE: ELV) effort to provide health care services. Elevance’s health care services entity, Carelon, grew revenue by 18% and operating income by 6.8%. The organization Carelon Behavioral Health is in charge of its behavioral health services. “Carelon Behavioral Health extended its leadership position […]

UnitedHealth Group Sees Behavioral Health Utilization Spike

UnitedHealth Group (NYSE: UNH) revealed that behavioral health utilization increased notably during the second quarter of the year. While the leadership of the Minnetonka, Minnesota-based health care and insurance behemoth didn’t disclose specifics, its leadership said the company is assuming higher behavioral health usage as it develops health plan benefits. Increased behavioral health utilization also […]

Blue Cross Blue Shield of Arizona Launches Integrated Care Company ‘Prosano,’ Makes Behavioral Health a Top Priority

Blue Cross Blue Shield of Arizona (BCBSAZ) has launched Prosano Health Solutions, a new integrated care company that will include behavioral health services. This marks the organization’s first move into the “payvider” space. The platform is based on a comprehensive care model and allows members to access primary care teams, behavioral health practitioners, lab services, […]

Behavioral Health Companies Looking to Grow Their Enterprise Business ‘Still Need to Build The D2C Acquisition Muscle’

Several digital behavioral health companies are making the move from direct-to-consumer to business-to-business models, looking to create a larger market share. While a B2B approach may lead to a more extensive client base, companies looking to make the leap must be prepared to add higher privacy standards and the proven ROI that corporate entities expect. […]

31% of Health Plan Purchasers Dissatisfied with Behavioral Health Network Effectiveness

New survey data reveals broad dissatisfaction among health plan purchasers over behavioral health network access quality. The survey finds near universal acknowledgment (99%) that timely access to in-network behavioral health is important. However, only 31% of health plan purchasers were satisfied with the effectiveness and timeliness of behavioral health provider networks. The survey was conducted […]

United Behavioral Health Loses Mental Health Coverage ERISA Appeal

A federal appeals court has ruled in favor of the parents of a teen girl frequently denied coverage for intensive mental health care by United Behavioral Health. On May 15, the 10th U.S. Circuit Court of Appeal ruled that United Behavioral Health violated its fiduciary duties under the Employee Retirement Income Security Act (ERISA) and […]

Payers Must Create Infrastructure to Support Behavioral Health Providers Moving Towards Value-Based Care Contracting

While the medical community agrees that integrating behavioral health and primary care is critical to better patient outcomes, making that happen means disrupting the status quo. Industry stakeholders are rethinking the current reimbursement structure to promote integrated care. But to shift the current paradigm, payers and providers must work together to navigate uncharted territory. Roughly […]

As UnitedHealth Group Looks to Deploy Capital on Provider Acquisitions, More Behavioral Health Deals Could Be Coming

UnitedHealth Group (NYSE: UNH) is doubling down on its value-based payment strategy and, in turn, further integrating behavioral health services. The company has ramped up its value-based care efforts in its insurance arm, UnitedHealthcare, and health services division, Optum. In UnitedHealth Group’s Q1 earnings call on Friday, it announced that Optum covers roughly 4 million […]

Highmark Health’s Behavioral Health Director: Personalized Care, Upstream Prevention Will Define the Industry

Highmark Health’s executive medical director of behavioral health, Bradley Karlin, is looking to tackle the increase in behavioral health needs by focusing on personalizing care and upstream prevention. He’s also looking to use more data to make decisions, he told Behavioral Health Business.  Karlin, who joined Highmark in January 2021, has a long history of […]