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 […]
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 […]
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 […]
CVS Health (NYSE: CVS) will now offer mental health counseling and care services at six of its MinuteClinics. The rollout could pave the way for a larger national expansion down the road, as mental health has grown into a top priority for the company. Specifically, the retail giant will now staff half a dozen MinuteClinics […]
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 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 […]
Digital point solutions could have an advantage in the move toward value-based behavioral health care contracting. Tech-backed behavioral health providers have a leg up in collecting data to prove outcomes, and their virtual front-door approach could also lend itself to preventative behavioral health services. But for value-based contracting to take off in this space, payers, […]
The struggles of Optum and CVS Health Inc. (NYSE: CVS), two of the country’s largest health organizations, to integrate assets into a cohesive “payvider” model illustrates the deep challenge of creating value-based care models. Optum, the health services division of UnitedHealth Group Inc. (NYSE: UNH), and CVS Health, which owns Aetna, one of the largest […]
Technology adoption could change how patients, providers and payers experience the behavioral health industry. Leaders of the behavioral health tech startup NOCD and Evernorth, the services division of The Cigna Group (Nasdaq: CI), point to their partnership as an example of using technology to change the current combative nature of payer-provider relations into productive, patient-centered […]
Behavioral health providers have lagged behind their physical health counterparts in measuring outcomes. But that may soon change, industry insiders believe, as payers pressure providers to show more data before raising rates or negotiating value-based contracts. Even so, collecting the correct data to prove outcomes isn’t just on behavioral health companies. A true outcomes-based approach […]
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