Many behavioral health providers have traditionally operated in silos, leaving patients to navigate a fragmented system of care for substance use disorders (SUDs), mental illnesses and other co-occurring conditions. SUD providers are now working to break down these barriers and offer more comprehensive, holistic treatments that address the full spectrum of a patient’s needs by […]
Category: Medicaid
Ghost networks remain a major problem in health care – and behavioral health is no exception. Broadly, ghost networks create barriers for individuals trying to access behavioral health services through their payer. There are many reasons why ghost networks exist, with payers and providers both contributing to the problem. In this BHB+ TALKS conversation, senior […]
Nonprofit health plan Point32Health has instituted a new care navigation program to meet unprecedented behavioral health demands. As part of the program, Point32Health has created a new employee role specifically designed to connect members to behavioral health care. This allows the payer and its provider network to foster a “symbiotic relationship.” “The missing piece that […]
More Americans died by suicide in 2022 than any other year on record in the United States. Still, significant barriers to care, including lack of insurance and clinician shortages, have kept many Americans from accessing much-needed behavioral health care, according to a new report from Mental Health America (MHA) based on federal data from 2022. […]
Providers have increasingly integrated behavioral health care into primary care to improve patient outcomes and decrease the likelihood of costly, acute health events. Federal health plans have jumped on board with integration efforts, paving the way for more collaborative care models. But government plans have unevenly adopted value-based care, which is often associated with integrated […]
Nearly one in every 12 Americans owes medical debt, totaling at least $220 billion nationwide. This debt may be actively worsening the mental health care gap. Adults with depression or anxiety are more likely to carry medical debt, according to a study published in JAMA Psychiatry. Approximately one in four to one in five of […]
Five U.S. states are now allowed to provide incarcerated people with coverage for substance use disorder (SUD) care and other services before their release. Medicaid traditionally does not provide SUD treatment to otherwise eligible people who are incarcerated in jails, prisons or youth correctional facilities. Now, the U.S. Department of Health and Human Services (HHS) […]
New research reveals significant gaps in substance use disorder (SUD) treatment coverage across state Medicaid managed care organizations (MCOs), potentially leaving many patients without access to crucial care. MCOs cover the majority of Medicaid enrollees in the U.S., and SUD disproportionately impacts Medicaid populations. Over 20% of Medicaid enrollees have an SUD, compared with 16% […]
After a landmark decision by the U.S. Supreme Court, lower courts will now have more say in behavioral health care regulation. In a 6-3 vote, the Supreme Court overruled a 40-year decision known as the Chevron doctrine that required lower courts to defer to federal agencies on the interpretation of unclear statutes. “Chevron is overruled,” […]
The number of uninsured Americans has steadily decreased since 2019, new CDC data shows. This fact could have major implications for behavioral health access. A new report using results from the National Health Interview Survey (NHIS) found that the number of uninsured Americans dropped from 10.3% in 2019 to 7.6% in 2023. People without health […]