How Addiction Providers Are Integrating Services for Co-Occurring Conditions

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 […]

The Truth About Ghost Networks in Behavioral Health: A Conversation with Octave CEO Sandeep Acharya

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 […]

Point32Health’s Behavioral Health Navigator Program Combats ‘Ghost Networks’ 

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 […]

Value-Based Behavioral Health Care Can Pay Dividends But Takes Upfront Cost, Primary Care Collaboration

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 […]

HHS Authorizes Pre-Release SUD Treatment for Incarcerated People in 5 States

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) […]

Half of States Lack Full SUD Care Coverage in Medicaid Managed Care Plans

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% […]

Supreme Court’s Decision to Overrule Chevron Doctrine Set to Impact Behavioral Health Regulations

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,” […]