Changes to Medicaid in 2022 repositioned behavioral health’s relevance to the program — and its importance to the behavioral health industry. Medicaid is the single-largest payer of mental health services in the nation. And changes to the public health plan for vulnerable populations may further alter the business landscape, industry insiders believe. Medicaid, a collaboration […]
State Medicaid programs continue to expand behavioral health benefits, especially for specific high-needs populations. Several states have rolled out new behavioral health benefits or enhanced existing ones. All the while, no states have plans to restrict behavioral health benefits during fiscal year 2023, according to a new survey of state Medicaid leaders from the Kaiser […]
After years of reimbursement uncertainty, the digital therapeutics industry is beginning to see newfound clarity. Within the last year, digital therapeutics, which are evidence-based treatments delivered through software interventions to treat or manage a condition, have made inroads with both commercial insurers and Medicaid. Earlier this year, state Medicaid programs in Massachusetts and Oklahoma announced […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is considering creating the first national directory of health care providers and services. The agency floated those plans in a Wednesday announcement. Such a move could have major implications for the notoriously fragmented behavioral health industry. CMS is pitching the directory as a way to help […]
Autism treatment provider Cortica Inc. has entered into a new value-based care payer arrangement that may accelerate the development of similar deals in the future. Insurer Point32Health now has an outcome-focused value-based care agreement with San Diego-based Cortica for members enrolled in Point32Health Massachusetts’ Medicaid and commercial health plans. “It’s these kinds of groundbreaking collaborations […]
The U.S. Department of Health and Human Services (HHS) is looking to bolster the behavioral health workforce and test out new payment models in effort to improve mental health parity and access. It’s part of HHS’ recently released roadmap, which gives guidelines about integrating mental health and substance use care into whole-person care. The roadmap […]
The U.S. Department of Health and Human Services (HHS) on Monday announced that Oregon will be the first state in the country to roll out a mobile crisis intervention program in Medicaid. The focus of the new program: behavioral health care. Leaders from HHS and the U.S. Centers for Medicare & Medicaid Services (CMS) are […]
DotCom Therapy is joining the wave of virtual providers jumping into the Medicaid market. The digital health provider offers behavioral, speech and occupational therapy to the pediatric population. It will begin its Medicaid efforts in Wisconsin and is working with the state’s BadgerCare Plus program, which integrates Medicaid and the Children’s Health Insurance Program (CHIP) […]
The road to value-based care (VBC) contracting in the behavioral health sector is slow moving. In order for VBC to evolve in the behavioral health sector, both payers and providers need a seat at the table. Operators provide clinical expertise and troves of data about the patient experience. And these assets could put providers in […]
Serious mental illnesses (SMI) can steal years from people’s lives. People with SMIs die 10 to 20 years earlier than most people, according to one study. Massachusetts-based Innovive Health, an in-home skilled nursing company, seeks to get in front of these issues. The goal is to keep high-acuity, high-risk patients out of the hospital. In […]
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