The federal government’s focus on community-based services and whole-person care has made the Medicaid space prime for behavioral health innovation. However, operators in the Medicaid space continue to struggle with reimbursement challenges and staffing shortages. Yet for those willing to stick with it, Medicaid can offer a prime opportunity to explore new territory, especially around […]
Millions more vulnerable Americans have access to behavioral health services because of a temporary federal edict that helped people get and keep Medicaid coverage. But the days of that edict — the public health emergency — are numbered, putting millions at risk of losing Medicaid and access to health care services. A dramatic administrative change […]
The behavioral health sector “is ripe with opportunities to improve” as the Biden administration continues to prioritize mental health and addictions treatment. That’s according to Tequila Terry, group director of state innovation and prevention and population health at the Center for Medicare & Medicaid Innovation (CMMI). This improvement could mean behavioral health is integrated even […]
The behavioral health industry saw $98.4 million in Medicaid funding clawed back through civil and criminal actions in federal fiscal 2021, according to a new report released by the Office of Inspector General (OIG) of the Health and Human Services Department. In total, Medicaid Fraud Control Units (MFCUs) recovered about $1.7 billion — $856.6 million […]
The nation’s mental health crisis will be a key part of President Biden’s State of the Union address Tuesday evening, his first since assuming the Oval Office last year. Biden is calling for Congress to take up legislation that will invest in new approaches to mental health care delivery, in addition to laying out plans […]
Nonprofit health plan CareSource has announced a partnership with value-based addiction treatment company Wayspring to launch an in-home care program for substance use disorder (SUD). The program – which is billed as the first of its kind – will initially be rolled out in Indiana and will be available to Medicaid enrollees in 25 counties […]
The nation’s behavioral health industry keeps growing, with current estimates pegging it to be worth $90 billion. And for those on the frontline advocating for the industry, it is an especially busy time. Like everyone else, the ongoing – and seemingly neverending – pandemic remains front-and-center in the consciousness of behavioral health leaders, as they […]
St. Louis-based Centene Corp. will review the assets of the recently acquired Magellan Health Inc. as part of a wider effort to unlock additional shareholder value. Speaking on the company’s annual earnings call on Tuesday, Centene executives reviewed their so-called “value creation plan” — previously announced at the company’s investor day in December — which […]
Deaths from substance use disorders (SUDs) continue to reach unfortunate milestones, and fewer places have been hit as hard as California. Now, more help is on the way to the nation’s most populous state, as America’s largest payor of behavioral health services has given the green light for providers to receive more addiction treatment reimbursements. […]
As if anyone needed a reminder about the severity of substance use disorder (SUD), the number of deaths from drug overdoses continues to provide a sobering snapshot. As 2021 wound down, the Centers for Disease Control & Prevention (CDC) reported that overdose deaths reached yet another record level on a 12-month basis. More recently, the […]
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