With the growing senior population and rising mental health and substance use issues among this demographic, the Centers for Medicare and Medicaid (CMS) are looking for new approaches to address behavioral health concerns. Roughly 20% of people over the age of 55 have experienced a behavioral health issue, according to the CDC. In order to […]
Category: Medicare
In 2024, Talkspace (Nasdaq: TALK) will focus on expanding its services to teenagers and seniors via new partnerships with schools and municipalities, as well as broadening its reach within the Medicare program. Talkspace, which started as a direct-to-consumer company, continues to double down on its payer partnerships and direct-to-enterprise (DTE) strategy. Part of that strategy […]
The Centers for Medicare & Medicaid Services (CMS) is working to improve access to behavioral health with a new initiative designed to integrate behavioral health with physical health. The newly launched program, called the Innovation in Behavioral Health (IBH) Model, will connect adults with mental health conditions or substance use disorders (SUDs) to physical, behavioral […]
Talkspace Inc. (Nasdaq: TALK) continues to push into new payer partnerships and new patient populations by announcing that it will serve traditional Medicare and Medicare Advantage members. The move marks yet another level of progression in the New York City-based tele-mental health company’s evolution into a company that generates business by working with enterprises that […]
The federal government could begin scrutinizing private equity-owned behavioral health practices. The Biden-Harris administration announced new initiatives to thwart anti-competitive mergers and practices that could increase health care costs for patients. Private equity firms, health insurers and health systems will be subject to additional surveillance to foster competition in the behavioral health sector. Although still […]
Highmark Wholecare reports that over a third of its members have been diagnosed with at least one mental health condition. That’s according to a recent analysis of over 420,000 Highmark Wholecare members, which found that mental health disorders have become the most common health condition among its members, surpassing common conditions like diabetes, hypertension, tobacco […]
An industry-redefining merger of Humana Inc. (NYSE: HUM) and The Cigna Group (NYSE:CI) is reportedly in the works. The deal, if completed, would create a massive company that spans nearly every segment of the health insurance industry. It would also create a formidable clinical and health services division prominently featuring behavioral health. Late Tuesday, a […]
Payers are trying to figure out how behavioral health fits into the value-based care paradigm as the demand for innovative contracting grows. One of the main places payers are pushing for integration is with primary care. Still, integrating primary care and behavioral health in a value-based care arrangement can be difficult. Primary care providers often […]
Accountable care organizations (ACOs) have become the “de facto” strategy for traditional Medicare. Their incentives for proactive care were designed to improve quality and access to care by aligning incentives among clinicians, hospitals and behavioral health providers. But a new Health Affairs study found that being enrolled in an ACO was not associated with any […]
During the pandemic, Medicare patients with serious mental illness who accessed care at practices that mainly used telehealth had 13% more mental health visits than those mainly receiving in-person care. However, researchers found no changes in these patients’ medication adherence, hospital and emergency department use or mortality, according to a recent study published in JAMA. […]