CMS Fee Schedule Calls for Digital Therapeutics Reimbursement

The Centers for Medicare & Medicaid Services’ latest proposed fee schedule includes codes for providers to bill Medicare for certain digital therapeutics. On July 10, CMS released its proposed 2025 Physician Fee Schedule (PFS) rule. It contained several behavioral health-related provisions, including changes to how intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) will […]

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,” […]

Massive Federal Opioid Trial Falls Short of Overdose Death Reduction Goals

An ambitious federal trial to curb opioid-related deaths by using community interventions came up short.  Despite the implementation of public education campaigns, increased naloxone distribution and improved access to medications for opioid use disorder (MOUD), as well as many other interventions, the trial failed to demonstrate a statistically significant reduction in overdose deaths. The large-scale […]

New Bill Would Mandate Free Mental, Substance Use Care for Perinatal People

Behavioral health-related issues, including suicide deaths and drug overdoses, are the leading cause of pregnancy-related deaths in the U.S., accounting for over 22% of these losses. A new piece of legislation is on the table to help mitigate these statistics. The legislation, called “the Mental Health and Making Access More Affordable (MAMA) Act,” would require […]

Virtual Mental Health Provider Talkspace Taps Into Medicare Market

After months of teasing the expansion, virtual mental health giant Talkspace (Nasdaq: TALK) has entered the Medicare market.  Talkspace’s services will now be available to 13 million members in 11 states, including California, Florida, New York, Ohio, New Jersey, Virginia, Missouri, Maryland, South Carolina, New Mexico and Idaho. However, the virtual care company has plans […]

The Collaborative Care Model Could Help Reduce the Total Cost of Patient Care

The collaborative care model (CoCM), which integrates physical and behavioral health services, may help reduce the total cost of patient care. That’s according to a new report from the Bowman Family Foundation, which zeroed in on research published by University of Washington (IMPACT) and the University of Pennsylvania/Independence Blue Cross (Penn/IBC) and Kaiser Permanente. “While […]

Talkspace Achieves Profitability, Reveals Medicare Push

Talkspace Inc. (Nasdaq: TALK) continues to thin its financial losses as it grows its payer- and government-focused business lines.  The once direct-to-consumer, texting-based digital therapy company continues to move closer to profitability. On an adjusted basis, earnings totaled about $774,000. This is the first profitable quarter since the company’s IPO in 2021. Its net loss, […]

Peer Support Specialists Drive Value as Behavioral Health Providers Embrace New Workforce

Peer support services are rapidly gaining mainstream acceptance thanks to recent federal initiatives, new reimbursement opportunities and the fallout from the opioid crisis. Peers have a unique ability to drive sustained patient engagement, industry insiders said at Behavioral Health Business’ VALUE conference. This makes the peer support model cost-effective for providers looking to shift away […]