The struggles of Optum and CVS Health Inc. (NYSE: CVS), two of the country’s largest health organizations, to integrate assets into a cohesive “payvider” model illustrates the deep challenge of creating value-based care models. Optum, the health services division of UnitedHealth Group Inc. (NYSE: UNH), and CVS Health, which owns Aetna, one of the largest […]
Technology adoption could change how patients, providers and payers experience the behavioral health industry. Leaders of the behavioral health tech startup NOCD and Evernorth, the services division of The Cigna Group (Nasdaq: CI), point to their partnership as an example of using technology to change the current combative nature of payer-provider relations into productive, patient-centered […]
The bulk of state Medicaid programs cover services to treat substance use disorders (SUDs) and outpatient services, but few cover crisis care services. That’s according to a new report by the Kaiser Family Foundation (KFF), which included survey responses from 45 states about their health benefits. In the survey, KFF provided state Medicaid officials with […]
Behavioral health providers have lagged behind their physical health counterparts in measuring outcomes. But that may soon change, industry insiders believe, as payers pressure providers to show more data before raising rates or negotiating value-based contracts. Even so, collecting the correct data to prove outcomes isn’t just on behavioral health companies. A true outcomes-based approach […]
The White House appears to be doubling down on its behavioral health efforts in its new 2024 budget proposal. The proposed budget aims to grow the behavioral health workforce, increase access to services – including crisis care – and advance mental health research. “In response to the current behavioral health crisis and in support of […]
CareFirst BlueCross BlueShield is joining forces with Navigator Healthcare on a new partnership aimed at helping members find appropriate care for substance use disorder (SUD). As part of the deal, CareFirst’s members can call the Navigator Healthcare team 24/7 to help them find the proper, in-network care for their SUD needs. The collaboration reflects the […]
Over the last few years, an increasing number of digital mental health point solutions have been knocking on the doors of employers and employee assistance programs (EAPs), searching for potentially lucrative contracts. But as employers become more sophisticated and their use of behavioral health point solutions more commonplace, the contracting game appears to have changed. […]
Nonprofit health plan Point32Health is prioritizing integrated care and value-based contracting as part of its overall behavioral health strategy. The payer is doing this through partnerships and in-house integration between mental and physical health providers. Specifically, Point32Health has inked value-based contracts focused on autism and substance use disorder (SUD) care, and it plans to expand […]
Prosperity Behavioral Health, a startup that makes financial products for the behavioral health industry, has acquired revenue cycle management company Elevated Billing. The new acquisition fits Prosperity’s growth strategy by creating new market opportunities for the company and expanding its offerings. Terms of the transaction were not disclosed. “Ultimately, we want to be consultative and […]
The latest ruling in the Wit v. United Behavioral Health case disappointed many behavioral health parity advocates. On Jan. 26, the 9th U.S. Circuit Court of Appeals released a ruling that essentially undid a favorable and sweeping 2019 district court decision on how payers may handle behavioral health claims. It also ordered United Behavioral Health […]
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