A bipartisan group of senators has called out large payers for their mental health “ghost networks,” which provide an inaccurate list of in-network providers. “Ghost networks” often list providers no longer in-network, accepting patients, or having closed their practice. The lawmakers noted that ghost networks could lead to mental health access issues and make it […]
Category: Reimbursement
Substance use disorders (SUD) cost employer-sponsored health plans about $35.3 billion per year. That’s according to a new JAMA study, which looked at the cost associated with 162 million non-Medicare eligible members with employer-sponsored health insurance in 2018. Researchers reported that of that 162 million, 2.3 million (1.4%) enrollees had a SUD diagnosis. The study […]
CVS Health (Nasdaq: CVS) has kicked off 2023 with investments in behavioral health and primary care startups – and it may even be looking to acquire a senior-focused value-based care organization. These investments appear to be part of CVS’ larger strategy to boost behavioral health offerings and expand into holistic health. Last week at JP […]
UnitedHealth Group (NYSE: UNH) is looking to integrate behavioral health care into its continuum of care as it continues its push for whole-person health. “We will serve the patients in clinic settings, in their homes, integrating behavioral care supported by our data driven clinical and next best actions and all coordinated to provide the right […]
Cigna (NYSE: CI) is leaning into virtual health to help connect patients to behavioral health care sooner and better match clients to therapists. In fact, at the JP Morgan Health Care conference yesterday Cigna CEO David Cordani noted that the company projects 40% of all health care will be able to be delivered fully virtually. […]
Behavioral health tech company Array Behavioral Care closed a $25 million funding round led by CVS Health Ventures, the investment arm of health care giant CVS Health Corp. (NYSE: CVS). On top of providing capital for scaling efforts, the funding round brings Array Behavioral Care closer to CVS Health. Array has previously partnered with CVS […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is looking to streamline primary care-specialist care integration, which could make it easier for behavioral health providers to get paid. Medicaid programs may now directly pay consulting providers for interprofessional consultations, even when a patient is not present. CMS informed state health officials of the new […]
A bipartisan group of U.S. House representatives have introduced a new bill aimed at increasing access to mental health services for seniors Dubbed the Increasing Mental Health Options Act of 2022, the legislation seeks to ensure that Medicare beneficiaries have access to psychologists and can receive mental health services regardless of their care setting. Currently […]
Private insurers offering Medicare plans to seniors may soon have more rigorous behavioral health requirements to follow. The U.S. Centers for Medicare & Medicaid Services (CMS) on Wednesday unveiled a newly proposed rule for Medicare Advantage (MA) meant to emphasize “the invaluable role that access to behavioral health plays in whole-person care.” The move comes […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has announced a new proposal that would require health plans offered through the federal and state-based marketplaces to cover mental health facilities and substance use disorder treatment centers. The new proposal, announced Monday, would make these two types of facilities essential community providers (ECPs). It would […]
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