Clarity on Digital Therapeutics Reimbursement Could Lead to More Behavioral Health Adoption

After years of reimbursement uncertainty, the digital therapeutics industry is beginning to see newfound clarity. Within the last year, digital therapeutics, which are evidence-based treatments delivered through software interventions to treat or manage a condition, have made inroads with both commercial insurers and Medicaid. Earlier this year, state Medicaid programs in Massachusetts and Oklahoma announced […]

Payer Interest Is Driving Behavioral Health Consolidation

Behavioral health consolidation will accelerate as payers deepen their involvement and increase their focus on the industry. The last decade or so — accelerated by the coronavirus pandemic — has seen an influx in capital and professionalization in the fragmented behavioral health industry. But as behavioral health becomes increasingly relevant in the wider health care […]

Worsening Mental Health Reveals Urgency of Prevention Expansion

Behavioral health stakeholders are looking to make preventative mental health measures as normal and regular as the old-fashioned annual physical. Industry players have begun to evaluate the benefits of screening for mental health conditions. This fall, the U.S. Preventive Services Task Force came out with draft recommendations to screen for anxiety in adults, pregnant and […]

Elevance Health Stresses the Importance of Integrated Physical, Behavioral and Social Care During Q3 Earnings

Elevance Health (NYSE:ELV), formerly Anthem, is leaning into analytics and care navigation services to help patients manage their behavioral, social and medical conditions. “Our clinical advocates help members navigate the healthcare system, leveraging real-time data analytics to identify health risks that enable our advocates to personally connect with members and help them proactively manage the […]

Inside CVS Health’s Behavioral Health Strategy

CVS Health (NYSE: CVS) has continued to double down on its behavioral health efforts. In 2022 it announced a slew of new initiatives and digital partnerships aimed at improving mental wellbeing. For example, in August CVS announced a partnership with telehealth giant Amwell to begin a new virtual primary care offering, which includes on-demand mental […]

7 Organizations Join Forces on ACO-Like Value-Based Care Network Dedicated to Behavioral Health

A coalition of seven organizations has launched a new entity dedicated to improving the health of patients through a value-based care model that focuses on behavioral health and related social determinants of health. Dubbed the Integral Health Network of Southern Arizona LLC (IHNSA), the new organization is a clinically integrated network dedicated to delivering closely […]

UnitedHealth Group Expands Behavioral Health Network by 25%

UnitedHealth Group (NYSE: UNH) revealed it has expanded its behavioral health network by 25% over the last “couple of years” – and is continuing to prioritize the space in the future. The large payer conglomerate is growing its behavioral clinical practices that are owned and operated by its health service division Optum, UnitedHealth Group COO […]

CMS Floats Plans for National Provider Directory to Unify Fragmented Parts of Health Care – Including Behavioral Health

The U.S. Centers for Medicare & Medicaid Services (CMS) is considering creating the first national directory of health care providers and services. The agency floated those plans in a Wednesday announcement. Such a move could have major implications for the notoriously fragmented behavioral health industry. CMS is pitching the directory as a way to help […]

Why Insurers Flock to Digital Behavioral Health Companies

Major payers have increasingly turned to digital behavioral health providers to fill in the gaps in care not met by their present services. In doing so, these payers seek to address the issues of access, speed to care, specialist availability, convenience and privacy through digital platforms. In turn, digital behavioral health providers gain access to […]

One Medical, Upward See ACO REACH as a Catalyst for Behavioral Health Innovation

Providers approved for the U.S. Centers for Medicare & Medicaid Services’ (CMS) new ACO REACH program are seeing an opportunity to further integrate behavioral health into care. Earlier this year, CMS announced it was nixing direct contracting and replacing it with the ACO Realizing Equity, Access and Community Health (REACH) model. Multiple direct-contracting models were […]