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 […]
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 […]
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 […]
Blue Cross Blue Shield of Massachusetts (Blue Cross MA) will allow some of its commercial health plan members to get free integrated virtual care starting with the new year. The nonprofit health plan announced partnerships on Friday with virtual primary care companies Carbon Health and Firefly Health. These partnerships include mental health services along with […]
Autism treatment provider Cortica Inc. has entered into a new value-based care payer arrangement that may accelerate the development of similar deals in the future. Insurer Point32Health now has an outcome-focused value-based care agreement with San Diego-based Cortica for members enrolled in Point32Health Massachusetts’ Medicaid and commercial health plans. “It’s these kinds of groundbreaking collaborations […]
The U.S. Department of Health and Human Services (HHS) is looking to bolster the behavioral health workforce and test out new payment models in effort to improve mental health parity and access. It’s part of HHS’ recently released roadmap, which gives guidelines about integrating mental health and substance use care into whole-person care. The roadmap […]
Last year about 50,400 Medicare Part D beneficiaries experienced an opioid overdose. That’s according to a new report from the Office of the Inspector General for the U.S. Department of Health and Human Services. The report also found that less than 20% of Medicare beneficiaries with opioid use disorder (OUD) received medication to treat their […]
The integration of behavioral health and physical health is one of the “indisputable forces” shaping health care at Cigna (NYSE: CI). This, coupled with the advancements and adoption of digital tools, could make mental and integrated health services more streamlined, Cigna CEO David Cordani said Tuesday during Morgan Stanely’s Annual Global Healthcare Conference. “The big […]
The U.S. Department of Health and Human Services (HHS) on Monday announced that Oregon will be the first state in the country to roll out a mobile crisis intervention program in Medicaid. The focus of the new program: behavioral health care. Leaders from HHS and the U.S. Centers for Medicare & Medicaid Services (CMS) are […]
When it comes to substance use disorder (SUD) treatment, Medicare has major gaps in coverage. Specifically, Medicare, which is the largest payer in the country, does not cover residential or intensive outpatient SUD services. This could be changing, as the Biden administration continues to prioritize SUD treatment and behavioral health parity – and as public […]
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