Nationwide, Mandatory Work Requirements for Medicaid Will Negatively Affect Those with Mental Health Conditions and Substance Use Disorders

As Congress works to finalize its budget reconciliation package, changes to Medicaid are at the forefront of discussions. Leadership in the U.S. House of Representatives has continued to affirm that the Medicaid policies under consideration ensure that no “deserving” Medicaid beneficiary will lose coverage for which they are legally eligible; instead, they have expressed their […]

Disrupting the Status Quo: Employers’ Emerging Role in Addiction Care

This is an exclusive BHB+ story Increasingly, employers are paying for addiction care for their staff, disrupting the status quo. It’s changing the way providers view reimbursement and how they operate by placing new expectations on measurable results, transparency and speed. By stepping into the payer role, employers are reshaping stigma, return on investment and […]

Better Together: Why Behavioral Health Needs Value-Based Momentum

Over the past decade, value-based care has transformed primary care and other physical health specialties. When providers are supported and aligned around shared goals, outcomes improve, innovation accelerates, and patients benefit. The results speak for themselves: In 2022 alone, the Medicare Shared Savings Program (MSSP) generated $1.8 billion in gross savings, with over half of […]

BetterHelp Targets Millions of Users Who Register But Never Start Therapy

Roughly 80% of users who sign up or start the registration process for Teladoc’s (NYSE: TDOC) direct-to-consumer mental health platform, BetterHelp, never become active users. Teladoc CEO Chuck Divita, attributes the drop-off to the cash-pay nature of the business. “The consumer has been under a lot of pressure,” Divita said during a presentation at the […]

Starting Point: Exploring the Critical Decision of When to Hunt Value-Based Care Opportunities

It may seem contradictory to start on the opposite side of the spectrum from the payment model you aim to move into as a provider, but the best way to shift to value-based contracts could actually be embracing fee-for-service arrangements. Starting with fee-for-service models can help de-risk the transition to value-based care while helping providers […]

Outcomes Over Output: What’s Shaping Autism Therapy Reimbursement in 2025

As the Trump administration continues to redefine priorities and research around autism, keeping the industry on edge, other pressure points for providers and investors are also mounting in 2025. Network tightening, payer scrutiny, complexity in authorizations and uncertainty in staffing are creating hurdles for reimbursement negotiations, industry leaders explained at the Autism Investor Summit in […]

How Behavioral Health Providers Can Build Better Value-Based Care Infrastructure

There is an eagerness across the behavioral health industry to transition from fee-for-service into value-based contracts. But, at times, this urgency can actually be a hindrance instead of a help, industry insiders recently explained at the Behavioral Health Business VALUE conference. Crafting value-based care infrastructure, understanding how and what to measure and defining the mechanisms […]