CMS Launches ‘Revolutionary’ New Behavioral Health, Primary Care Integration Model

The Centers for Medicare & Medicaid Services (CMS) is working to improve access to behavioral health with a new initiative designed to integrate behavioral health with physical health. The newly launched program, called the Innovation in Behavioral Health (IBH) Model, will connect adults with mental health conditions or substance use disorders (SUDs) to physical, behavioral […]

Education, Policy Reforms Needed for Behavioral and Primary Care Integration Success

Primary care providers (PCPs) are often the first stop for patients when seeking behavioral health services. Busy PCPs often lack the resources to integrate behavioral health services into their practices fully. But that may change as federal and state lawmakers advocate for more collaborative care models. “Primary care is behavioral health,” Melissa Merrick, executive vice […]

Talkspace To Make Long-Held Medicare Expansion a Reality in 2024

Talkspace Inc. (Nasdaq: TALK) continues to push into new payer partnerships and new patient populations by announcing that it will serve traditional Medicare and Medicare Advantage members. The move marks yet another level of progression in the New York City-based tele-mental health company’s evolution into a company that generates business by working with enterprises that […]

Teladoc to Grow BetterHelp Mental Health Platform Via B2B Expansion

Teladoc Health (NYSE: TDOC) is continuing to grow its virtual mental health platform, BetterHelp, by focusing on the B2B market.  BetterHelp has grown from about $100 million to $1 billion in revenue in the last three years, according to Teladoc CEO Jason Gorevic at the 42nd Annual J.P. Morgan Healthcare Conference. To accelerate growth, Teladoc […]

CMS Approves ‘Groundbreaking’ Behavioral Health Integration Waiver for New York

The Centers for Medicare and Medicaid Services (CMS) has approved a $7.5 billion waiver for New York, allowing the state to integrate primary, behavioral health, and health-related social services over the next three years. One of the main goals of the waiver is to help boost population health and equity outcomes for high-risk Medicaid enrollees, […]

Top Behavioral Health Trends for 2024

After a tumultuous 2023, 2024 may be a steadier year for the behavioral health industry. While behavioral health deals slipped in 2023, Behavioral Health Business expects M&A to pick up this year as interest rates fall and the economy stabilizes. Still, the M&A craze of 2021 is unlikely, and mega deals will be scarce. This […]

Integrated Managed Care Organizations Fail to Outperform Carve-Outs in Behavioral Health Access

Access to and utilization of services was not better at integrated managed care organizations – Medicaid plans that do not carve out behavioral health services – compared to other models. That’s according to a new study published in JAMA, which analyzed claims-based measures of utilization, health-related outcomes, rates of arrests, employment and homelessness. Historically, Medicaid […]

TRICARE Falls Short On Behavioral Health Accessibility Goals

TRICARE’s behavioral health benefits may fall short of the Defense Health Agencies’ (DHA) goal of eliminating all unnecessary treatment limitations. TRICARE is the health plan of the U.S. Department of Defense Military Health System, which covers military personnel, military retirees and their dependents. In 2016, the DHA unveiled new program goals to expand TRICARE’s behavioral […]

Top Behavioral Health Stories of 2023: Bankruptcies, ‘Ghost Networks’ Shake the Industry

2023 has been a tumultuous year for the behavioral health space. Macroeconomic headwinds, including rising interest rates plus unrest in Eastern Europe and the Middle East, has slowed dealmaking. Additionally, many providers have struggled to raise more capital as investors tighten their purse strings. At least two major companies in behavioral health care have filed […]

Court Sets New Parity Standard; United Behavioral Appeals to Supreme Court

The fight for behavioral health parity has momentum heading into 2024 following three major decisions at the appellate level. And the battle may extend to the U.S. Supreme Court following an appeal by United Behavioral Health. Three cases in this slice of the appeals court address how health plans governed by the Employee Retirement Income […]