Aetna Behavioral President Says Holistic, Collaborative Care Key to Company’s Future

The new behavioral health pilot from CVS Health (NYSE: CVS) focused on collaborative care is indicative of where the pharmacy giant is headed in the future, according to Cara McNulty, president of behavioral health and the Employee Assistance Program at Aetna. “You’ll continue to see us advancing our mental health efforts, right alongside with our […]

Pipeline: Acadia’s New Suicide Prevention Centers; New SUD Locations

Acadia partners with suicide prevention organization to open new centers Acadia Healthcare (Nasdaq: ACHC) has opened 15 community resource centers in partnership with a leading suicide awareness organization to help young individuals with opioid use disorder (OUD). The centers are located in four states across the country within Acadia’s Comprehensive Treatment Centers (CTC), which provide […]

APA Calls on Congress to Enforce, Strengthen Behavioral Health Parity Laws

The American Psychological Association (APA) is calling on Congress to enforce and improve the Mental Health Parity and Addiction Equity Act (MHPAEA), arguing that the legislation’s long-time shortcomings have become even more clear amid the pandemic.  MHPAEA has been the law of the land since 2008. It mandates that employers offer mental health coverage that’s […]

Peer Workers, Better Outcome Measures Key to Successful Value-Based Care in Behavioral Health

Behavioral health proponents often tout value-based care as an efficient way for providers to deliver better services, giving them the chance to be paid based on the quality outcomes they produce for patients rather than the historically low fee-for-services reimbursement rates they typically receive. The payment model has picked up steam in recent years, as […]

Ginger Plots Course to Grow Value-Based Business, Break into Medicaid

Ginger, the on-demand virtual behavioral health care system with a $1.1 billion valuation, recently raised $100 million in a Series E funding round led by funds managed by Blackstone Growth. But even more notable than the financing itself is what Ginger plans to do with it — from diving deeper into value-based care to building […]

BayMark, Eleanor Health Among Providers Selected for CMS’s New Value-Based OUD Treatment Demonstration

The Centers for Medicare & Medicaid Services (CMS) has announced the 61 providers that it has chosen to participate in its new Value in Opioid Use Disorder (OUD) Treatment Demonstration.  Starting this month, the four-year demonstration will test whether a new care management fee and performance-based incentive for OUD treatment can reduce hospitalizations and improve […]

Optum Behavioral CEO: We Must Expand the Behavioral Health Care Delivery System to Facilitate Value-Based Care

On average, people with behavioral health conditions cost payers about $875 more per member per month than those without behavioral health conditions. Yet, studies show that less than half of the patients who need behavioral health treatment actually receive it. The health care system’s fee-for-service nature is one reason for that, as is the massive […]

Behavioral Provider Pays $273K to Settle Improper Billing Allegations

A Hartford, Connecticut-based behavioral health care practice and its owners have agreed to a civil settlement with federal and state governments to settle allegations they improperly billed Medicaid. The U.S. Department of Justice (DOJ) announced Tuesday that Maurice Stuckey and Joyce Anderson, as well as their company Today’s Youth LLC, will pay $273,000 to resolve […]

Cigna Doubles Down on Commitment to Virtual Behavioral Health Post-Pandemic

The health insurance giant Cigna (NYSE:CI) is once again doubling down on its commitment to virtual behavioral health care post-pandemic. Like most insurers, Cigna watched its virtual behavioral health claims spike amid the COVID-19 emergency. And Stuart Lustig, Cigna’s senior medical director for behavioral health, told Behavioral Health Business there’s no going back now. “It […]

Lawyers: Biden Unlikely to Expand Parity to Include Medicare, But Other Behavioral Changes Probable

When President Joe Biden was elected, behavioral health stakeholders were hopeful he would tackle some of the industry’s most pressing issues, chiefly among them being parity.  Even though the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires issuers to make behavioral health coverage no more restrictive than medical coverage, payers frequently come […]