While private equity investors continue to look for new opportunities in behavioral health, there is one area that is still relatively uncharted: serious mental illness (SMI) care. Caring for the SMI population can be very challenging and requires a multipronged approach, as well as a robust patient engagement plan. Due to these challenges, SMI care […]
Category: Reimbursement
Despite the higher reimbursement rates from private-pay models, investors are shifting their focus to in-network providers who offer stability. In-network behavioral health providers have faster growth, quicker revenue cycles and better overall returns, industry insiders told Behavioral Health Business. Although developing relationships with payers can be hard work, it can pay off with investors. Private […]
Behavioral health and physical health integration continue to be a top focus for major payers nationwide. This morning, Cigna (NYSE:CI) hinted that coordinated care will continue to be an essential area for its health service division, Evernorth, in the future. “Behavioral care continues to be an area of focus, and there’s a meaningful opportunity for […]
Staffing is no longer the top issue facing behavioral health operators. Providers are now projecting that reimbursement and payment will be the biggest challenge for the industry in 2024. That’s according to a new Behavioral Health Business Survey, which included responses from 404 professionals who identified as working for organizations providing treatment for behavioral health, […]
The state of California has inked a deal with pediatric behavioral health providers Brightline and Kooth to offer behavioral health services to all residents under 25 years old. The deal providing digital mental health resources to young Californians is valued at $680 million. Approximately 13 million children and young people will be able to access […]
Behavioral health is at the heart of Elevance’s (NYSE:ELV) plans to increase its at-risk offerings. Specifically, Elevance plans to focus on rolling out its Medicaid behavioral health offering focused on serious mental illness care. “We have new offerings that are whole health full-risk opportunities, like assuming full-risk in oncology, as well as in Medicaid with […]
A cancer diagnosis can profoundly affect a person’s life and impact their overall mental health. Roughly a third of all cancer patients also have a behavioral health issue, such as anxiety, depression, or a substance use disorder, according to research published in Translational Psychiatry. As a result, more payers and providers are looking for ways […]
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 […]
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 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 […]