Last year was one of the toughest in recent history for behavioral health care providers, who dealt with unprecedented financial strain and sky-high demand. Despite those challenges, the industry also scored a number of important wins in 2020, from being granted several important regulatory flexibilities to finally being recognized as vitally important to the healthcare […]
Study after study has shown that behavioral health treatment leads to better overall health outcomes and lower total care costs. But typical fee-for-service reimbursement models don’t account for services’ long-term impact. As such, most behavioral health providers grapple with meager reimbursement rates and slim margins. But the coronavirus could finally change that, mainstreaming value-based care […]
Hazelden Betty Ford Foundation bills itself as the largest nonprofit substance use disorder (SUD) treatment provider in the country, with 17 locations and counting, in addition to a slew of other business arms focused on topics such as addiction education, research and publishing. Next up, the organization has its sights set on achieving national scale […]
The number of Medicare Advantage (MA) plans offering special benefits to beneficiaries with behavioral health issues has spiked dramatically in the past year, according to a new analysis from the actuarial consulting firm Milliman. Specifically, the report, which was commissioned by the Better Medicare Alliance (BMA), shows that 135 MA plans are using Special Supplemental […]
New data from the electronic health record (EHR) provider CentralReach is painting a picture of how autism treatment providers have held up amid the pandemic — and, more importantly, how the coronavirus will shape their business models into the future. First and foremost, remote care will continue to play a role in providers’ delivery of […]
Equip, a virtual eating disorder treatment provider, has raised $13 million in Series A funding, the company announced Wednesday. That brings Equip’s total funding raised up to $17 million. Optum Ventures led the funding round, with additional participation from new investor .406 Ventures and existing funder F-Prime Capital. Founded in 2019, Equip aims to make […]
Substance use disorder (SUD) treatment providers in certain states serve Medicaid beneficiaries better than others. It all depends on whether they operate in a state with a waiver allowing them to bypass the Institutions for Mental Diseases (IMD) exclusion, according to new research published in the February issue of Health Affairs. Not only do providers […]
A Connecticut private behavioral health practice and its owner have agreed to pay more than $100,000 to settle state and federal fraud allegations, the U.S. Department of Justice (DOJ) announced Monday. Behavioral Management LLC of North Haven and its owner, Neil Quatrano, have entered into a civil settlement agreement following allegations that the company submitted […]
Days after Centene Corporation (NYSE: CNC) announced its plan to acquire Magellan Health (Nasdaq: MGLN), leadership is doubling down on the insurer’s commitment to behavioral. Those services will play an important role in the company’s future, according to Centene CEO Michael Neidorff, who is also president and chairman of the company. “It has to be […]
As the behavioral health industry draws more government funding, it’s also getting newfound scrutiny from state and federal regulators. Enforcement actions against behavioral providers are on the rise, especially for those organizations that participate in Medicare and Medicaid. Consequently, compliance planning is more important than ever — and so is identifying warning signs that suggest […]
By continuing to use the site, you agree to the use of cookies. more information
The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.
