Long-stagnant fee-for-service rates in the autism therapy space could stunt its potential as an industry and lock out innovation. With key exceptions, autism therapy providers across the board have seen payer rates trending flat for years with some payers attempting to push rates down, according to more than a dozen provider, investment, legal and accreditation […]
Staffing challenges in autism therapy are driving providers to invest heavily in training and upskilling registered behavioral technicians (RBTs). In recent years, inflation and a red-hot job market made hiring and retaining staff harder, especially for RBTs Further, investors have tied staff retention to the company’s value as an investment and as a provider of […]
Hopebridge’s new CEO David McIntosh sees his work as a calling. In his three years with autism provider Hopebridge, McIntosh has learned that his work and the work of his compatriots bring potentially life-changing results for families and children. “That’s a responsibility I take very seriously,” McIntosh said in an email to Behavioral Health Business. […]
Unfavorable economic conditions and increasingly savvy investment in the autism industry have compressed earnings valuations. Still, the autism segment remains one of health care’s most desirable investment spaces. Over the last three years, low-end and high-end multiples have been higher than a decade ago. Yet, they reflect a comedown following a deal volume and valuations […]
Applied behavioral analysis (ABA) is a relatively young field. Unsurprisingly, there is still a lot of variation when prescribing and reimbursing ABA hours. Each payer sets its own reimbursement parameters, and providers across the country each have their own assessments. While some industry insiders call for more standardization, others are looking to technology to help […]
Cortica Inc. has secured $75 million of investment and acquired two companies, expanding its footprint across the U.S. The San Diego-based whole-child pediatric autism and neurodevelopment care provider now operates 23 centers following its acquisition of Trumbull, Connecticut-based Springtide Child Development and Scottsdale, Arizona-based Melmed Center. “What’s happened is a recognition that the future of […]
The autism therapy industry lacks consensus on measuring care quality, hindering value-based care efforts, according to industry insiders. Despite the challenges, efforts by autism therapy providers such as Cortica, the Centers for Autism and Related Disorders (CARD), and health plan provider Magellan Health keep the nascent alternative payment model moving forward. “The challenge with ABA […]
Autism therapy provider Hopebridge Inc. has named David McIntosh its new CEO. The Indianapolis-based provider announced Monday that McIntosh — Hopebridge’s chief operating officer and president — will succeed the current CEO Dennis May, effective May 1, 2023. May has been CEO since 2016 and will transition to executive chairman of the company’s board. “I […]
Intellectual and developmental disability (IDD) nonprofits Merakey and Elwyn have announced their intentions to merge. The pair recently signed a non-binding Memorandum of Understanding to create a joint company with a 12,000-person workforce caring for 55,000 individuals in 16 states. The partners said the merged company will be focused on delivering holistic care and coordinating […]
Nonprofit health plan Point32Health is prioritizing integrated care and value-based contracting as part of its overall behavioral health strategy. The payer is doing this through partnerships and in-house integration between mental and physical health providers. Specifically, Point32Health has inked value-based contracts focused on autism and substance use disorder (SUD) care, and it plans to expand […]
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