Point32Health’s Behavioral Health Navigator Program Combats ‘Ghost Networks’ 

Nonprofit health plan Point32Health has instituted a new care navigation program to meet unprecedented behavioral health demands. As part of the program, Point32Health has created a new employee role specifically designed to connect members to behavioral health care. This allows the payer and its provider network to foster a “symbiotic relationship.” “The missing piece that […]

CMS Releases New Prospective Funding Rule for Psych Facilities, Increases Electroconvulsive Therapy Payment 70%

The Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2025 Medicare Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) on Wednesday. The new rule makes changes to Medicare payments as well as to the Inpatient Psychiatric Facilities Quality Reporting Program. The payment adjustments include a 2.5% net rate increase, patient-level […]

Behavioral Providers Turn to Long-acting Injectables to Boost Adherence, Decrease Burden

Medication adherence is a critical issue for behavioral health providers. This is especially true for patients with serious mental illness. More than half of patients with schizophrenia are nonadherent to medication, and 50% of patients with depression and 44% of patients with bipolar disorder are nonadherent to medication, according to a meta-analysis. In order to […]

Data-Driven Approaches Improve Behavioral Health Equity, Aid Payer Negotiations

Racial and ethnic minority groups are 20% to 50% less likely to initiate mental health services and are 40% to 80% more likely to drop out of treatment prematurely.  Some behavioral health providers are seeking to improve these statistics by catering their services specifically to people of color, marginalized individuals and Medicare and Medicaid beneficiaries. […]

Maternal Mental Health Provider Seven Starling Lands $12.6M 

Digital mental health startup Seven Starling has raised $12.6 million in funding and is seeking an additional $1.7 million to complete the round, according to an SEC filing. New York City-based Seven Starling provides virtual mental health services to women on the parenthood journey. Its offerings include therapy, peer support and medication as needed. The […]

[Updated] Mental Health Claims Increased 83% from 2019 to 2023

New research shows mental health insurance claims have continued to rise after the peak impact of the COVID-19 pandemic. Mental health claims soared by 83% from 2019 to 2023 and continued to rise post-pandemic, increasing 11% from 2022 to 2023, according to a report from LexisNexis Risk Solutions. The demand for virtual mental health services […]

FDA Clears Behavioral Digital Therapeutic for Postpartum Depression

In a significant milestone for the rapidly evolving, and at times tumultuous behavioral digital therapeutics (DTx) industry, the FDA granted 510(k) clearance to a novel therapeutic developed by Curio Digital.  Curio’s eight-week prescription-only digital therapeutic treats mild to moderate postpartum depression in patients ages 22 and older in tandem with clinician-supervised outpatient care. Postpartum depression […]

The Case for Palliative Psychiatric Treatment

Palliative approaches to psychiatric care may be happening informally nationwide and beyond, despite not being an officially recognized specialty. Palliative care prioritizes alleviating suffering rather than improving a psychiatric condition. Familiarizing behavioral health clinicians with the concept of “palliative psychiatry” and its focus on improving the quality of life for those with severe, treatment-resistant conditions […]