How CityBlock, Wayspring and Innovive Leverage Non-Clinical Teams to Treat Serious Mental Illness

Value-based care can enable personal relationships between behavioral health patients and providers in ways that fee-for-service models simply can’t. These relationships can be essential for supporting people with comorbidities in their journeys to live healthier lives. One way to build such relationships is by caring for patients in their home and the community, while integrating […]

‘You Want Standardization’: ABA Field Plagued by Extreme Variation Among Providers, Payers

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 […]

Autism Provider Cortica Secures $75M Funding Round, Acquires 2 Companies

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 […]

Ophelia, CareSource, Gateway: Investing in Community Can ‘Start Moving the Needle’ on SUD Treatment

Community support often falls outside of the addiction treatment-managed care fee-for-service paradigm. Payers and providers alike know the importance of fostering community in addiction treatment, and it’s a key to effective treatment and long-term recovery. However, developing communities fall far beyond their typical scope of services. Regardless, innovations around managed and value-based care seek to […]

Digital Mental Health Company Spring Health Raises $71M, Hits $2.5B Valuation

Digital behavioral health benefits company Spring Health has raised $71 million in a new funding round. This brings the unicorn’s valuation to a whopping $2.5 billion. New York-based Spring Health is a B2B behavioral health organization that teams up with employers and health plans to offer digital support, meditation exercises, coaching, therapy and medication. Its […]

How Quit Genius, Evry Health’s 100% At-Risk Deal Prioritizes Engagement and Clinical Outcomes

With thousands of digital point solutions on the market, payers and employers seek more out of their providers. As a result, digital behavioral health companies have gotten creative about contracting. Gone are the days of per member per month deals. Now, many point solutions offer engagement guarantees, cost-savings deals and at-risk contracting. Digital substance use […]

Virtual Mental Health Startup AptiHealth Raises $11M

Saratoga Springs, New York-based AptiHealth Inc. has raised $10.8 million, according to an SEC filing. The funding, a mix of equity and warrant/options, raises the company’s total raise to about $76 million, based on previous investment tracking by Crunchbase. It also pales compared to the company’s latest funding round — a $50 million Series B […]

Virtual SUD Provider Workit Lays Off 100 Employees in Anticipation of DEA Crackdown

Virtual substance use disorder provider Workit Health has announced plans to reduce its workforce by 100 employees as a result of Drug Enforcement Administration’s (DEA) new proposal that would effectively undue controlled substance prescribing via telehealth. Workit, like many telehealth companies focused on treating substance use disorder, prescribes medication assisted treatment virtually. The new DEA […]

CARD, Magellan Health, Cortica Execs: the Challenge of Value-Based Care Is ‘Getting Everybody on the Same Page’

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 […]

Digital Therapeutics Trailblazer Pear Files For Bankruptcy, CEO Resigns

Digital therapeutics trailblazer Pear Therapeutics (NASDAQ: PEAR) filed for bankruptcy on Friday. The Boston-based company said that it will continue to operate on a scaled down model while it looks to execute an expedited sale. In the meantime, the company’s CEO and founder, Dr. Corey McCann, announced that he will be stepping down. Pear Therapeutics […]