Aetna Ends Cerebral’s In-Network Status, Congress Looks into Digital Health’s Compliance with Ryan Haight Act

The scrutiny around mental health startup Cerebral Inc. following the company’s meteoric rise and subsequent criticism has generated new challenges for the company. A House committee has launched a review of how the Drug Enforcement Administration (DEA) has enforced the Ryan Haight Act, which dictates how controlled substances are allowed to be prescribed via telehealth. […]

CVS Launches Virtual Primary Care Solution, Integrates Mental Health Services

CVS Health Inc. (NYSE: CVS) will offer mental health and other primary care services through a new single platform — ​​CVS Health Virtual Primary Care. The Woonsocket, Rhode Island-based health care conglomerate will make the platform available to eligible Aetna members starting Jan. 1, 2023, and for eligible CVS Caremark members during the second quarter […]

Payers Overwhelmed by Overflow of Behavioral Health Point Solutions

Mental health providers are increasingly innovating among specific patient populations as part of their value-based care strategies, a trend that’s turning into a challenge for insurers and employers. One of the pain points is the focus on only a subset of individuals, when employers and insurers are looking more broadly at their entire population. Payers […]

Headspace Health Expands Its C-Suite With 2 New Hires

Santa Monica, California-based Headspace Health has added two new members to its C-suite. The company announced Monday it hired Dr. Wizdom Powell as chief social impact and diversity officer and Jodi Bryant as chief commercial officer, according to a news release. Both Bryant and Powell will report to CEO Russell Glass. The two leaders join […]

‘Carve-Outs Are a Thing of the Past’, Behavioral Health Must Move to a Total Cost of Care Approach

The quest for value-based care in behavioral health is driving far-reaching changes that could upend industry practices for payers and providers. Notably, this could result in the extinction of behavioral health carve-outs. Top executives told attendees of VALUE, a Behavioral Health Business event, that carving out behavioral benefits acts as an impediment to addressing the […]

Failing on Behavioral Health Leaves Insurers Open to Losing Control of Spending, Competitive Advantages

Health insurers could drive down health care spending and gain a competitive edge in the market by better handling enrollees’ behavioral health. The prevalence of and spending to treat behavioral health issues in the U.S. is growing fast. And people with these conditions often have much higher overall health care costs including for issues that […]

Eleanor Health Lands $50M for Value-Based Care Focused Addiction and Mental Health Care Platform

Eleanor Health revealed Thursday that it landed a $50 million Series C funding round. The Waltham, Massachusetts-based addiction and mental health care provider is built around deploying population health and value-based payment models, putting it at the forefront of behavioral health startups with innovative care and reimbursement models. Launched in 2019, the company has raised […]

Brightline Lands $105M Funding Led by KKR, Reportedly Valued at $705M

Youth telebehavioral health company Brightline announced Tuesday that it has raised $105 million in a Series C funding round led by global investment firm KKR. The Palo Alto, California-based company now has raised over $200 million and is valued at $705 million, Bloomberg reported on Tuesday. Also participating in the round are existing investors GV […]

Inside the Equip and Aetna Partnership to Bring an Outcomes-Based Approach to Eating Disorder Treatment

Since its founding in 2019, virtual provider Equip has been doing its part to help stem the tide of eating disorders. Now, after having proved its outcomes-based treatment approach to insurer Aetna, the two companies are partnering to offer services to plan beneficiaries.  Aetna – which is owned by pharmacy giant CVS Health (NYSE: CVS) […]