Elevance Health Stresses the Importance of Integrated Physical, Behavioral and Social Care During Q3 Earnings

Elevance Health (NYSE:ELV), formerly Anthem, is leaning into analytics and care navigation services to help patients manage their behavioral, social and medical conditions. “Our clinical advocates help members navigate the healthcare system, leveraging real-time data analytics to identify health risks that enable our advocates to personally connect with members and help them proactively manage the […]

How CareBridge Won Over Investors, MCOs in $140M Funding Round

CareBridge, a Nashville, Tennessee-based tech and telehealth startup, is tackling one of the hardest challenges in health care. And the moxie it takes to do so — and do so while taking on financial risk — has helped it woo investors to the tune of $180 million over two funding rounds. The latest funding round […]

CareBridge Lands $140M from Oak HC/FT, Group of MCOs to Expand Value-Based HCBS Model

Nashville, Tennessee-based CareBridge on Wednesday announced a $140 million funding round led by Oak HC/FT, with participation from “four of the nation’s five largest” Medicaid managed care organizations (MCOs). The home- and community-based services (HCBS) provider noted in a press release that it will use the funding to spread its value-based care model for Medicaid […]

Beacon Health’s Vision For Outpatient Mental Health and Value-Based Care 2.0

Beacon Health Options is challenging some fundamental notions in its latest approach to value-based care in outpatient mental health. Neil Leibowitz, chief medical officer for the Boston-based behavioral health managed care organization and clinical services provider, said this starts with proving which specific therapies improve care outcomes and lower care costs based on claims data. […]

Building the Foundation of Value-Based Care for Substance Use Disorder is Not Without Hurdles

Inadequate and mismatched business systems and cautious — if not drawn-out — negotiations impede the rapid adoption of value-based care in the substance use disorder (SUD) treatment space. Part of the challenge comes from a lack of consensus in the marketplace about what the high-level practices of value-based care should look like. But even when […]

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 […]

Cerebral Raises $300M as Valuation Hits $4.8B, Eyes Expansion and M&A

Online mental health company Cerebral announced on Wednesday that it has raised $300 million in Series C investments, bringing the total amount raised by the company to $462 million. Funding for Cerebral’s round was led by SoftBank Vision Fund 2, which is a venture capital fund of SoftBank Group. The round also drew participation from […]

Anthem to Launch New Behavioral Health Advantage Product in 2022

Anthem Inc. (NYSE: ANTM) revealed that it has developed a new product called Behavioral Health Advantage (BHA) and plans to launch in 2022. The new product was mentioned briefly during its third-quarter earnings conference call by Peter Haytaian, Anthem’s executive vice president and president of Anthem’s diversified business group and IngenioRX. Details on the new […]

Quartet Taps Beacon Executive as New COO, Adds More Execs

Quartet Health, a technology solutions provider that services behavioral health companies, has announced multiple new management and C-suite hires, which includes an addition from Beacon Health Options. Christina Mainelli, a veteran of the health care and insurance industries, has been named Quartet’s new chief operating officer, where she will oversee strategy and operations for the […]

Ria Health Partnering with Highmark to Cover Insurance Costs for AUD Treatment

Ria Health, a telehealth provider of treatment services for alcohol use disorder (AUD), is joining forces with Highmark to make coverage available for the insurer’s members. Under the agreement announced Tuesday, Ria will be offered to over 5 million members of Pittsburgh-based Highmark, a Blue Cross Blue Shield affiliate that covers residents in Pennsylvania, Delaware […]