The latest ruling in the Wit v. United Behavioral Health case disappointed many behavioral health parity advocates. On Jan. 26, the 9th U.S. Circuit Court of Appeals released a ruling that essentially undid a favorable and sweeping 2019 district court decision on how payers may handle behavioral health claims. It also ordered United Behavioral Health […]
The behavioral health industry awaits a vital federal appeals court decision in a long legal battle between payers and operators. No matter the decision, the ruling in Wit v. United Behavioral Health will have far-reaching consequences for behavioral health advocates pushing insurers on reimbursement parity. The class-action lawsuit — originally filed in May 2014 by […]
As government enforcement action in behavioral health heats up, providers who work with commercial insurers may think they’re in the clear. But that’s not the case. Private payers can pose just as big of a threat and financial burden for behavioral health providers. And in fact, that risk is growing, according to lawyers who work […]
Whistleblower lawsuits filed under the False Claims Act (FCA) were up last fiscal year, with the increase hitting the behavioral health industry especially hard. Those are just a couple takeaways from Bass, Berry & Sims’ recent 2020 Healthcare Fraud & Abuse Review. The law firm publishes the report annually to document health care fraud and […]
Most behavioral health providers agree it’s a good thing: The federal government continues to funnel more money into behavioral health initiatives, such as fighting the opioid epidemic and funding certified community behavioral health clinics (CCBHC). But as providers find themselves with more federal dollars, they’re also more likely to face increased scrutiny over their practices, […]
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