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 […]

CareSource and Wayspring Launch In-Home Program for Substance Use Disorder Population

Nonprofit health plan CareSource has announced a partnership with value-based addiction treatment company Wayspring to launch an in-home care program for substance use disorder (SUD). The program – which is billed as the first of its kind – will initially be rolled out in Indiana and will be available to Medicaid enrollees in 25 counties […]

CareSource Strikes Deal With The Columbus Organization for First Major Acquisition

Managed care nonprofit CareSource has announced that it has purchased The Columbus Organization, which is a provider of services to individuals with conditions such as intellectual and developmental disabilities (I/DD). CareSource acquired The Columbus Organization from private equity firm HealthEdge Investment Partners, with TripleTree, LLC acting as the exclusive financial advisor in the transaction for […]

Wayspring Raises $75M for Value-Based Substance Use Disorder Treatment

axialHealthcare — a Nashville, Tennessee-based substance use disorder (SUD) treatment company — has received a $75 million investment, along with rebranding itself to Wayspring. Founded in 2012, Wayspring is a value-based care solutions company that links prospective patients to providers of treatment services. Patients and providers are connected through a network of SUD treatment organizations, […]

From Clone Notes to Communication Issues, Payers Share Common ABA Documentation Mistakes

When it comes to behavioral health providers being reimbursed for their services, documentation is key. But in the applied behavioral analysis (ABA) realm, documentation mistakes that can impact reimbursement and authorizations are common. Just ask Christina Weston, vice president of behavioral health at CareSource, a Medicaid and Marketplace insurer that operates in five states. “One […]