Denova Collaborative Health Puts Care Model to the Test Via Multi-State Expansion

Primary care and behavioral health provider Denova Collaborative Health is looking to expand its integrated care model beyond Arizona. Arizona ended its behavioral health benefits carve-out within its Medicaid program in 2018, instead requiring Medicaid plans to manage both benefits. This led to some of the plans supporting integrated services, enabling innovative care models. “We […]

Centene Expects ‘Really Nice Tailwinds’ For Medicaid Behavioral Health Division

State governors have named behavioral health as a top priority. This could give a boost to Centene Corp.’s (NYSE: CNC) behavioral health business and improve its business with state Medicaid programs. Behavioral health challenges for Medicaid enrollees have been a “top 3” issue conveyed by the “over 30 governors” with whom Ken Fasola, Centene’s president, […]

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 […]

Payers, Providers Join Forces to Standardize Value-Based Care in Outpatient Mental Health

Payers appear to be at the forefront of standardizing value-based care. But they still share the reins with other major forces in behavioral health, especially in the outpatient mental health space. Until the industry settles on standards, the value-based care negotiations are likely to produce reimbursement arrangements that are one-offs or otherwise unique. On 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 […]

Magellan Cites Need for New Alternative Mental Health Treatments, Psychedelics Research

Psychedelics continue to gradually gain support as an alternative therapeutic for various mental health conditions. A division of Magellan Health lended its voice to the issue in a new report calling for “fair and balanced” reviews for psychedelics to come to market. The report was published by Magellan Rx Management, a pharmacy benefits division of […]

Magellan Healthcare Partners with Ria Health for AUD Services in California

Ria Health, a virtual treatment provider for alcohol use disorder (AUD), has announced a collaboration with Magellan Healthcare to make its services available to California members of the behavioral and specialty health solutions manager. Under the partnership, San Francisco-based Ria will offer medical and coaching support by way of a secure video chat option. Ria’s […]

Centene Is Working Through an Asset Review Process. What Does This Mean for Magellan Health?

St. Louis-based Centene Corp. will review the assets of the recently acquired Magellan Health Inc. as part of a wider effort to unlock additional shareholder value. Speaking on the company’s annual earnings call on Tuesday, Centene executives reviewed their so-called “value creation plan” — previously announced at the company’s investor day in December — which […]

Magellan Health to Help Centene Drive Integration of Behavioral and Physical Health Says Exec

Centene Corp. expects to drive greater integration of behavioral health and physical health now that it has Magellan Health under its control. Sarah London — board vice chair and president of health care enterprises for the St. Louis-based company — said in prepared remarks at a session of the 2022 J.P. Morgan Healthcare Conference that […]

Centene Names New Chief Transformation Officer, Set to Lead Behavioral Health Strategy Following Magellan Merger

St. Louis-based Centene Corp. (NYSE: CNC) has named former Magellan Health executive Jim Murray as its Chief Transformation Officer, the company announced Thursday. In the new role, Murray will lead the company’s Value Creation Office and the Centene Advanced Behavioral Health division and will report to Centene Board Vice-Chair Sarah London. Murray joins Centene following […]