Centene Corp. (NYSE: CNC) reported progress on tamping down what it sees as problematic spending on behavioral health, namely applied behavior analysis (ABA). However, the managed care titan reports that it still has work to do to get its Medicaid spending back in line with previous expectations. Centene CEO Sarah London said on the company’s […]
This is an exclusive BHB+ story Behavioral health spending has ballooned since the COVID-19 pandemic – and payers are taking note. This, combined with rising hospital costs and the high cost of GLP-1 medications, has prompted payers to reassess their premiums. One of the main factors driving this change is the trend that therapy has […]
Centene Corp. (NYSE: CNC) is facing mounting cost pressure in its Medicaid business, with rising behavioral health utilization – particularly in applied behavior analysis (ABA) services – emerging as a major driver. As demand for autism-related services expands and oversight of clinical appropriateness tightens, ABA is becoming a flashpoint in payer efforts to manage behavioral […]
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 […]
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, […]
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 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 […]
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 […]
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 […]
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 […]
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