‘Impossible to Operationalize’: What the New Parity Rule Really Means for Behavioral Health Providers, Payers

The rollout of the final parity rule feels like a much-needed win in an industry that has been muddling through ever-increasing challenges for years. That’s as long as the final rule goes unchallenged in the courts, of course. Savoring this positive regulatory development is important: Behavioral health professionals need to find proverbial rays of sunshine […]

Is an IPO Worth It? What Good Exits in Behavioral Health Will Look Like in 2024.

Behavioral health dealmaking will likely pick up in 2024 but initial public offerings (IPOs) may be noticeably absent. The private market — especially private equity investors and their platforms — has more than enough capital and motivation to do deals, making this year a compelling time for exits and trades. Still, experts tell Behavioral Health […]

DEA Proposal Jeopardizes Digital Providers, Limits Access to Care, Behavioral Health Insiders Warn

The new telehealth restrictions proposed by the Drug Enforcement Administration (DEA) last week struck a sour chord with several industry stakeholders. Many industry insiders condemned the move as out of touch and even dangerous, jeopardizing telehealth models’ effectiveness in behavioral health. Still, the proposal is not set in stone, and parts of it could change […]

Telehealth Companies Face Existential Crisis as DEA Seeks to Pull Plug on Virtual Controlled Substance Prescribing

After years of waiting, the Drug Enforcement Administration (DEA) on Friday rolled out a new proposal to better formalize controlled substance prescriptions via telehealth. However, the proposal is not the long-awaited registration process Congress mandated for addiction treatment. If finalized, DEA’s proposed plan also moves some aspects of telehealth prescribing back to a pre-public health […]

DOL Rule Could Complicate How Behavioral Health Providers Use Contractors

The Biden administration could mix up how behavioral health operators address worker classification. The U.S. Department of Labor (DOL) said in October it would undo Trump-era classification rules that made it easier to classify workers as contractors. This bolstered the gig economy and placed an emphasis on how much control the employer had over the […]

Medicare’s Proposed Workforce Changes Could Shake Up the Market, Boost Access to Care

Medicare’s recently proposed Physician Fee Schedule for 2023 could change how the health insurance industry deals with the behavioral health clinician shortage. Introduced on July 7, the proposed rule seeks to allow more practitioners to address Medicare members’ behavioral health needs. In turn, Medicare’s influence may inspire other health plans to take similar action. “Medicare […]

Brick-and-Mortar Behavioral Health Providers Best Positioned to Weather New Telehealth Regs

Facility-based behavioral health operators may be better positioned to cope with changing telehealth regulations than their virtual-only peers. That’s because facility operators who use telehealth have the required building blocks to apply in-person treatment or telehealth as needs arise. In contrast, virtual-only companies must find other ways to partner or integrate with facility operators, according […]

New Florida Law Opens Regulatory Lane for Virtual Medication-Assisted Treatment

The Florida state government has amended its state code to allow certain controlled substances to be prescribed via telehealth, a regulatory boon for medication-assisted treatment. On April 6., Gov. Ron DeSantis signed Senate Bill 312 into law after it cleared the Florida Senate, its final legislative hurdle, on March 11. Specifically, the bill permits all […]

Lawyers: Biden Unlikely to Expand Parity to Include Medicare, But Other Behavioral Changes Probable

When President Joe Biden was elected, behavioral health stakeholders were hopeful he would tackle some of the industry’s most pressing issues, chiefly among them being parity. Even though the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires insurers to make behavioral health coverage no more restrictive than medical coverage, payers frequently come […]