Recent Optum Behavioral Health Rate Cuts Bring to Life Harsh Reality of the Payer-Provider Complex

Over the last few months, we’ve watched Optum pull back on behavioral health funding on multiple fronts. While substantive to the specific sectors impacted, it signals that previous worries about payers cutting back on behavioral health reimbursements are warranted. In short, that’s bad news. But it’s not unexpected. Why is that? Because payers are largely […]

Patients Want Mental Health Referrals from PCPs or Insurance – But Few Get Them

Nearly half of patients seek out mental health care from their primary care provider or their insurance network. Most of these patients are disappointed. While 47% of patients look for mental health providers through their insurance directories, only 17% find care that way, according to research from mental health patient-matching company Headway. Similarly, 35% of […]

Major Insurance Companies Back New Behavioral Health Measurement Standards Program

The National Quality Forum (NQF) has partnered with a coalition of health plans and the national digital therapy enablement platform Headway to create a new assessment tool that standardizes how behavioral health clinicians measure the progress of care. The behavioral health industry, across specialties, has struggled with a lack of a standardized data measurement set. […]

Headway Raises $100M, Bringing Total Valuation to $2.3B

Patient-matching platform Headway is in the midst of closing a $100 million funding round, boosting its valuation to $2.3 billion, reports say. Spark Capital led the round, according to Bloomberg. Headway’s new valuation is roughly double what it was a year prior. Headway’s existing investors include Thrive Capital, Accel, Andreessen Horowitz and Global Founders Capital. […]

Headway Co-Founder Starts New Youth Mental Health Biz; Amwell Co-CEO Steps Down

Headway founder leads new startup  Headway founder Jake Sussman is heading up a new youth-focused behavioral health startup, according to TechCrunch. The new venture, Marble, provides virtual therapy for teens with a licensed therapist. The company promises to get patients an appointment within four days. It also accepts “all insurances”—including Medicaid. The provider offers individual […]

Headway Scales Nationally Via Payer Partners

Headway has announced its national expansion through partnerships with over 25 payers across the country. The digital behavioral health company’s payer partners, Evernorth, Cigna and Blue Cross Blue Shield of Massachusetts, plan to go live with Headway in all 50 states and D.C.  Headway works with payers to help their members connect to mental health […]

‘This Isn’t Just a Payer Problem’: Health Plans and Providers Must Jointly Address Ghost Networks

More than 80% of mental health provider listings on Medicare Advantage (MA) directories are inaccurate or unavailable. That’s according to a recent secret shopper study conducted by the Senate Committee on Finance. These inaccurate provider directories, also known as “ghost networks,” can cause patients to get pinned down by large out-of-pocket bills and clinicians to […]

‘The Measures We Have Are Insufficient’: New Tools Are Needed For Measurement-Based Care 

Payers have increasingly pushed for measurement-based care, but experts question whether the behavioral health industry has the tools to broadly implement the practice. Measurement-based care, in which clinical data is collected throughout treatment, may increase the likelihood that a patient receives evidence-based care. Implementing the practice requires a whole-person approach that includes contextualization and cultural […]

Headway Raises $125M for Its Patient-Matching Platform

Patient-matching platform Headway Health has announced a $125 million Series C funding round. The round, led by Spark Capital with participation from Accel, Thrive Capital and Andreessen Horowitz, brings the company’s total valuation to more than $1 billion. The New York-based company plans to use the new capital to build out its technology and tools. […]

‘We’re Regularly Evaluating Options’: Headspace Lands $105M in Debt Financing to Enhance Enterprise Offerings

Digital behavioral health company Headspace has announced a $105 million debt financing round from Oxford Finance.  The Los Angeles-based mental health provider said the new financing will enable it to be opportunistic in investing in areas where there is a market need. “For instance, we’re hearing demand from our customers, health plan partners, and members […]