The ongoing need for behavioral health services will be no surprise to anyone involved in the industry. Patients continue to have high rates of need and often present with greater acuity. This demand for behavioral health services was reflected across payers’ Q3 earnings calls. The result? Sky-high utilization levels. For example, David Cordani, the CEO […]
Medicaid reimbursement rates are largely trending upward for autism therapy providers, but burdensome regulations still pose significant hurdles to growth. To overcome these challenges and improve rates, all players in the autism therapy industry, including private equity firms, must become involved in advocacy work, industry insiders said at the Behavioral Health Business Autism & Addiction […]
Autism therapy providers often feel like they find themselves clashing with payer partners to get their clinical hour recommendations. While actions by health plans appear to be pressuring autism therapy providers to provide fewer clinical hours, providers are hoping to get payers onboard with increasingly customized and sophisticated treatment plans. The proliferation of care outcome […]
Fifteen years ago, Justin Funches left private equity firm Ironwood Capital to become president of LEARN Behavioral, a Baltimore-based business that treats people diagnosed with autism. In the ensuing decade, Learn Behavioral experienced three changes in ownership, each involving a different private equity company. Milestone Partners bought LEARN Behavioral in 2010, followed by LLR Partners […]
Across the health care spectrum, the value-based care movement continues to gather steam, as stakeholders warm up to the idea of payments based on quality rather than quantity of services. But in the autism space, providers and payers are still trying to find their footing as it relates to value-based care. Nevertheless, the model has […]
One criticism the autism sector frequently faces is in regards to a lack of cultural diversity, and specifically, whether the industry is doing enough to meet the needs of children from traditionally underrepresented communities, as well as the providers serving them. Panelists shared those concerns during a recent discussion at the Autism Investor Summit, a […]
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