Behavioral health stands apart from other health care specialties, for one, because of a lack of standardized outcome measurements. Without these markers, health plans must evaluate potential provider partnerships through a different lens, developing alternative criteria to ensure high-quality treatment for members and cost savings for the health plans. In this BHB+ TALKS conversation, reporter […]
Magellan Health
Providers are throwing caution flags on the field of virtual substance use disorder (SUD) treatment. Virtual SUD treatment boasts serious benefits, including convenience and accessibility, but not all patients are well-suited to receiving care through exclusively virtual means, industry insiders told Addiction Treatment Business. While virtual therapy may be the best fit for some patients […]
Value-based contracts that involve autism therapy providers taking on risk can be “wildly beneficial.” The contracting process, however, has its challenges. To ease the complicated process, payers may benefit from creating a value-based “skeleton,” or framework for value-based agreements with payers. Industry insiders stress the importance of providers approaching value-based negotiations with a collaborative mindset. […]
The mental health industry is pivoting after the market’s rapid expansion related to COVID-era telehealth and increased demand for behavioral health services. Mental health providers are now seeking new methods of care, including AI-enabled tools, to improve existing mental health treatment frameworks, industry insiders told Behavioral Health Business. Mental health companies are also seeking new […]
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, […]
Magellan Health, a health plan focused on special populations, has been on the cutting edge of value-based care contracting in the mental health space. The organization has inked several high-profile value-based care contracts through its managed care subsidiary, Magellan Healthcare. These include a deal with autism providers Kyo Autism and Invo Healthcare. “We’re believers in […]
The autism therapy industry lacks consensus on measuring care quality, hindering value-based care efforts, according to industry insiders. Despite the challenges, efforts by autism therapy providers such as Cortica, the Centers for Autism and Related Disorders (CARD), and health plan provider Magellan Health keep the nascent alternative payment model moving forward. “The challenge with ABA […]
Magellan Healthcare, the behavioral and specialty health care segment of managed care organization Magellan Health, has teamed up with Kyo Autism Therapy to develop outcome standards for autism therapies. The two announced Tuesday that the partnership will test and develop evidence-based practices for autism therapy providers that work with payers under value-based care models. “[Applied […]
Magellan Healthcare, the behavioral and specialty health care segment of managed care organization Magellan Health, has rolled out a new program aimed at helping seniors address social determinants of health. In order to provide these services, Magellan Healthcare has teamed up with digital senior assistant and support tool DOUS. New York-based DUOS was founded in […]
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 […]