This is an exclusive BHB+ story Out-of-network billing is almost unheard of in autism therapy — a stark outlier in behavioral health where such practices are common. Out-of-network billing for applied behavior analysis (ABA), the core therapy of the industry, accounts for mid- to low-single digits of health care spending in some estimations across any […]
Magellan Health’s pediatric collaborative care model has yielded an 84% referral-to-enrollment rate for behavioral health support, with 56% of children remaining engaged or graduating from the program following a 40% reduction in their PHQ scores. Now, the health care giant is looking to expand the model’s scale. Early intervention through collaborative care models is often […]
Behavioral health clinical leader takes CEO role at Magellan Health Magellan Health, a part of Centene Corp. (NYSE: CNC), has appointed Dr. Caroline Carney as its new CEO, succeeding Derrick Duke. Carney joined Magellan Health in 2016, took on the chief medical officer role in 2020 and was named president of behavioral health in 2022. […]
There is an eagerness across the behavioral health industry to transition from fee-for-service into value-based contracts. But, at times, this urgency can actually be a hindrance instead of a help, industry insiders recently explained at the Behavioral Health Business VALUE conference. Crafting value-based care infrastructure, understanding how and what to measure and defining the mechanisms […]
While medication-assisted treatments (MAT), such as methadone and buprenorphine, are hailed as the gold standard for treating opioid use disorder (OUD), some patients with the condition instead opt for non-opioid medications. Clinicians too are much more likely to prescribe non-opioid medications. These preferences, based on misinformation and misunderstandings, can keep patients from the most effective […]
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 […]
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, […]
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