‘Payer Ghosting’ Further Straining Behavioral Health-Health Plan Relationship

Dating slang is helping behavioral health professionals describe a troubling evolution in payer relations. Payer ghosting. In dating, someone “ghosts” another person when they abruptly stop communicating despite previous interest. In this context, payer ghosting occurs when payers stonewall providers on claim reimbursement. This can be a trickier challenge for providers than the typical payer […]

‘It’s A Huge Deal’: Behavioral Health Stakeholders Praise New Mental Health Parity Rule

The public comment period hasn’t begun for the Biden administration’s recently published proposed mental health parity rule. But that hasn’t stopped a flood of commentary on the rule from entering the public sphere already. On July 25, the administration released a proposed rule that firms up mental health parity in terms of health plan’s compliance […]

US Lawmakers Want to Make It Easier to Finance Behavioral Health Facilities

Inpatient psychiatric and other behavioral health facilities could be easier to finance should a newly requested congressional probe and new legislation become reality. A group of lawmakers on the U.S. House Committee on Financial Services has asked the U.S. Government Accountability Office (GAO), a congressional research agency, to study the impact of allowing facilities that […]

Behavioral Health Trends to Watch in 2022: Innovation from Payors, Shifting Focus from Access to Quality of Care

The nation’s behavioral health industry keeps growing, with current estimates pegging it to be worth $90 billion. And for those on the frontline advocating for the industry, it is an especially busy time. Like everyone else, the ongoing – and seemingly neverending – pandemic remains front-and-center in the consciousness of behavioral health leaders, as they […]

Inside the Launch and Ambition of Sheppard Pratt’s New Services Division

In the behavioral health world, Sheppard Pratt has long been a stalwart. Founded in 1853, Towson, Maryland-based Sheppard Pratt is the nation’s largest nonprofit provider of mental health, substance use disorder (SUD), developmental disability, special education and social services. Ranked as one of the top hospitals for psychiatry by US News & World Report, Sheppard […]

Industry Must Build Out Entire Behavioral Health Continuum, Says NABH CEO

To say Shawn Coughlin has a lot on his mind these days is putting it mildly. Throughout the pandemic, behavioral health conditions nationwide have worsened and substance use disorder (SUD) overdose rates have continually broken records. Although the numbers paint a bleak picture, Coughlin — who heads one of the behavioral health industry’s leading groups […]