A number of licensed clinical social workers (LCSWs) across the country are facing a mass clawback effort launched by UnitedHealth Group’s (NYSE: UNH) services division, Optum. The company’s Medicare Advantage plans overpaid the LCSWs “due to an error within a claims payment system,” a representative of Optum Behavioral Health told Behavioral Health Business. Optum Recovery […]
Payers and employers often have a blind spot when it comes to addressing inequities in behavioral health. But ignoring mental health care inequities can increase overall health care costs. An analysis from Deloitte suggested that inequities have led to $320 billion in annual health care spending — “signaling an unsustainable crisis for the industry.” That figure […]
Behavioral health providers have lagged behind their physical health counterparts in measuring outcomes. But that may soon change, industry insiders believe, as payers pressure providers to show more data before raising rates or negotiating value-based contracts. Even so, collecting the correct data to prove outcomes isn’t just on behavioral health companies. A true outcomes-based approach […]
AbleTo vet Trip Hofer is stepping into a new role as CEO of OptumHealth’s Behavioral Health Solutions. Hofer comes to this position after serving as digital mental health company AbleTo’s CEO for four years. During Hofer’s tenure at AbleTo, Optum purchased the startup for roughly $470 million. Hofer’s new role, which was first spotted by […]
Optum announced another blockbuster acquisition that demonstrates the ambition of its parent organization, UnitedHealth Group Inc. (NYSE: UNH), to have a presence in a wide range of health care segments as it strives toward value-based care. And that ambition could have major effects on the behavioral health industry as Optum continues its dealmaking. Just a […]
Amid pervasive workforce shortages and a growing demand for services, Optum Behavioral Health is working to reimagine the way behavioral health care is delivered. CEO Katherine Hobbs Knutson, who joined the company about a year ago, is leading the charge. “That divide between … what exists in the field versus what people actually have access […]
Cortica, a technology-enabled autism treatment provider, has raised $60 million in an oversubscribed Series C funding round, the company announced Tuesday. Longitude Capital led the round, with additional participation from new and existing investors such as Questa Capital, Aperture Venture Partners, 406 Ventures and Adam Boehler, who is the CEO of health care investment firm […]
Behavioral health proponents often tout value-based care as an efficient way for providers to deliver better services, giving them the chance to be paid based on the quality outcomes they produce for patients rather than the historically low fee-for-services reimbursement rates they typically receive. The payment model has picked up steam in recent years, as […]
On average, people with behavioral health conditions cost payers about $875 more per member per month than those without behavioral health conditions. Yet, studies show that less than half of the patients who need behavioral health treatment actually receive it. The health care system’s fee-for-service nature is one reason for that, as is the massive […]
Alma, a membership-based network for behavioral health providers, has raised $28 million in Series B funding, the company announced Tuesday. The round was led by Insight Partners, with participation from existing investors BoxGroup, Primary Venture Partners, Rainfall Ventures, Sound Ventures and Tusk Venture Partners. Optum Ventures, a first-time Alma investor, also participated. The latest round […]
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