The fast-growing autism therapy provider ABA Centers of America is claiming $80 million in a contract and payer ghosting lawsuit that it filed against Canton, Massachusetts-based Point32Health. State court documents argue that Point32Health has underpaid claims for services that were authorized for certain patients and since December 2023 has not paid any ABA Centers of […]
Point32Health
Nonprofit health plan Point32Health has instituted a new care navigation program to meet unprecedented behavioral health demands. As part of the program, Point32Health has created a new employee role specifically designed to connect members to behavioral health care. This allows the payer and its provider network to foster a “symbiotic relationship.” “The missing piece that […]
Payers and providers are increasingly pushing for more measurement-based care in behavioral health. However, in order for the change to work, key stakeholders, including clinicians and other behavioral health providers, need to buy in. This puts the onus on operators to make it easier for clinicians to implement measurement-based care, and for payers to foster […]
Nonprofit health plan Point32Health is prioritizing integrated care and value-based contracting as part of its overall behavioral health strategy. The payer is doing this through partnerships and in-house integration between mental and physical health providers. Specifically, Point32Health has inked value-based contracts focused on autism and substance use disorder (SUD) care, and it plans to expand […]
Autism treatment provider Cortica Inc. has entered into a new value-based care payer arrangement that may accelerate the development of similar deals in the future. Insurer Point32Health now has an outcome-focused value-based care agreement with San Diego-based Cortica for members enrolled in Point32Health Massachusetts’ Medicaid and commercial health plans. “It’s these kinds of groundbreaking collaborations […]
Eleanor Health revealed Thursday that it landed a $50 million Series C funding round. The Waltham, Massachusetts-based addiction and mental health care provider is built around deploying population health and value-based payment models, putting it at the forefront of behavioral health startups with innovative care and reimbursement models. Launched in 2019, the company has raised […]
Addiction treatment provider Eleanor Health Inc. revealed Thursday it has partnered with Point32Health to better support the behavioral and physical needs of its Medicaid members. Waltham, Massachusetts-based Eleanor Health collaborated with Point32Health to develop a value-based program built on population health that provides comprehensive care to members of Point32Health’s beneficiaries covered by Tufts Health Plan’s […]