The rollout of the final parity rule feels like a much-needed win in an industry that has been muddling through ever-increasing challenges for years. That’s as long as the final rule goes unchallenged in the courts, of course. Savoring this positive regulatory development is important: Behavioral health professionals need to find proverbial rays of sunshine […]
The Biden administration has released its final rule updating mental health parity compliance for group and individual health plans. Released Monday, the final rule updates how federal agencies oversee whether health plans treat behavioral health benefits differently than physical health benefits. In short, it requires and spells out how health plans are to analyze nonquantitative […]
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 […]
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 […]
The Biden Administration is preparing to release proposed rules that impact how payers demonstrate mental health parity to federal regulators. The move marks another step toward resolving the disparity between how payers treat behavioral health and physical health benefits by bringing them in line with recently enacted reporting mandates. Yet little is known about the […]
Congress created parity provisions for mental health coverage over a decade ago. However, critics say they lacked the necessary teeth to make payers fear the bite violating those laws. The road to true behavioral health parity will take buy-in from various stakeholders, including payers, providers, employers and advocates. In order to make this happen former […]
The latest ruling in the Wit v. United Behavioral Health case disappointed many behavioral health parity advocates. On Jan. 26, the 9th U.S. Circuit Court of Appeals released a ruling that essentially undid a favorable and sweeping 2019 district court decision on how payers may handle behavioral health claims. It also ordered United Behavioral Health […]
The behavioral health industry awaits a vital federal appeals court decision in a long legal battle between payers and operators. No matter the decision, the ruling in Wit v. United Behavioral Health will have far-reaching consequences for behavioral health advocates pushing insurers on reimbursement parity. The class-action lawsuit — originally filed in May 2014 by […]
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