District Court Sides with Plaintiffs in Wit v. United Behavioral Health After Years of Appeals

Wit v. United Behavioral Health has reemerged after additional action at the district-court level affirmed two core legal contentions for the case. The recent order, issued on Aug. 5, keeps the case alive and heading in a favorable direction for the plaintiffs, who alleged profit motivations inappropriately tainted how United Behavioral Health, a part of […]

UnitedHealth Group Highlights ‘Unanticipated’ Surge in Medical Costs Tied to Behavioral Health

UnitedHealth Group (NYSE: UNH) is the latest health care payer to highlight the impact of skyrocketing behavioral health utilization. Specifically, UnitedHealth Group executives said Tuesday that second-quarter financial shortcomings were partly linked to “unanticipated” medical costs that ended up being $6.5 billion more than originally forecast. That figure was largely inflated by behavioral health utilization, […]

Optum Reportedly Whittling Away at Medicaid Coverage for Autism Therapy

Optum is reportedly executing a multi-pronged plan to curb spending on applied behavior analysis (ABA) provided to patients covered by Medicaid. The insurer targets its Medicaid-contracted autism therapy networks in Arizona, Nebraska, Tennessee, Virginia, New Jersey, Indiana and Louisiana, according to a report by the nonprofit investigative journalism outfit ProPublica. The plan is a response […]

Brian Thompson, UnitedHealthcare CEO, Fatally Shot in ‘Brazen, Targeted’ Attack 

An unknown suspect fatally shot the CEO of major health insurer UnitedHealthcare on Wednesday. Brian Thompson, who was named CEO of UnitedHealthcare in April 2021, was shot at approximately 6:40 a.m. outside of a hotel in Midtown Manhattan, according to an NYPD press conference. Law enforcement described the attack as “brazen, targeted” in the press […]

Billion-Dollar Legal Losses Could Force Payers to Reevaluate Their Behavioral Health Strategies

Payers don’t lose. That’s been true in the health care space for, pretty much, forever. But I’m tracking a handful of developments that kick at discrete moments of accountability for health plans. The health insurance industry is a land of leviathans. Today, there are four, maybe five, companies that truly matter in the grand scheme. […]

Why the Behavioral Health Industry Shouldn’t Get Too Worked Up About Recent Layoffs

The trend-that-must-not-be-named is back: Layoffs.  Behavioral health so often has to paste on a smile while muddling through its many challenges. So often, that leads to worries about being too cheery. The last several weeks have seen seriously positive developments. But another development hauls the industry off cloud nine and back to earth with a […]