News
SUD Falls Short While Mental Health, IDD Led Behavioral Health M&A in 2025
2+ hour, 19+ min ago (540+ words) Deal flow in the behavioral health sector was up 17% year over year in 2025, marking the industry's second consecutive year of gains since 2023. Surges in utilization, which is expected to increase, have made behavioral health one of the "most sought-after sectors…...
Optum's New Policy for Psych Nurse Practitioners Puts TMS Back in the Spotlight
2+ hour, 21+ min ago (848+ words) Optum Behavioral Health Services has added psychiatric mental health nurse practitioners (PMHNPs) to the list of providers who can provide transcranial magnetic stimulation (TMS). Part of the larger Optum family, the move by Optum Behavioral Health Services provides another step…...
2026 Future Leaders Awards: Final Entry Deadline Approaching
4+ day, 1+ hour ago (144+ words) The final entry deadline for the2026 Future Leaders Awardsprogram is almost here. Nominations are due Wednesday, April 15, 2026 by 11: 59pm CDT. The Future Leaders Awards program shines a well-deserved spotlight on the providers and vendors who are transforming the future of the behavioral…...
DC-Area Behavioral Health Providers Face Tough Decisions After Delayed Payments from Care First, Cigna
5+ day, 2+ hour ago (721+ words) Several Maryland and Washington, D. C. -area behavioral health providers have not received reimbursement from payers like Cigna and Care First Blue Cross Blue Shield at all in 2026. Dr. Ajita Robinson, executive director of Bethesda, Maryland-based Friends in Transition Counseling, said her…...
ABA Providers Facing a Reckoning Amid Negative Headlines, Payer Cuts
5+ day, 2+ hour ago (1290+ words) Spending in the autism services sector has exploded over the past decade. That's particularly true for applied behavior analysis (ABA) therapy. "State Medicaid programs and commercial payers alike are now putting the services under a microscope and trying to find…...
Georgia ABA Providers Brace for 20% Rate Cut from Care Source
6+ day, 1+ hour ago (223+ words) Applied behavior analysis (ABA) providers serving Georgia's Medicaid population are bracing for major cuts after Care Source Georgia, a Medicaid care management organization (CMO), sent a letter announcing providers will be reimbursed at 80% of the current Georgia Medicaid fee schedule…...
Indiana Medicaid Proposes 30-Hour Weekly, Lifetime Cap for ABA
5+ day, 21+ hour ago (776+ words) Image by Esi Gr'nhagen from Pixabay | CC BY 2. 0 Indiana's Medicaid program wants to cap coverage of applied behavior analysis (ABA) for children and roll out additional workforce regulations. At a state budget committee on Dec. 17, officials with Indiana Medicaid unveiled…...
Payers and Providers Aren't Always Aligned on Value-Based Care. Here's What Could Help
6+ day, 2+ hour ago (483+ words) Increasingly, payers are seeking to engage in value-based care arrangements amid rising cost pressures for behavioral health services. "Still, engaging in value-based care arrangements can be challenging, as each contract is unique and requires payer time and resources to develop....
Federal Audits of Medicaid-Autism Oversight Are a 'Black Eye,' Likely to Ignite Profound Change
1+ week, 1+ hour ago (1110+ words) The work of federal auditors has shown that at least four states have so far done a poor job of overseeing autism therapy Medicaid spending and documentation compliance. Industry insiders told Behavioral Health Business that sharp corrective actions in the…...
Proof Points: Operationalizing Value-Based Models With Longevity
1+ week, 2+ hour ago (631+ words) When New York City-based Nema Health launched in 2020, CEO and co-founder Dr. Sofia Noori knew that designing the care and business models in tandem would better position the company for value-based arrangements as it grew. Rather than starting out in…...