News
Autism Learning Partner Closes Doors to New York Medicaid Patients Following Rate Cut
14+ hour, 55+ min ago (548+ words) Matt H. Wade via commons. wikimedia. org | CC BY 3. 0 Autism Learning Partners has closed its doors to new Medicaid and Child Health Plus patients in New York after the state's Medicaid program cut reimbursement for applied behavior analysis (ABA) for the…...
Kratom Has Thrown SUD Providers a Curveball. Can Regulators and Payers Catch It?
14+ hour, 28+ min ago (1278+ words) Synthetic drugs are changing addiction treatment, especially for legal but unregulated substances like 7-Hydroxymitragynine (7-OH), a highly potent derivative of the kratom plant. Drug overdose deaths in the U. S. have fallen overall, according to the most recent data from the Centers…...
Z'calo Health Raises $22. 6 M for Integrated Care Platform Focused on Serving the Latino Community
16+ hour, 12+ min ago (247+ words) Z'calo Health, an integrated mental health and primary care provider focused on treating Latino patients, raised $22. 7 million in fresh capital, according to public records. The startup focuses on whole-person care and offers medical care, mental health support, social program navigation…...
Tava Health Lands $40 M Series C to Boost 3 New Services
19+ hour, 12+ min ago (451+ words) Alexander Grey via unsplash. com Tava Health, one of the fastest-growing digital behavioral health startups in the U. S. , has raised $40 million in a Series C round. "We raised this capital to invest deeply in our partners: the clinicians delivering care, the…...
Everyone Agrees on Integrated Care. No One Agrees on Who Pays for It.
5+ day, 14+ hour ago (1085+ words) There are few issues these days that payers, providers and even the government can agree on. That's what makes integrated care so remarkable " but also what makes the slow progress so frustrating. An imperfect payment system and confusion around who…...
What Trump's Executive Order on Psychedelics for PTSD, SMI Signals for the Industry
1+ day, 14+ hour ago (962+ words) President Donald Trump signed an executive order over the weekend that aims to accelerate psychedelic medical treatments for serious mental health conditions like post-traumatic stress disorder, major depressive disorder and substance use. The order urges faster approvals with review prioritization…...
Early Participants of CMS ACCESS Model See Program as Accelerant for Value-Based Care
6+ day, 8+ hour ago (978+ words) The Centers for Medicare & Medicaid Services (CMS) has selected 17 providers that will exclusively participate in the behavioral health clinical track of its new Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) reimbursement model. ACCESS model participants will be reimbursed for…...
Barriers Persist to In-network Behavioral Health Care at the 4 Largest US Health Plans
6+ day, 14+ hour ago (281+ words) Achieving true parity still has a long way to go across the country. A new Mental Health Parity Index published by the Kennedy Forum found that in 43 states, beneficiaries of Aetna, Blue Cross Blue Shield, Cigna and United Healthcare " the…...
TMS a Clear Driver in the Future of Mental Health
6+ day, 13+ hour ago (1922+ words) Image by Thomas Malyska from Pixabay Technology changing the nature of the outpatient mental health segment is not new. However, one technology that holds the greatest promise for both positive business and patient outcomes is just now reaching people at…...
'Potentially Indicative of Wasteful Spending': Why Mental Health Costs Vary by as Much as Sevenfold Depending on the Provider
1+ week, 14+ hour ago (664+ words) Courtesy Pixabay | CC0 Behavioral health utilization continues to climb, increasing by 62. 6% between 2018 and 2024. Although utilization has gone up, care costs can vary by up to seven times per provider, yielding an uneven distribution of what access looks like in reality, according…...