Investment in mental health has exploded over the last five years. Still, there remains a large gap between inpatient care and outpatient treatment, which could be a business opportunity for providers looking to expand. Specifically, more and more providers are eyeing intensive outpatient programs (IOPs) to care for patients that need either a step down […]
Pediatric behavioral health provider Embark Behavioral Health has its sights set on growing its outpatient treatment footprint. But along the way, it refuses to put quantity over quality in its pursuits. This comes as demand for pediatric behavioral health services is at an all-time high, with rates of depression and anxiety among children and teens […]
The autism therapy industry lacks consensus on measuring care quality, hindering value-based care efforts, according to industry insiders. Despite the challenges, efforts by autism therapy providers such as Cortica, the Centers for Autism and Related Disorders (CARD), and health plan provider Magellan Health keep the nascent alternative payment model moving forward. “The challenge with ABA […]
Digital point solutions could have an advantage in the move toward value-based behavioral health care contracting. Tech-backed behavioral health providers have a leg up in collecting data to prove outcomes, and their virtual front-door approach could also lend itself to preventative behavioral health services. But for value-based contracting to take off in this space, payers, […]
In many ways, the behavioral health world is divided into two camps: for-profit and nonprofit providers. But as the industry matures and consolidates, the two are likely to interact more often – and they could even learn from each other. Moving forward, there is potential for more M&A opportunities between the two groups, with nonprofits […]
It’s no secret that patients with serious mental illnesses (SMIs) are costly to care for and have significantly worse outcomes than their peers. But value-based care models could enable providers to get creative in caring for these patients, leading to better outcomes and lower costs. Specifically, the value-focused model could allow providers to use wrap-around […]
Behavioral health providers have lagged behind their physical health counterparts in measuring outcomes. But that may soon change, industry insiders believe, as payers pressure providers to show more data before raising rates or negotiating value-based contracts. Even so, collecting the correct data to prove outcomes isn’t just on behavioral health companies. A true outcomes-based approach […]
The new telehealth restrictions proposed by the Drug Enforcement Administration (DEA) last week struck a sour chord with several industry stakeholders. Many industry insiders condemned the move as out of touch and even dangerous, jeopardizing telehealth models’ effectiveness in behavioral health. Still, the proposal is not set in stone, and parts of it could change […]
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 […]
When it comes to behavioral health dealmaking, buyers and sellers can sometimes be ships passing in the night. There’s plenty of interest in getting a deal done early on, but it quickly fizzles out, with both parties going their separate ways. Especially in 2022, buyers and sellers were frequently not on the same page in […]
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