Evernorth Establishes Behavioral Health Group, Emphasizing Value-Based Approach

Cigna’s (NYSE:CI) health service division Evernorth has launched a new behavioral health care group. Evernorth Behavioral Health Group will launch with over 1,000 clinicians and guarantee patients an appointment within 72 hours. According to Evernorth data, the industry average wait time is 48 days. “When I think about the impetus of the care group, it’s […]

Talkspace Targets Teens and Seniors in Payer, Enterprise Push

In 2024, Talkspace (Nasdaq: TALK) will focus on expanding its services to teenagers and seniors via new partnerships with schools and municipalities, as well as broadening its reach within the Medicare program. Talkspace, which started as a direct-to-consumer company, continues to double down on its payer partnerships and direct-to-enterprise (DTE) strategy. Part of that strategy […]

Supreme Court Rejects UnitedHealth Appeal, Boosting Behavioral Health Providers’ Standing with Insurers

In case you missed it, Behavioral Health Business has launched a new specialty publication for professionals in the substance use disorder space. You can subscribe to Addiction Treatment Business here: Subscribe today! The U.S. Supreme Court rejected a request by United Behavioral Health to hear a behavioral health claim denial case. The case, titled D.K. […]

Employees Overwhelmingly Want Mental Health Benefits But Impact Still Unclear

Employer mental health companies have flooded the behavioral health startup market. This comes as employees now say behavioral health benefit programs are crucial for establishing positive workplace environments.  Conflicting research, however, makes it unclear how effective these plans are in practice. Further, with the market for employer mental health plans becoming increasingly saturated, only the […]

PE Wary of Serious Mental Illness Investment, But Venture Capital May Be Ready to Pounce

While private equity investors continue to look for new opportunities in behavioral health, there is one area that is still relatively uncharted: serious mental illness (SMI) care. Caring for the SMI population can be very challenging and requires a multipronged approach, as well as a robust patient engagement plan. Due to these challenges, SMI care […]

Investors Favor In-Network Behavioral Health Providers for Faster Growth, Returns

Despite the higher reimbursement rates from private-pay models, investors are shifting their focus to in-network providers who offer stability. In-network behavioral health providers have faster growth, quicker revenue cycles and better overall returns, industry insiders told Behavioral Health Business. Although developing relationships with payers can be hard work, it can pay off with investors. Private […]

Behavioral Health, Physical Health Coordination Top Priority for Cigna

Behavioral health and physical health integration continue to be a top focus for major payers nationwide. This morning, Cigna (NYSE:CI) hinted that coordinated care will continue to be an essential area for its health service division, Evernorth, in the future. “Behavioral care continues to be an area of focus, and there’s a meaningful opportunity for […]

Low Reimbursements Threaten Behavioral Health Providers’ Bottom Line

Staffing is no longer the top issue facing behavioral health operators. Providers are now projecting that reimbursement and payment will be the biggest challenge for the industry in 2024. That’s according to a new Behavioral Health Business Survey, which included responses from 404 professionals who identified as working for organizations providing treatment for behavioral health, […]

California Inks $680 Million Deal with Brightline, Kooth for Virtual Pediatric Mental Health Services

The state of California has inked a deal with pediatric behavioral health providers Brightline and Kooth to offer behavioral health services to all residents under 25 years old. The deal providing digital mental health resources to young Californians is valued at $680 million. Approximately 13 million children and young people will be able to access […]