‘Unexpected and Alarming’: Concern Grows as One of the Country’s Largest Insurers Pulls Back on Virtual IOPs, PHPs

Virtual intensive outpatient programs (IOPs) have become a popular way to care for patients in their homes. IOPs provide an intermediate level of care and can be a step-down from inpatient services and a step-up from traditional outpatient care. Virtual IOPs became sought after during the COVID-19 pandemic because of their ability to treat patients […]

Magellan Health CMO Dr. Caroline Carney on Value-Based Care’s Progress, Parity and Behavioral Health Innovation

Magellan Health, a health plan focused on special populations, has been on the cutting edge of value-based care contracting in the mental health space. The organization has inked several high-profile value-based care contracts through its managed care subsidiary, Magellan Healthcare. These include a deal with autism providers Kyo Autism and Invo Healthcare.  “We’re believers in […]

BCBS of Massachusetts to Cover OTC Naloxone At No Cost to Members

Blue Cross Blue Shield of Massachusetts will cover over-the-counter naloxone at no cost to members, making it one of the first health plans to embrace the recently approved formulation of the opioid overdose reversal drug. The payer said the move is part of its efforts to address the opioid overdose crisis in the U.S. Blue […]

Inside Headspace’s Partnership with Intermountain Value-Based Care Subsidiary Castell

Digital behavioral health provider Headspace has inked a new deal with Intermountain Health’s value-based care subsidiary Castell to offer virtual coaching and therapy to select health plans in Utah. Castell can refer members with behavioral health conditions or concerns to Headspace Health. This value-based care collaboration aims to reduce the cost of care and improve […]

77% of Employers Plan to Focus on Increasing Mental Health Access in 2024

The majority of large employers report seeing the impact of increased mental health issues in the wake of the COVID-19 pandemic. That’s according to the Business Group on Health’s 2024 Large Employer Healthcare Strategy Survey, which included responses from 152 employers representing 19 million covered lives. Seventy-seven percent of employers said that they are seeing […]

Appeals Court Revitalizes Mental Health Claims Case Wit v. United Behavioral Health

A federal court decision has revitalized the mental health parity case of Wit v. United Behavioral Health. On Aug. 22, the U.S. 9th Circuit Court of Appeals vacated its previous ruling, issued in January 2023, and remanded questions about potential breaches of United Behavioral Health’s fiduciary duty and the plaintiff’s responsibility to exhaust administrative appeals […]

Cigna Sees Behavioral Health Utilization Jump, Reveals ‘Point Solution Fatigue’

The Cigna Group (NYSE: CI) has seen a historic but expected rise in behavioral health benefits utilization in recent years. These insights, presented by the health care insurance and service conglomerate’s executives, echo others made by UnitedHealth Group (NYSE: UNH) executives on their second-quarter earnings call. “As it relates to what we’re seeing in terms […]

CVS Doubles Down on Health Services Strategy, Leaving the Door Open for Behavioral Health Integration

CVS Health (NYSE: CVS) is leaning into its health services efforts, which include several behavioral health programs. Part of that means reprioritizing which parts of the business to grow, contributing to CVS cutting thousands of corporate jobs this week. Specifically, CVS is doubling down on integrating its newly acquired assets, home health company Signify and […]

Carelon Behavioral Health Lands ‘Multiple External Business Wins’

Behavioral health has played an integral role in boosting Elevance Health Inc.’s (NYSE: ELV) effort to provide health care services. Elevance’s health care services entity, Carelon, grew revenue by 18% and operating income by 6.8%. The organization Carelon Behavioral Health is in charge of its behavioral health services. “Carelon Behavioral Health extended its leadership position […]

UnitedHealth Group Sees Behavioral Health Utilization Spike

UnitedHealth Group (NYSE: UNH) revealed that behavioral health utilization increased notably during the second quarter of the year. While the leadership of the Minnetonka, Minnesota-based health care and insurance behemoth didn’t disclose specifics, its leadership said the company is assuming higher behavioral health usage as it develops health plan benefits. Increased behavioral health utilization also […]