State Medicaid programs are increasingly overhauling payment structures in favor of value-based payment systems. A new report suggests that value-based payment reform may decrease mental health emergency room visits. Value-based payment strategies reward providers and health plans with incentive payments for the quality, rather than quantity, of care provided to patients. A new study published […]
Category: Medicaid
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 […]
Kentucky and California are the latest states to join the federal government’s Medicaid mobile crisis intervention initiative. The Centers for Medicare & Medicaid Services (CMS) announced the addition of Kentucky and California to the federal program on Thursday. The participants bring the number of states partnering with the federal government to provide community-based mobile crisis […]
Cityblock, a population health startup that offers physical and behavioral health services, has announced plans to reduce its workforce by 155 employees – about 12% of the company’s total workforce. The company’s CEO, Dr. Toyin Ajayi, said the layoffs are part of Cityblock’s maturation as it becomes more “agile” and “nimble” in delivering care. “Some […]
Most state Medicaid programs don’t cover all of the three core behavioral health crisis response services recommended by federal guidelines. Crisis response services play a vital role in alleviating constituencies that have heretofore struggled to address increasing rates of behavioral health crises, notably busy emergency departments and law enforcement. And the evolution of these services […]
Pennsylvania’s localized approach to Medicaid could be a model for behavioral health and physical health integration nationwide. That’s according to the University of Pittsburgh Medical Center (UPMC) Health Plan and Community Care Behavioral Health Organization, which recently published a policy report in the Journal of Psychiatric Services. Unlike other states, Medicaid behavioral health in Pennsylvania […]
The nation’s largest behavioral health providers are bracing for states to resume Medicaid redeterminations. While the true impact is unknown, analysts questioned behavioral health providers Acadia Healthcare Co. (Nasdaq: ACHC) and Universal Health Services (NYSE: UHS) about what the companies expect and will do in the face of potentially millions of Americans losing their health […]
Value-based care efforts in managed care that involve behavioral health could lead to better savings and health outcomes across entire populations. But to get there, payers should expect to spend more on behavioral health, and providers should expect to increase patient engagement. “There’s been a point of recognition that more behavioral health care is better,” […]
The Centers for Medicare & Medicaid Services (CMS) is rolling out a new demonstration that could help expand access to substance use disorder (SUD) services by allowing state Medicaid plans to cover incarcerated individuals before release. Specifically, the demonstration allows state Medicaid programs to cover a package of pre-release services up to 90 days before […]
Community support often falls outside of the addiction treatment-managed care fee-for-service paradigm. Payers and providers alike know the importance of fostering community in addiction treatment, and it’s a key to effective treatment and long-term recovery. However, developing communities fall far beyond their typical scope of services. Regardless, innovations around managed and value-based care seek to […]
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