Behavioral Healthcare

4 Payer Data Points That Demonstrate Behavioral, Mental Care Parity

by Kelsey Waddill

Henry Harbin, MD, psychiatrist and advisor at The Bowman Family Foundation, and his colleagues are calling on health plans to start being more transparent about provider network behavioral and mental...

Mental Health Visits Take Majority of 1M Payer Telehealth Claims

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (“Blue Cross”) has seen a boom in telehealth visits, particularly to serve mental healthcare needs, the company announced. The payer saw the number...

Centene Emphasizes MA Wellness Care, Waives Healthcare Costs

by Kelsey Waddill

Centene Medicare Advantage members will have free access to primary care, behavioral healthcare, and telehealth care through December 31, 2020, the company announced. This comes as a part of payer...

How Payer SDOH Investments Balance COVID-19 Relief Versus Recovery

by Kelsey Waddill

As the COVID-19 pandemic progresses, payers are constantly reevaluating where they can best direct relief and recovery funding. For more coronavirus updates, visit our resource page, updated...

BCBSM, Humana Waive Medicare Advantage Costs as States Reopen

by Kelsey Waddill

Blue Cross Blue Shield of Michigan (BCBSM) and Humana have stepped up their commitments to Medicare Advantage members as states begin to reopen businesses and lift stay-at-home orders. For more...

Centene Program Helps Providers with Grant Writing, Business Loans

by Jessica Kent

Centene has created a support program to assist its network providers with grant writing, small business loan applications, and other key activities. For more coronavirus updates, visit...

3 Ways COVID-19 Is Changing Payer Utilization of Technology

by Kelsey Waddill

Payers technology use is evolving in many ways to meet consumer needs during the coronavirus pandemic. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent...

Top 10 Payers’ Strategies for Broadening Access to COVID-19 Care

by Kelsey Waddill

Update 4/7/2020: This article has been updated to reflect Health Net is a subsidiary of Centene and that Centene has acquired WellCare. In light of the coronavirus outbreak, payers across America...

How Are Payers Covering COVID-19 Testing for High-Risk Patients?

by Kelsey Waddill

Updated 03/13/2020: This article has been updated to include information from a CMS FAQ regarding essential health benefit coverage. Updated 3/27/2020: Since this article was originally published...

Implementing Value-Based Reimbursement in Behavioral Healthcare

by Kelsey Waddill

Residents of western New York will have access to the region’s first behavioral healthcare provider group with a value-based reimbursement arrangement, BlueCross BlueShield of Western New York...

4 SDOH Barriers Payers Can Address to Drive Access to Care

by Kelsey Waddill

While access to care progress has stalled nationwide, payers can continue to move it forward within their own businesses by addressing four key barriers. Uninsurance is dropping, yet access to care...

Virtual Behavioral Health Visits Improve Care Access

by Emily Sokol, MPH

Behavioral healthcare is in high demand. Nearly one in five Americans have behavioral health needs, according to the American Hospital Association. And yet, fewer than 30 percent of them are receiving...

Blue Shield of CA Pledges $20M to Support Behavioral Health Services

by Samantha McGrail

Blue Shield of California has announced a $20 million commitment to the California Access to Housing and Services fund in order to enhance behavioral health services.  The fund, proposed by...

How Payers Can Help Reform Behavioral, Mental Health Parity

by Kelsey Waddill

Henry Harbin, MD, a psychiatrist and an advisor to The Bowman Family Foundation, and his team were somewhat hopeful in 2017 after publishing their report on mental health parity and disparities from...

Payers Kick-Start 2020 Social Determinants of Health Strategies

by Kelsey Waddill

2019 was a big year for payers in pursuit of social determinants of health. Many payers invested resources and funds toward addressing the challenges their members faced in accessing quality...

Payers Do Not Enforce Behavioral Healthcare Payment Parity

by Kelsey Waddill

Primary care services were reimbursed 23.8 percent more than behavioral healthcare in 2017, which indicates that among commercial payers the payment parity issue between physical and behavioral...

Out-of-Pocket Costs Higher for Behavioral Health for Many Americans

by Samantha McGrail

Insured Americans are spending more out-of-pocket costs on behavioral health services, such as treatment for substance abuse, than on conditions like diabetes and heart failure, according to a study...

CMS OKs Demo to Expand Behavioral Health Treatment in Medicaid

by Samantha McGrail

CMS approved a Section 1115 demonstration that will broaden behavioral health treatment for Medicaid beneficiaries living in the District of Columbia who have been diagnosed with serious mental illness...

Health Payers Tap Telehealth to Boost Pediatric Psychiatry Access

by Kelsey Waddill

As both the managing director of behavioral health at Blue Cross Blue Shield Rhode Island (BCBSRI) and a licensed clinical social worker, Rena Sheehan knows the challenges parents face when searching...

CMS OKs AK’s Section 1115 Demo, Expands Behavioral Healthcare Services

by Kelsey Waddill

CMS approved the second part of Alaska’s Section 1115 Medicaid demonstration waiver addressing behavioral healthcare. The first part, addressing substance abuse care, was approved in November...