Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Mental Health

UnitedHealth Behavioral Health Unit Used Flawed Denials Guidelines

March 7, 2019 - A federal court has found that United Behavioral Health (UBH), a unit owned by UnitedHealth Group, used a flawed methodology to deny mental health and substance abuse treatment services to beneficiaries. UBH, which also operates as OptumHealth Behavioral Solutions, employed overly-strict criteria for denying care to individuals, potentially excluding thousands of members, including...


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NYC Mayor Announces Plan to Guarantee Health Coverage for All Residents

by Jessica Kent

Mayor Bill de Blasio has announced the launch of a comprehensive, universal healthcare coverage plan that will guarantee benefits for every New Yorker. “Healthcare is a right, not a privilege reserved for those who can afford...

Employers to Address Healthcare Consumerism, Innovation in 2019

by Kyle Murphy, PhD

The National Business Group on Health has released its top-five trends for the coming year, and employers clearly want to play a more involved role in healthcare transformation. Chief among their expectations over the next twelve months...

Kaiser Awards $6M to Support Mental, Behavioral Health Services

by Chuck Green

Kaiser is making a five-year, $6-million investment in community health, the health system and payer announced earlier this week. Kaiser Permanente Southern California’s Community Mental Health and Wellness will $6 million to 16...

HHS Sets Sights on Addressing Social Determinants of Health

by Chuck Green

Speaking at the Hatch Foundation for Civility and Solutions in Washington, DC, early this month, Azar pointed to social determinants of health as “the root cause of so much of our health spending,” contributing to the $1...

HHS Looks to Medicaid Demonstrations to Improve Mental Health

by Chuck Green

Medicaid beneficiaries with mental health conditions are the targets of recent CMS efforts to boost health outcomes. In recent remarks to the National Association of Medicaid Directors in the national capital, HHS Secretary Alex Azar said...

CMS Demonstrations Target Mental Health Services Under Medicaid

by Chuck Green

Medicaid beneficiaries with serious mental illness (SMI) or serious emotional disturbance (SED) are the targets of recent CMS efforts to improve health outcomes. In a letter to Medicaid directors across the country, the federal agency...

AMA Promotes Alternative Payment Model for Opioid-Use Disorder

by Thomas Beaton

The American Society of Addiction Medicine (ASAM) and the American Medical Association (AMA) have announced plans to promote an alternative payment model to address opioid use disorder. Leaders at ASAM and AMA are encouraging payer and...

Kaiser Permanente Health Plan Falls Short on Behavioral Health

by Jesse Migneault

Kaiser Permanente’s health plan does not adequately ensure that patients can access behavioral health services in a timely and effective manner, says the California Department of Managed Health Care after a routine survey.  The...

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