Mental 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...

Inaccurate Provider Directories May Spark Surprise Medical Bills

by Kelsey Waddill

Inaccurate provider directory information can leave mental healthcare patients paying for out-of-network providers and facing surprise medical bills, a recent Health Affairs study...

Claims May Rise in 2 to 3 Months As Patients Seek Deferred Care

by Kelsey Waddill

Almost 50 percent of American adults deferred care themselves or have a household member who deferred care due to the coronavirus, but more than two-thirds of those who deferred (32 percent of the...

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...

How Payers Make Wellness Programming Available Despite COVID-19

by Kelsey Waddill

While coronavirus brought many non-clinical benefits to a halt, Blue Cross and Blue Shield of Rhode Island (BCBSRI) is making wellness programming available to its members in spite of the...

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...

Payers Expect Claims Spike After COVID-19, No 2021 Premium Hike

by Kelsey Waddill

As payers cut back on members’ coronavirus testing and treatment costs and employ telehealth services to meet non-emergency needs, they still expect to keep 2021 premium rates level or lower than...

Medicare Advantage Plans Target Social Isolation In New Programs

by Kelsey Waddill

Cigna and SCAN Health Plan’s Medicare Advantage programs are focused on decreasing senior social isolation during the coronavirus pandemic through new programs and funding, relying on volunteers...

Payers Eliminate Coronavirus Treatment Cost-Sharing Before Feds

by Kelsey Waddill

CVS Health has eliminated cost-sharing and co-pays for coronavirus-related treatment, the company announced on March 25. For more coronavirus updates, visit our resource page, updated twice daily...

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...

Do Short-Term Limited Duration Plans Deserve Industry Skepticism?

by Kelsey Waddill

Short-term limited duration policies may provide lower premium rates, but when patients contract unexpected, high-cost health conditions, these plans may leave members exposed to higher out-of-pocket...

GAO: New DOD Health Plan Fails to Improve Patient Satisfaction

by Kelsey Waddill

The reformed Department of Defense health plan is not improving patient satisfaction, according to the Government Accountability Office (GAO). GAO found that a year after establishing TRICARE...

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...

Using Individualism and Company Culture to Boost Employee Health

by Kelsey Waddill

PricewaterhouseCoopers’ (PwC’s) Well-Being Learning Project highlights how employee health is the result of a symbiotic relationship between employees and their company in which...

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...

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...

Using Virtual Wellness Programs to Drive Member Engagement

by Kelsey Waddill

Blue Cross Blue Shield Michigan (BCBSM) is revolutionizing the way they promote wellness among their employer-sponsored health plan members through their virtual wellness program, according to Cindy...

Employers Should Offer More Financial Health Support, Study Shows

by Kelsey Waddill

Nearly one in three employees want their employers to provide increased financial health support, and more demand additional mental health support, said a report by the National Business Group on...

CMS Approves 2 Medicaid Demos to Tackle Substance Abuse Disorders

by Kelsey Waddill

CMS recently approved two section 1115 demonstration waivers that will allow Minnesota and Nebraska to improve and expand upon their Medicaid institutions for mental diseases (IMDs) over the course of...