Substance Abuse Care

How Medicaid Enrollment Assistance Supports Incarcerated Persons

by Kelsey Waddill

Prerelease Medicaid enrollment assistance for incarcerated individuals who have substance use disorders can help improve outpatient utilization after release, a study published in JAMA Open Network...

United Behavioral Health Sued for Restrictive Bundled Payment Policy

by Kelsey Waddill

United Behavioral Health is being sued for allegedly denying mental healthcare and substance abuse care claims through its bundled payment policy. United Behavioral Health administers UnitedHealth...

How Payers Help Tackle Substance Use Disorders, Other Conditions

by Kelsey Waddill

The National Quality Forum’s (NQF) Opioids and Behavioral Health committee brought together healthcare leaders from across the nation to explore an under-represented subject: strategies around substance use disorders with...

5 Ways Payers Have Tackled Mental, Behavioral Healthcare in 2021

by Kelsey Waddill

In the wake of the coronavirus pandemic, payers have focused on improving and implementing mental and behavioral healthcare programs. From January to June 2019, 11 percent of US adults reported...

Florida Blue Partnership Increases Substance Abuse Care Access

by Victoria Bailey

Updated 6/16/21: Dr. Dewan is an MD. A previous version of this article included PhD in his title.  Blue Cross and Blue Shield of Florida (Florida Blue) and New Directions Behavioral Health...

Payer Announces Partnership to Address Opioid Misuse, Disposal

by Victoria Bailey

CareSource has announced a partnership with a medication disposal solution to help members avoid accidental poisoning and opioid misuse. The solution is a powder that disables the active ingredients...

Strategies for the Physical-Behavioral Healthcare Integration Puzzle

by Kelsey Waddill

Physical and behavioral healthcare integration is a key aim for many private payers, but progress has been slow. Brett Hart, chief behavioral health officer at Centene, has more than 20 years of managed care leadership experience and is...

Perpetrators of National ACA Enrollment Fraud Case Sentenced

by Kelsey Waddill

Update 3/3/2021: This article has been updated to reflect that Jeffrey Yates was indicted as having participated in the Whites' fraud scheme. A previous version said that he was...

Top 5 Common Conditions Driving Employer Healthcare Spending

by Kelsey Waddill

If five specific health conditions did not exist, large employers' healthcare spending per member per month could be declining instead of growing, according to a Health Action Council and...

Highmark Expands Partnership to Personalize Substance Abuse Care

by Kelsey Waddill

Highmark Inc. (Highmark) has expanded its partnership with an end-to-end substance abuse care vendor, axialHealthcare, to better serve members in Pennsylvania with substance abuse care...

Payer Empowers Grassroots Movement to Tackle Opioids Epidemic

by Kelsey Waddill

While payers are pursuing high quality substance abuse care for their members, supporting employees through substance abuse and reducing stigmas around the opioids epidemic is equally critical,...

CA Legislature Expands Behavioral, Mental Healthcare Parity Law

by Kelsey Waddill

Under a newly revised bill from the California state legislature, California health plans will have to cover mental health conditions to the same extent they do medical services in an effort to achieve...

Payer Helps Employers Recognize, Address Workforce Mental Health

by Kelsey Waddill

Independent Health has partnered with a mental health awareness, patient advocacy organization to help teach employers how to identify workforce mental health conditions and directly affected...

Tufts Health Plan Expands Substance Abuse Care Coverage

by Kelsey Waddill

Tufts Health Plan is improving its coverage for substance abuse care for both commercial and government Tufts Health Plan members through a partnership with Recovery Centers of America...

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...

How Peer Recovery Increases Medication Adherence, Lowers Spending

by Kelsey Waddill

Update 02/21/2020: This article has been updated to reflect that Blue Cross Blue Shield of Rhode Island partnered with the Anchor Recovery Community Center (a program of The Providence Center) to...

BCBS NC, Quartet Partner to Implement Value-Based Payment Model

by Samantha McGrail

Blue Cross and Blue Shield of North Carolina and New York City startup Quartet have announced a partnership to implement a new value-based payment model for mental healthcare.   The...

Finalized CMS Rule Supports Medicare Coverage for Acupuncture

by Samantha McGrail

CMS has finalized a proposed rule to provide Medicare coverage to chronic low back patients accessing acupuncture, which furthers the administration’s efforts to address the opioid...

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...

State Medicaid Programs Enhance SUD Benefits, Lower Cost-Sharing

by Kelsey Waddill

States focused their efforts on tackling the opioid epidemic and high prescription drug spending by adding substance use disorder (SUD) benefits and lower cost-sharing to Medicaid programs in fiscal...