2025 exposed hard truths: Denials surged. Trust collapsed. And affordability became the dominant barrier to care, not just on the Exchange and among the uninsured, but across Medicare Advantage and commercial plans alike. This 2026 outlook unpacks the forces reshaping…
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Bradford, Vt.-based Valley Vista has opened 27 additional residential treatment beds at its facility in Vergennes, Vt., in partnership with the Vermont Department of Health. The expansion raises the total number of low-level residential treatment beds in the state from…
Aurora (Colo.) Mental Health and Recovery will open a walk-in access facility this month that aims to alleviate the burden of mental health emergencies on local hospitals. The Potomac Pavilion will offer same-day access to mental healthcare and substance use…
Private equity firms have rapidly expanded their footprint in autism care, acquiring more than 500 therapy centers across the U.S. in the past decade. Nearly 80% of those transactions occurred between 2018 and 2022, according to a study published in…
Academic health systems are entering a defining decade. Many are expanding rapidly through mergers, affiliations and new service lines. But with scale comes risk: fragmentation, mission drift and uneven progress on access and equity. This whitepaper features insights from 11…
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A Colorado law leveling behavioral and physical health in insurance coverage went into effect Jan. 1, preventing carriers in the state from limiting the “medically necessary treatment” of behavioral, mental health and substance use disorders. The law was passed in…
Orthopedic and musculoskeletal (MSK) practices are entering a new era of revenue cycle pressure — one defined by coding complexity, chronic staffing shortages, and rapidly shifting payer requirements. These forces are converging to create a perfect storm: rising denial rates,…
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GLP-1s and high-cost claims get the attention, but the real drain on health plans? Chronic disease driven by delayed intervention and low preventive care use. Join finance and HR leaders from CommonSpirit and MedStar to explore a prevention-first model proven…
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Note: This is written by Trishul Kapoor, MD1, Amy Falzone, DNP and Sara Davin, PsyD, MPH1 at Cleveland Clinic. According to the National Institutes of Health, approximately 51.6 million adults in the U.S. live with chronic pain, defined as pain…
Washington state’s network of mental health crisis centers may be in jeopardy if the state cannot secure a sustainable funding model, The Seattle Times reported Jan 5. The centers were created to divert patients from emergency departments and jails, but…
