Payer

The U.S. Department of Labor has reached a settlement with Oakland, Calif.-based Kaiser Foundation Health Plan to resolve its investigations into the company’s alleged failure to provide timely and appropriate access to mental health and substance use disorder services.  The…

Like other chronic conditions, behavioral health issues often persist throughout a patient’s life, and can be marked by periods of worsening symptoms. This reality contributes to a fragmented care system and tight reimbursement rates. In response, behavioral health leaders are…

Maine made tens of millions of dollars in improper Medicaid payments for services provided to children with autism, according to a January 2026 audit from the HHS Office of Inspector General. The report reviewed the state’s 2023 fee-for-service Medicaid claims…

Anthem Blue Cross and Blue Shield in Virginia and Riverside Health, based in Newport News, Va., have reached a multi-year agreement to maintain in-network access to Riverside’s integrated care network.  The agreement allows Anthem members continued in-network access to Riverside’s…

Behavioral health may not be known as the moneymaker in healthcare, but the specialty significantly impacts patients throughout their care journey, including their physical health. In light of anticipated Medicaid cuts, behavioral health leaders are developing sustainable care models to…

The Supreme Court of the State of Idaho dismissed an Elevance Health subsidiary’s lawsuit on its eligibility to bid for a mental health contract, according to a Dec. 18 filing. In 2021, the Idaho Department of Health and Welfare solicited…