Payer

Treatment-resistant depression patients cost Medicare an average of $45,994 per year — about 21% more than comparable beneficiaries with major depressive disorder whose symptoms are controlled, according to a report from Health Management Associates.  The research and consulting firm conducted…

HHS added 10 states to the Certified Community Behavioral Health Clinic Medicaid Demonstration Program, supporting President Donald Trump’s Great American Recovery Initiative, a coordinated federal effort to address addiction in the U.S. Alaska, Colorado, Hawaii, Louisiana, Maryland, Mississippi, Montana, North…

One-fourth of children treated at autism therapy clinics spend nearly eight hours a day in therapy, according to a recent investigation by The New York Times.  Here are five things to know:

Dayton, Ohio-based CareSource suspended repayment demands it previously issued to some Ohio behavioral health providers after therapists and social workers organized public opposition to the policy change, Cleveland.com reported May 25.  The organization, Ohio’s largest Medicaid managed care plan covering…

Arizona Attorney General Kris Mayes said fraudulent behavioral health billing tied to Arizona’s Medicaid program has dropped by 92% since the state launched a crackdown on billing schemes in 2023.  The update comes after Rita Anagho, a nurse practitioner, was…

CareSource said it will retroactively recoup Medicaid payments from some Ohio behavioral health providers and reduce future reimbursements to 85% from 100%, ABC affiliate WCPO 9 reported April 22. The changes apply to both new claims and payments already made…

Mike Franz, MD, executive medical director of behavioral health at Cambia Health Solutions, told Becker’s affordability is top of mind in terms of national policy. There is data to back him up. The availability and affordability of healthcare rank among…

Michigan’s Department of Health and Human Services has finalized updates to Medicaid policy within the state’s mental health framework, revising assessment use, timing and provider eligibility.  The policy now allows reassessments to be conducted based on clinical judgment without a…

Federal Medicaid cuts could deepen financial strain on hospital-based psychiatric services nationwide, many of which already operate at a loss and face closures, Stateline reported March 23.  Data from the American Hospital Association show 126 U.S. hospitals eliminated inpatient psychiatric…

The Centers for Medicare & Medicaid Services has released a toolkit to help states strengthen access to behavioral health services for children enrolled in Medicaid and the Children’s Health Insurance Program.  Medicaid and CHIP cover behavioral health conditions for about…