1+ hour, 35+ min ago   (191+ words) The Centers for Medicare & Medicaid Services As part of the Centers for Medicare and Medicaid’s final rule for inpatient psychiatric facilities, Medicare will cap outlier payments, which are extra payments for exceptionally costly cases, beginning in fiscal year 2028. Under the…...

1+ week, 2+ day ago   (1538+ words) There is a persistent belief circulating across behavioral health executive teams that reimbursement is declining. On its surface, the claim is easy to validate. Margins are tighter. Cash cycles are longer. Residential programs, once the financial backbone of many organizations,…...

2+ week, 1+ hour ago   (781+ words) Autism therapy provider Mirabelle Care is fighting for its survival. The fight comes as it challenges the Oklahoma Health Care Authority’s decision to halt Medicaid payments during an apparent fraud investigation initiated during the tenure of the company’s previous ownership....

2+ week, 2+ hour ago   (885+ words) Image by aymane jdidi from Pixabay | CC0 It’s never been harder for behavioral health providers to get affordable commercial insurance coverage for their operations. Commercial insurance plan costs, especially sexual abuse and molestation (SAM) liability insurance, have increased and covered less…...

1+ mon, 1+ week ago   (467+ words) As the 12-year-long saga of Wit v. United Behavioral Health begins to wind down, the attorneys involved have started the process of determining attorney fees. On June 12, the three firms that handled much of the case (Zuckerman Spaeder LLP, Psych-Appeal Inc....

1+ mon, 2+ week ago   (388+ words) Mikhail Nilov via pexels.com ABA Centers of America appears to have rolled out a round of layoffs. Several posts on social media from employees with varied roles at the company said their roles were eliminated over the last few…...

1+ mon, 3+ week ago   (321+ words) Havencrest Capital Management-backed Apara Autism Center is up for sale. According to a report by Axios, Piper Sandler Co. is leading the auction of the company. Apara Autism Center was founded in 2019 by former CEO Tyler Moore in partnership with…...

1+ mon, 3+ week ago   (1625+ words) Jay Deppeler: I’m the Senior Executive Vice President and Chief Development Officer for Inperium. We are headquartered in Reading, Pennsylvania, and currently have affiliates in 24 states across the United States. What we’re going to talk about during this half hour…...

2+ mon, 1+ week ago   (300+ words) National health plan Aetna will reduce the rates it pays therapists via the digital therapy enablement platform Alma. On May 20, Alma informed providers that Aetna would make the following changes: — It will pay the same rate for a 53+-minute-long session…...

2+ mon, 1+ week ago   (710+ words) Serial behavioral health buyers, including LifeStance Health (Nasdaq: LFST), ARC Health and Beacon Behavioral Partners, have shifted gears in acquisition strategies over the last five years. Characteristics that marked important acquisitions in 2021 and 2022 for these players have transitioned from a…...