Search Payer Trends
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2026 PayerTrends Guidebook Volume One
The insights featured in this guidebook highlight approaches health plans are taking to address costs, access, new technology, and quality of care for consumers with behavioral health conditions.
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Health Plan Strategies For Managing Behavioral Health Benefits: Insights From A National Survey
This webinar is designed as an executive-level discussion examining the evolving behavioral health landscape and its implications for health plan strategy and operations.
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2026 PayerTrends Guidebook Volume Two
The insights featured in this guidebook highlight variation in behavioral health management approaches across payer types and identify key strategies shaping access, outcomes, and total cost of care.
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Azara Healthcare Launches Smart Summary AI To Streamline Workflows & Surface Critical Consumer Insights
Azara Healthcare, which offers population health and value-based care solutions, announced the launch of consumer-focused Smart Summary, a new artificial intelligence (AI)-driven functionality designed to help health care organizations quickly identify care gaps and support faster, more informed decision-making. The new capability delivers concise, high-value summaries in the Azara DRVS Care Management Passport and Measure…
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Hawaii Medicaid Rebids $60 Million BHO Contract For Adult Community Mental Health Services
The Hawaii Department of Human Services (DHS) released a request for proposals (RFP-MQD-2026-001) to rebid its Community Care Services (CCS) Program behavioral health organization (BHO) contract for statewide management of adult community mental health services. The incumbent contractor, Ohana Health Plan (a Centene subsidiary), has held the contract since 2013. The RFP was released February…
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Michigan Rescinds Medicaid Behavioral Health Restructuring RFP Following Court Ruling
The Michigan Department of Health and Human Services (MDHHS) rescinded its Request for Proposal (RFP) to restructure administration of Medicaid specialty behavioral health services following a January 8, 2026 court ruling. The court found that the proposed restructuring conflicted with state law governing funding for community mental health service programs (CMHSPs) and gave MDHHS three…
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Humana Report Finds Value-Based Care Associated With 13.4% Fewer Emergency Department Visits
Medicare Advantage (MA) members enrolled in value-based care (VBC) arrangements had 13.4% fewer emergency department visits and 7.6% fewer inpatient hospital admissions compared to MA members not aligned with VBC providers, according to Humana’s 12th Annual Value-Based Care Report. The report analyzes 2024 data across Humana’s Medicare Advantage and Medicaid populations and attributes improvements in quality,…
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Child Medicaid Use Of Psychiatric Collaborative Care Model Increased Rapidly 2018–2023
The number of child Medicaid beneficiaries with mental health or substance use disorders who received treatment in primary care via the psychiatric collaborative care model (CoCM) increased dramatically between 2018 and 2023. For children ages 6 to 11, the number served through CoCM increased from 66 in 2018 to 2,530 in 2023. For older children…
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Psychiatric Collaborative Care Model Use Increased 26-Fold Among Commercially Insured Individuals
According to a new report, the use of the psychiatric collaborative care model (CoCM) in primary care to treat commercially insured individuals with a mental health or substance use (MHSU) diagnosis increased 26-fold between 2018 and 2024. The rate per 100,000 commercially insured members with an MHSU diagnosis rose from 12 in 2018 to 317…
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MotivHealth Expands Into Georgia and Wisconsin, Bringing Innovative Self-Funded Health Plan Solutions To More Employers
MotivHealth, which administers self-funded employer-sponsored health plans, announced it has expanded into Georgia and Wisconsin. With this growth, MotivHealth is offering self-funded and level-funded solutions to employers. The organization’s approach includes proactive consumer advocacy, cost containment strategies, and technology-driven solutions that enhance health care accessibility and affordability. It offers programs to reward members for making…