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What’s Next For Health Plans & Their Behavioral Health Benefits In 2025?
Listen to this fireside chat on the current pressing issues faced by payers and health plans in the year ahead – and how those issues will change how they manage behavioral health benefits.
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How Social Determinants Of Health Are Shaping Health Plan Strategies For Whole Person Care
This webinar focuses on the effects of the recent changes at CMS and the state-specific changes to Medicaid health plans on serving the consumer population with mental illness. In addition to the perspectives of the health plan executive panel, the webinar includes related health plan survey data from the Trends In Behavioral Health Series.
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NCQA Releases Standards For Virtual Primary Care & Urgent Care Accreditation
On August 1, 2024, the National Committee for Quality Assurance (NCQA) released accreditation standards for Virtual Primary Care and Urgent Care. The standards address the structural components of virtual care […]
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CMS Unveils Person-Centered Primary Care Model, ACO Primary Care Flex, For Low-Revenue ACOs
On March 19, 2024, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new accountable care organization (ACO) model within the Medicare Shared Savings Program (MSSP) focused […]
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North Carolina Medicaid Tailored Plans For Behavioral Health Launch July 1, 2024
On July 1, 2024, North Carolina Medicaid launched behavioral health Tailored Plans for beneficiaries with a serious mental illness (SMI), a serious emotional disturbance (SED), a severe addiction disorder, an […]
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Centene To Exit Medicare Advantage In Six States
Centene plans to exit the Medicare Advantage (MA) marketplace for 2025 in Alabama, Massachusetts, New Hampshire, New Mexico, Rhode Island, and Vermont. This decision affects Centene’s Wellcare MA line. However, […]
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UnitedHealth Group Launches ‘Gold Card’ Program To Address Prior Authorization Requirements
Beginning October 1, 2024, UnitedHealth Group is launching a “gold card” program for provider organizations that are in-network for at least one UnitedHealth Group line of business. The goal of the program […]
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Volume 1: Trends In Behavioral Health Infographic
Volume 1: The National Behavioral Health Landscape The National Behavioral Health Landscape metrics demonstrate changes in coverage, population data related to payment for treatment, workforce changes, shifts in psychiatric hospitalization, […]
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Volume 2: Trends In Behavioral Health Infographic
Volume 2: State Behavioral Health Landscape Volume 2 takes a deep dive look at how U.S. states differ in their delivery and financing of behavioral health services. Specifically, find state […]
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Volume 3: Trends In Behavioral Health Infographic
Volume 3: Population Health Management & Service Innovation For Consumers With Behavioral Disorders Volume 3 uncovers the latest trends in health plan innovation, accessing insights from a comprehensive national payer […]