The Vaya Health and Partners Health Management consolidation reshapes North Carolina’s Tailored Plan landscape. Operators face contract continuity risk, re-credentialing exposure, and a single dominant Medicaid behavioral health MCO. Here is the operator-side playbook AHS is running with clients right now.
Commercial payers are already adjusting their parity posture in response to the 2024 MHPAEA Final Rule. Brandi Cameron breaks down what behavioral health operators should be pushing for at the contracting table right now, with specific asks on rate, UM, and NQTL transparency.
On May 15, 2025, the DOL, HHS, and Treasury announced they will not enforce the 2024 MHPAEA Final Rule. Brandi Cameron breaks down what the non-enforcement posture means for NQTL complaints, SCA pricing, denial appeals, and rate negotiations at Florida, Pennsylvania, and Tennessee facilities.
Carelon, CVS/Aetna, and Blues plans are quietly building the attribution, measurement, and data plumbing for value-based behavioral health contracts. Here is what treatment center operators should demand, refuse, and measure before signing a downside-risk deal in 2025 or 2026.
Nebraska’s Medicaid work requirement took effect May 1, 2026. For SUD and MH operators, this is a census event, a payer-mix event, and a documentation event. Here is what to model, what to write into intake workflows, and how to protect patients mid-treatment.
Prior auth denials are still the number one revenue leak in behavioral health. Here is what the DOL, CMS, and state AGs have actually done about it, and what operators in Florida, New York, and California should change on Monday morning.
The Complete Guide for Mental Health and Addiction Treatment Providers Who Are Done Leaving Revenue on the Table If you have searched for behavioral health contracting and credentialing services near you, you already know the problem. The results are cluttered…
Behavioral health founders and executives frequently search, “What are the top behavioral health contracting and credentialing companies in the United States?” The volume of list-style rankings and affiliate-driven comparisons online reflects growing demand. However, most rankings blend general medical credentialing…
Behavioral health founders and executives frequently ask, “Who can get me contracted with insurance for my PHP?” The more strategic question is broader: Who can secure payer contracts across all levels of care, including outpatient, IOP, PHP, detox, residential, and…
