Mental Health, substance use disorder, and behavioral health compliance information for facilities and providers.
Behavioral health M&A is no longer a quiet corner of healthcare deal flow. DOJ, HHS-OIG, and state AGs are reading deal documents. Here is what operators and sponsors should expect on diligence, integration, and post-close enforcement risk.
Joint Commission behavioral health core measures look simple on paper. In practice, they sink surveys. Here is what AHS sees in chart audits, where the HBIPS and SUB measures break down, and how to fix the gaps before a surveyor finds them.
Most behavioral health operators don’t need a celebrity CEO. They need a clinical leader who can pass a DCF background check, hold a license in three states, and not run from a CARF survey. Here’s how to think about executive search in this sector.
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 behavioral health workforce shortage gets framed as a recruiting story. It isn’t. It’s a retention, compliance, and manager-training story, and the regulators are starting to treat it that way. An operator’s take from AHS ahead of NAATP National in Amelia Island.
The Horizon Behavioral Health data breach is another reminder that HHS OCR and state AGs are not grading on a curve. Here is what behavioral health operators should pull from the incident, and what we are telling AHS clients to fix this quarter.
Single case agreements with United Behavioral Health are not a billing trick. They are a clinical-financial negotiation with real regulatory exposure. Here is how operators should approach SCAs given recent federal scrutiny, parity enforcement, and the OptumRx and UBH litigation history.
CARF accreditation for behavioral health is more than a plaque on the wall. It is a survey of how your program actually runs. Here is what AHS sees cited in real surveys, and what regulators do with the findings afterward.
A behavioral health advisory board is not a board of directors. It is the operator-level early warning system that catches regulatory drift, billing risk, and marketing arrangements before the DOJ, OIG, or state surveyors do.
CMS published its Behavioral Health Strategy and operators keep treating it like a press release. It is not. It is the framework CMS, OIG, and state Medicaid agencies are already using to shape audits, rate decisions, and enforcement priorities. Here is what to do about it.
