Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
Illinois passes a behavioral health insurance bill setting clearer payment standards to improve therapist reimbursement and access under state-regulated plans starting 2027.
CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.
Independent Living Systems and OPEN MINDS form a strategic partnership to improve care coordination and community-based supports for vulnerable populations in Medicare, Medicaid, and Dual-Eligible markets.
Georgia's 2026 laws introduce increased homeowners insurance protections, health insurance digital service mandates, and shifts in behavioral health oversight impacting insurance compliance and consumer protections.
Explore Georgia's key 2026 legislative changes impacting insurance affordability, state income tax reductions, consumer protections, teledentistry, property regulations, and more.
Mindpath Care Centers settles $1.9 million Medicare false claims case involving behavioral health psychotherapy billing violations. Impact on compliance and regulatory enforcement.
Mindpath Care Centers agrees to a $1.9 million settlement over false Medicare psychotherapy claims, highlighting ongoing Medicare billing compliance enforcement.
CareOregon will discontinue out-of-network behavioral health coverage for Medicaid and Medicare Advantage members, impacting 15,000 patients in Oregon. The change aligns with industry practices post-COVID-19 expansion.
CMS's 2026 Physician Fee Schedule proposal advances Medicare telehealth with expanded behavioral health codes, remote monitoring updates, and virtual Diabetes Prevention Program delivery, shaping long-term digital care integration.
