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How To Build Your VBR Runway
Management Newsletter Article | July 10, 2026Across the health care field, strong value-based reimbursement (VBR) adoption continues. Our recent survey found that 81% of primary care organizations and 65% of specialty care organizations already have value-based reimbursement arrangements with health plans. Even more notably, 63% of… -
Your Organization Is Ready For VBR When …
Management Newsletter Article | July 10, 2026The move to value-based reimbursement (VBR) across the health and human services industry has become a driving force in both public and private sector contracting. For provider organization executives, the transition presents organizational, technical, financial, and cultural challenges that affect… -
VBR Options At A Small Scale – Three Contracting Scenarios
Management Newsletter Article | July 10, 2026Most behavioral health and human service organizations generating less than $60 million in revenue are preparing for a value-based reimbursement (VBR) contract that does not exist in the form they expect. The disconnect is that many behavioral health provider organizations… -
Preparing Your Organization For Value-Based Reimbursement
Management Newsletter Article | July 10, 2026Earlier this year, we got an interesting snapshot of performance management among provider organizations serving high-needs consumers. Eighty-one percent of primary care organizations and 65% of specialty care organizations reported having value-based reimbursement (VBR) arrangements (see The 2026 OPEN MINDS Performance… -
Author Health Expands, Brings Specialized Behavioral Health Services To Pennsylvania & New Jersey
Market Watch | July 10, 2026Author Health, which offers mental health and dementia care for Medicare, Medicare Advantage, and Special Needs Plan recipients, announced its expansion into Pennsylvania and New Jersey. The expansion adds behavioral health support and services for seniors in both states, aiming… -
True Rx Health Strategists Introduces Healthier You, A Clinical Care Bundle To Help Employers Control Costs & Improve Employee Health
Market Watch | July 10, 2026True Rx Health Strategists, an Indiana-based pharmacy benefit manager (PBM), has launched Healthier You, a clinical care bundle intended to improve health outcomes for individuals and help employers manage rising health care costs linked to chronic disease. True Rx aims… -
Evernorth Launches Pharmacy Forward, An AI-Powered Specialty Pharmacy Experience For Those Managing Complex Conditions
Market Watch | July 10, 2026Evernorth, the health services division of The Cigna Group, unveiled Pharmacy Forward, a new artificial intelligence (AI)-powered program designed to improve how consumers access and experience specialty care. Launching first with Accredo Specialty Pharmacy, which serves those with chronic and… -
Sensorum Health Partners With Intermountain Health To Enhance Care Access & Improve Outcomes For Older Adults Across Southern Nevada
Market Watch | July 10, 2026Sensorum Health announced a new partnership with Intermountain Health to prevent unnecessary hospital admissions and improve the health of older adults living independently with multiple health conditions in Southern Nevada. Sensorum leverages home-based sensor technology that works passively in the… -
Children’s Hospital Colorado & Healthier Colorado Launch ‘Mind Our Future Colorado’ To Prioritize Child & Youth Mental Health
Market Watch | July 10, 2026Children’s Hospital Colorado and Healthier Colorado launched Mind Our Future Colorado, a statewide initiative calling on Colorado’s gubernatorial candidates to commit to comprehensive solutions addressing the state’s child and youth mental health crisis, with the goal of making youth mental… -
Beyond FFS In ABA – Alternative Reimbursement Models To Improve Autism Treatment Quality & Reduce Costs
On-Demand Webinar | July 10, 2026This exclusive OPEN MINDS webinar was delivered on July 9, 2026, by Rick D. Gutierrez, Ph.D, Senior Associate at OPEN MINDS and former Vice President Of Clinical Strategy & Operations at Easterseals Southern California and Stuart Buttlaire, Ph.D, Vice President… -
Massachusetts et al., v Centers For Medicare & Medicaid Services
Market Intelligence Resource | July 10, 2026The lawsuit was filed on June 29, 2026, by a coalition of 26 states. The lawsuit is co-led by California, Massachusetts, and New Jersey. They are joined by Arizona, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Illinois, Kentucky, Maine, Maryland,… -
Enrolled Alaska House Bill 73: An Act Relating To Complex Care Residential Homes & Providing For An Effective Date
Market Intelligence Resource | July 10, 2026On June 25, 2026, Alaska Governor Mike Dunleavy signed House Bill 73 (HB 73) into law, creating a new residential licensing category in Alaska known as “Complex Care Residential Homes” to close a longstanding gap for residents whose behavioral health… -
Who’s Paying The Tab? The Best Of The 2026 OPEN MINDS Government Health & Human Services Executive Summit
Executive Briefing | July 9, 2026Remember “trickle down economics”? It is the theory (paraphrased) that “good things” that happen at the top of the economic food chain will eventually “trickle down” the ladder to the working class (see Trickle Down Theory). I would argue that we… -
Stop-Gap Funding Prevents Outpatient Service Cuts At Kentucky’s Lee Specialty Clinic For People With I/DD
Weekly News Wire | July 9, 2026Lee Specialty Clinic, a state-operated provider organization serving individuals with intellectual/developmental disabilities (I/DD), planned to scale back its outpatient services beginning July 15, 2026, following a 66% funding reduction in the 2026-2028 state budget adopted by the Kentucky General Assembly.… -
OIG Audit Finds Pennsylvania Behavioral Health MCO Failed To Meet Prior Authorization Requirements
Weekly News Wire | July 9, 2026Community Behavioral Health (CBH), a Pennsylvania behavioral health Medicaid managed care organization (BH-MCO), did not comply with all federal and state requirements when denying behavioral health service requests requiring prior authorization in 2023, according to a recent audit by the… -
Michigan Implements New Children’s Services Administration’s Caseworker ‘Teaming’ Model Statewide
Weekly News Wire | July 9, 2026The Michigan Department of Health and Human Services (MDHHS) has fully implemented a new child welfare caseworker staffing model using a team-based approach, replacing the state’s former system in which a single caseworker managed all aspects of a family’s case.… -
Court Approves Alabama Child Welfare Settlement To Reduce Institutionalization Of Children With Disabilities
Weekly News Wire | July 9, 2026A federal judge has approved a settlement agreement establishing new safeguards to protect Alabama children in foster care with mental health disabilities from unnecessary institutionalization. Alabama entered into a preliminary settlement in February 2026, and on June 18, 2026, the… -
AmeriPath USA Opens Sixth Certified Recovery Residence In The Pittsburgh Area
Market Watch | July 9, 2026AmeriPath USA, a Pittsburgh-based operator of certified recovery residences, opened its sixth Level 2 certified recovery home in the Pittsburgh area, continuing its partnership with Recovery Resolutions. The home is certified by the Western Pennsylvania Alliance of Recovery Residences (West… -
WeInfuse Announces Partnership With TailorMed To Remove Systematic Medication Barriers For Those Receiving Infusion Treatments
Market Watch | July 9, 2026WeInfuse, a software platform for infusion provider organizations and specialty pharmacies, announced a partnership with TailorMed, a “medication success” platform focused on removing barriers to access, affordability, and adherence across the medication journey. Individuals seeking prescribed medications often face systemic… -
Residential Home Health Acquires Covenant Home Health In Eastern Pennsylvania
Market Watch | July 9, 2026Residential Home Health (Residential) acquired Covenant Home Health of Havertown, Pennsylvania, a home health provider organization serving Bucks, Chester, Dauphin, Delaware, Lancaster, Lebanon, Montgomery, Philadelphia, and York counties. The acquisition extends Residential’s presence in eastern Pennsylvania into Philadelphia and Delaware… -
Alsana Continues Expansion of Virtual Eating Disorder Care, Now Accepting Clients In 40 States
Market Watch | July 9, 2026Alsana, an eating disorder treatment provider organization serving adult and adolescent clients nationwide, expanded its virtual eating disorder treatment programs to enter six new states. Virtual partial hospitalization (PHP) and intensive outpatient (IOP) services are now available in 40 states,… -
CVS Health Foundation Invests $2.24 Million To Expand Community-Based Care Through Health Impact Ohio
Market Watch | July 9, 2026The CVS Health Foundation launched its Health Zone in Columbus, Ohio, supported by a $2.24 million investment in Health Impact Ohio. Within the Health Zone, the goal is to improve access to health care, reduce emergency care use, and support… -
Special Education: More Students With Disabilities Were Educated In General Education Settings, But State Trends Varied Widely
Market Intelligence Resource | July 9, 2026The report was released on July 2, 2026, by the federal Government Accountability Office (GAO). The report reviews settings in which students with disabilities are educated, how general education placements for students with disabiliites vary nationwide and by state, and… -
Florida Health & Human Services State Profile
Behavioral Health System Profile | Dual Eligible System Profile | Medicaid System Profile | July 9, 2026Published in June 2026, this highly detailed report explains how the Florida health and human service system works, and provides all the market data, analysis, and “insider” insights executive teams need to build a successful strategic plan for both operating… -
U.S. Alzheimer’s Disease & Related Dementias Care Costs Projected To Reach $459 Billion In 2026
Weekly News Wire | July 8, 2026The United States is projected to spend $459 billion in 2026 on the treatment, paid care, and unpaid caregiving associated with Alzheimer’s disease and related dementias (ADRD), according to a recent study. The total includes $222 billion in medical and…
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