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New Mexico’s Medicaid managed care organization (MCO) networks for primary care professionals (PCPs) and behavioral health are inadequate according to a secret shopper survey conducted by the New Mexico Legislative Finance Committee (LFC). The survey consisted of calls to a sample from the Centennial Care 2.0 MCO network directories of nearly 500 PCPs and behavioral health professionals located in seven counties with high Medicaid enrollment growth. Appointments were offered for only 13% of calls. About 15% of PCP calls and 10% of behavioral health calls resulted in an appointment offer.

For half the calls, the network directory had . . .

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Mental Health Services

The mental health market is defined as treatment services for mental and emotional health and psychiatric care for individuals of all ages. Mental health services are provided by a wide array of professionals, including certified counselors, psychiatrists, psychologists, neurologists, and social workers. The mental health market is facing new challenges – continued cost pressures on Medicare, Medicaid, and government programs; a shift to value-based care financing models; increased consolidation of health systems; and a push towards tech-enabled, consumer-led interventions. While these challenges may seem immense, the mental health market has experienced numerous shifts over the years from the move to managed care to increased community-based care. Organizations that can adapt to these changes are most likely to succeed.

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California Awards $1.18 Billion In Bond Funding To Add 2,500+ Beds & 4,200+ Outpatient Slots
California awarded $1.18 billion in grant funding for 66 behavioral health infrastructure projects across 130 facilities to expand residential and crisis treatment capacity statewide. The projects are expected to add 2,554 residential and inpatient beds and 4,273 outpatient treatment slots. The funding is part of the Bond Behavioral Health Continuum Infrastructure Program (Bond BHCIP) Round 2: Unmet Needs, created through Proposition 1, which was approved in 2024. Proposition 1 authorized $6.4 billion in bond funding… Read

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