Insurance & Coverage
For Insurance & Health Plans
4 articles
Value-Based Care Models for Behavioral Health: Opportunities for Payors
How value-based care contracts can improve perinatal mental health outcomes and reduce total cost of care. Metrics, model structures, and implementation considerations for health plans and MCOs.
Utilization Review and Outcome Benchmarks for Perinatal Mental Health Telehealth Programs
Utilization review criteria and outcome benchmarks health plans should require in perinatal mental health telehealth network contracts.
Medicaid Coverage for Perinatal Mental Health: State Variation and Gaps
The 12-month postpartum Medicaid extension has improved coverage for perinatal mental health, but significant gaps remain in provider availability, telehealth access, and MCO network adequacy. A state-level overview for payors, brokers, and advocates.
HEDIS Measures and Star Ratings Tied to Perinatal Depression Screening and Follow-Up
Which HEDIS measures tie to perinatal depression screening and follow-up, and how health plans improve star ratings through perinatal mental health network access.