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Medicaid Managed Care Is Reshaping Behavioral Health Access: Capitation Math, Ghost Networks, and the Carve-Out Question Now Determine Who Gets Care

Medicaid Managed Care Is Reshaping Behavioral Health Access: Capitation Math, Ghost Networks, and the Carve-Out Question Now Determine Who Gets Care

by Ethan Webb | May 18, 2026 | Regulation

Key Takeaways Managed care now controls most Medicaid behavioral health spending. As of July 2025, 42 states contract with Medicaid MCOs, and most enrollees receive their behavioral health benefits through them, either directly or through a carved-out behavioral...
The Collaborative Care Model Is Quietly Becoming the Most-Funded Behavioral Health Integration Strategy in U.S. Primary Care: Why Medicaid Coverage Gaps Still Define Who Gets It

The Collaborative Care Model Is Quietly Becoming the Most-Funded Behavioral Health Integration Strategy in U.S. Primary Care: Why Medicaid Coverage Gaps Still Define Who Gets It

by Ethan Webb | May 15, 2026 | Regulation

Key Takeaways A rapidly expanding evidence-based model. Commercial-market CoCM penetration grew roughly 27-fold (from 2.2 to 58.8 patients per 100,000 eligible commercially insured individuals) between 2018 and 2023, according to a May 2025 Milliman analysis...
Mental Health Clinician Burnout Is Driving the Behavioral Health Workforce Crisis: Reimbursement Cuts, Documentation Burden, and the Federal Parity Rollback Explain Why

Mental Health Clinician Burnout Is Driving the Behavioral Health Workforce Crisis: Reimbursement Cuts, Documentation Burden, and the Federal Parity Rollback Explain Why

by Ethan Webb | May 13, 2026 | Regulation

Key Takeaways A worsening behavioral health workforce shortage. As of December 2025, roughly 137 million Americans (about 40 percent of the U.S. population) lived in a federally designated Mental Health Professional Shortage Area, and HRSA projects significant...

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