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ABA Insurance Fraud Counterclaim: Point32Health Files $19 Million Suit Against ABA Centers of America

ABA Insurance Fraud Counterclaim: Point32Health Files $19 Million Suit Against ABA Centers of America

by Ethan Webb | Apr 28, 2026 | Regulation

Key Takeaways ABA Centers of America sued Point32Health in Massachusetts Superior Court on December 31, 2024, seeking $80 million in damages and alleging the insurer placed thousands of claims in pend status, effectively halting payment for over a year. ABA Centers...
Floreo Files FDA De Novo Request for FloreoRx, the First VR Autism Therapy Seeking FDA Authorization

Floreo Files FDA De Novo Request for FloreoRx, the First VR Autism Therapy Seeking FDA Authorization

by Ethan Webb | Apr 27, 2026 | Regulation, Technology

Key Takeaways Floreo filed a De Novo request, not a 510(k), which would create a new FDA device classification. The De Novo pathway is reserved for novel devices with no legally marketed predicate, meaning an FDA grant would establish FloreoRx as the first predicate...
Thoughtful AI Is Shutting Down Its Stand-Alone Services. Behavioral Health Customers Have 90 Days to Transition Off the Platform.

Thoughtful AI Is Shutting Down Its Stand-Alone Services. Behavioral Health Customers Have 90 Days to Transition Off the Platform.

by Ethan Webb | Apr 24, 2026 | Technology

Key Takeaways 90-day wind-down: Thoughtful AI has told customers its stand-alone services are being discontinued in roughly 90 days. PE roll-up context: New Mountain Capital combined Thoughtful.ai with Access Healthcare and SmarterDx in May 2025 to form Smarter...
New York Medicaid ABA Reimbursement Rates: A Late-Arriving Benefit Facing a 25% Rate Reduction and a Proposed Centers of Excellence Framework

New York Medicaid ABA Reimbursement Rates: A Late-Arriving Benefit Facing a 25% Rate Reduction and a Proposed Centers of Excellence Framework

by Ethan Webb | Apr 23, 2026 | Regulation

Key Takeaways New York was the 49th state to implement Medicaid coverage of Applied Behavior Analysis, with the benefit becoming billable in 2021 and widely used only beginning in 2023. Effective April 1, 2026, the Medicaid reimbursement rate for CPT code 97153...
ABA Clinics Still Rely on Manual Steps for Scheduling, Billing, and Intake. Boost Says Its New Platform Can Handle Most of Them.

ABA Clinics Still Rely on Manual Steps for Scheduling, Billing, and Intake. Boost Says Its New Platform Can Handle Most of Them.

by Ethan Webb | Apr 22, 2026 | Technology

Key Takeaways ABA practice management software has converged on interface improvements: most platforms have spent the past decade making administrative tasks cleaner to perform manually rather than eliminating them altogether. Scheduling complexity is the most common...
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