Latest news with #PathForward
Axios
27-05-2025
- Health
- Axios
Insurers warm to behavioral health in primary care
Insurers increasingly are paying for behavioral health services that are delivered in coordination with primary care, according to a new claims analysis from Milliman. Why it matters: The idea of coordinating mental health care with physical health care has been around since the 1990s. But Medicare billing codes adopted in 2017 have made such arrangements viable in both private and public insurance markets, the report shows. Context: The system, known as the collaborative care model, involves having a patient's primary care provider, behavioral health manager and psychiatric counselor create and carry out a mental health treatment plan. Traditionally, mental health care is delivered separately from physical health care, which can make it difficult to coordinate across providers. Studies have shown the collaborative care model improves outcomes, and there's also evidence that it can also reduce costs, per the report. Health systems began piloting the model using grant funding before Medicare introduced billing codes for the services. What they found: The number of Medicare Advantage enrollees receiving behavioral health services through the collaborative care model has increased eightfold since billing codes became available in 2017. About 2,600 MA beneficiaries got collaborative care in 2018, compared with 20,780 in 2022, Milliman found. The number of enrollees in traditional Medicare using the services grew more than five times over the same period. Medicaid uptake increased more than nine times, reaching 30,930 people in 2022. Growth in the commercial market has been significant, too: About 1,650 commercially insured people used collaborative care in 2018. That figure topped 27,440 in 2022, and nearly 36,600 in 2023. Yes, but: The growth of the model in a handful of cities across the country drove much of the national increase, the analysis found. In Madison, Wisconsin, 1,524 people out of 100,000 with commercial insurance got collaborative care services in 2023. That's compared with a national average of about 59 patients out of 100,000. Madison also had the highest participation in the country for traditional Medicare enrollees and the third-highest for Medicare Advantage. Arizona had the highest proportion of Medicaid enrollees using collaborative care among all states in 2022. Factors that helped growth in high-uptake communities include support from health systems, primary care physicians who champion the model, and philanthropic support for startup costs, said Anna Bobb, executive director of the mental health advocacy coalition Path Forward. What to watch: Bipartisan legislation introduced in Congress would increase Medicare reimbursements for existing behavioral health providers in collaborative care, which advocates say would boost access to the services. Zoom in: Milliman's analysis is based on Centers for Medicare and Medicaid Services data and the consulting firm's own dataset that together represent about 219 million people. Public payer data was available through 2022, and commercial market data through 2023.
Yahoo
20-05-2025
- Health
- Yahoo
Federal Action Needed to Close Mental Health Care Gaps Despite 10-Fold Growth in Proven Care Model
The COMPLETE Care Act could drive further expansion of the Collaborative Care Model WASHINGTON, May 20, 2025 /PRNewswire/ -- A first-ever national analysis reveals a tenfold increase in the commercial health insurance market in the use of the Collaborative Care Model – a proven team-based approach to mental health care that integrates screening, treatment, and psychiatric consultation directly into primary care. The model is available in all 50 states, but access remains limited: an estimated 100,000 people received services as billed for in commercial insurance in 2023, 1% or less of the nearly 60 million adults and children with mild and moderate mental illness who could benefit. An independent global data analysis firm analyzed five years of claims data for 219 million people – nearly two-thirds of the U.S. population – in a study commissioned by the Meadows Mental Health Policy Institute, on behalf of Path Forward, and in partnership with the American Psychiatric Association. Path Forward released the following materials today in support of the expansion of the Model: The claims analysis covering 219 million people from 2018 to 2022 for Medicare and Medicaid and 2018 to 2023 for commercial insurance. A heat map developed by Meadows Institute identifying coverage across the nation. A statement urging Congress to pass the COMPLETE Care Act, legislation that would increase Medicare reimbursement to help cover implementation costs, the biggest barrier to broader adoption. "If every American suffering from depression had access to the Collaborative Care Model, we estimate that approximately 14,000 lives could be saved each year from suicide," said Andy Keller, the president and CEO of the Meadows Institute. "The Collaborative Care Model is the gold standard for delivering mental health in primary care settings because mental health is, at its core, simply a very important part of health. This model is the single most impactful step we can take to get upstream, before tragedy strikes, to make Americans healthy again." In the Collaborative Care Model, a team led by a primary care provider and supported by a behavioral health care manager leverages the time of a psychiatric consultant to treat up to eight times more patients. The Collaborative Care Model reduces depression recovery times sevenfold, and more than 90 randomized clinical trials have proven the model's effectiveness. While start-up implementation costs can be a temporary hurdle, the Collaborative Care Model is 100% sustainable with billing codes once it is up and running. A number of metropolitan areas across the country saw particularly high adoption rates: In Jackson, Michigan, the number of patients with Medicare Advantage participating in the Collaborative Care Model is 23.7 times greater than the national average for Medicare Advantage. In Prescott Valley-Prescott, Arizona, the number of patients with Medicaid and CHIP participating in the Collaborative Care Model is 26.5 times greater than the national average for Medicaid and CHIP. In Sherman-Denison, Texas, the number of patients with commercial insurance participating in the Collaborative Care Model is 8.6 times greater than the average in the commercial market. "The Collaborative Care Model is an evidence-based, effective and innovative method of delivering high-quality mental health care to patients in the primary care setting who need it," said APA CEO and Medical Director Marketa M. Wills, M.D., M.B.A. "Given the ongoing mental health crisis, the opioid epidemic and high rates of suicide, the widespread implementation of this model is now more essential than ever to reach the growing number of Americans in need of quality mental health services. Simply stated, the more we adopt the Collaborative Care Model, the more patients can access it, and the more lives we will save." Nearly one in five U.S. adults experience a mental health disorder each year and 20% of high school students report seriously considering suicide. The findings arrive amid a critical moment for the nation's mental health. About Path Forward is a coalition of health care purchasers, clinician associations, health systems, philanthropists, and health-related nonprofits united by one goal: ensuring equitable access to quality mental health and substance use care. The Meadows Mental Health Policy Institute is an independent, nonpartisan organization that works at the intersection of policy and programs to advance equitable, data-driven mental health solutions nationwide. The American Psychiatric Association is the nation's oldest and the world's largest psychiatric organization with over 39,000 physician members. A Note About the Data While some of the data and statements set forth in this press release are based on the commissioned analysis of claims data from 2018 to 2023, some data and statements are derived from other sources in whole or in part. None of the data and statements set forth above reflect a complete and unaltered account of the commissioned analysis of claims data from 2018 to 2023. A complete and unaltered account of the commissioned analysis of claims data from 2018 to 2023 can be found here. Contact: Juliana KeepingExternal Relations Director, Path ForwardPhone: (202) 743-5536E-mail: juliana@ View original content to download multimedia: SOURCE Path Forward Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Yahoo
13-05-2025
- Business
- Yahoo
Macerich Co (MAC) Q1 2025 Earnings Call Highlights: Leasing Success and Strategic Progress Amid ...
Leasing Activity: Signed 2.6 million square feet of leases in Q1 2025, including 2.3 million square feet of renewals. Portfolio Sales: $837 per square foot, flat compared to Q4 2024; $928 per square foot excluding Eddy properties, up $13 from last quarter. Occupancy Rate: 92.6% in Q1 2025, down from 94.1% in Q4 2024; 95.2% excluding Eddy properties. Leasing Spreads: Trailing 12-month leasing spreads at 10.9%, with 22% on new deals and 7% on renewals. FFO: Approximately $87 million or $0.33 per share in Q1 2025, up from $75 million or $0.33 per share in Q1 2024. Same-Center NOI: Increased 0.9% in Q1 2025 compared to Q1 2024; 2.4% increase excluding Eddy assets. Net Debt to EBITDA: 7.9 times at the end of Q1 2025, nearly a full turn lower than at the start of the Path Forward plan. Dispositions: Completed almost $800 million in sales; Lakewood sale under contract, expected to increase total to over $1.1 billion. Liquidity: Approximately $995 million, including $650 million capacity on revolving line of credit. Warning! GuruFocus has detected 6 Warning Signs with MAC. Release Date: May 12, 2025 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Macerich Co (NYSE:MAC) is ahead of schedule on its leasing progress targets, having signed 2.6 million square feet of leases in the first quarter, more than double the previous year's first quarter. The company has made significant progress in its Path Forward plan, including consolidating joint ventures, issuing equity, and completing refinancings and dispositions. Macerich Co (NYSE:MAC) has a strong pipeline of new leases, with a goal to achieve $130 million in cumulative signed not open (SNO) potential by mid-2026. The company has successfully executed asset sales and loan givebacks, with $1.1 billion in dispositions completed and a clear path to achieving its $2 billion target. Macerich Co (NYSE:MAC) has implemented a new corporate structure and technology enhancements, such as the leasing speedometer, to streamline operations and improve decision-making. Occupancy in the first quarter was 92.6%, down from 94.1% in the previous quarter, primarily due to the closure of temporary holiday stores and transitioning projects. The company faces challenges with tenant bankruptcies, such as Forever21, which requires remerchandising efforts to fill vacated spaces. Despite progress, Macerich Co (NYSE:MAC) still has $50 million of SNO and remaining mall dispositions and givebacks to complete its Path Forward plan. Same-center NOI growth was modest at 0.9% year-over-year, indicating limited immediate revenue growth from existing properties. The company anticipates higher capital expenditures than initially planned, which could impact short-term financial performance. Q: With the recent news on trade tariffs, do you see any potential upside in leasing going forward? A: Douglas Healey, Senior Executive Vice President, Head - Leasing: We haven't seen much pullback due to tariffs. Retailer sentiment remains strong, as reflected in our leasing metrics and pipeline. We don't anticipate significant changes in upside due to tariffs. Q: Can you provide details on the $80 million SNO pipeline and its net incremental impact? A: Brad Miller, Senior Vice President, Asset Management: The $80 million is incremental over 2024 revenue. We expect $25 million to be realized in 2025, with $6 million already realized in Q1. Q: Given the progress on leasing and sales, how is your CapEx spending trending, and when might you provide guidance? A: Jackson Hsieh, President, CEO, Director: CapEx is slightly higher than initially planned, with faster spending. We expect major FFO and EBITDA uplift in 2027-2028. Guidance will be considered as we progress. Q: What contributed to the success of new deals, which are up 70% from last year? A: Jackson Hsieh, President, CEO, Director: The success is due to our organizational structure and streamlined leasing process. Our leasing speedometer tool and clear directives have enabled rapid decision-making and execution. Q: How do you view the impact of tariffs on asset sales, particularly for Lakewood? A: Jackson Hsieh, President, CEO, Director: Lakewood's proceeds over debt are minimal. Outparcel sales are performing well, with cap rates in the mid-5% range. We expect to exceed our outparcel sales target. For the complete transcript of the earnings call, please refer to the full earnings call transcript. This article first appeared on GuruFocus. Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
