Sep 9, 2022 | Autism, BRG Conference Call Replays
BRG experts Misha Segal and Jim Teisl, with guests Mai Pham, Founder and President of Institute for Exceptional Care, and Lorri Unumb, CEO of The Council of Autism Service Providers, discuss the rapid growth in autism services and the recent debate surrounding types of treatment and standards of practice. Panelists also touch on lessons learned for other evolving areas, including medication-assisted therapy, outpatient mental health, residential treatment services, and home and community-based services. Click here for the recording (if asked, use passcode KJ%^C+w3) Autism Providers Face...
Sep 8, 2022 | Autism, Behavioral, BRG Publications
BRG recently estimated the Applied Behavioral Analysis (ABA) market size for children ages 6 and under to be nearly $4b in 2022—and growing ~13% annually to more than $6b in 2026. The growth in the market has brought criticisms of some autism providers, such as pushing too many hours on patients and prioritizing profits, while also raising questions about the efficacy of ABA therapy. Click to read more.
Mar 16, 2021 | Autism, Behavioral, Commercial Insurance, Dental, Medicaid, Payers
A low supply of pediatric dentists is creating challenges for state policy leaders and dental insurers who are trying to increase early intervention of oral health. In a continued effort to expand data analytics capabilities, BRG recently gained access to Medicaid claim and encounter data for all 50 states and Washington DC, which includes information on dental cleanings and other services. Click to read more.
Jul 16, 2019 | Autism, Medicaid
Florida's state Agency for Health Care Administration (AHCA) proposed several changes to Medicaid-covered behavior analysis services, including reimbursement reductions for providers who treat children with autism. However, after receiving strong feedback from providers, parents and advocacy groups, AHCA has announced it is postponing its proposed rate reductions. This brief reviews rates as well as the proposed stronger clinic licensure requirement, new multidisciplinary team approach, combined coverage policy, new electronic visit verification system, and provider enrollment moratorium...
Jan 15, 2019 | Autism, Behavioral
Stakeholders worked with the American Medical Association (AMA) to make Applied Behavior Analysis (ABA) codes permanent, effective January 1, 2019. The change is viewed favorably by ABA providers. In addition to other small changes, it is expected that payers will have more difficulty challenging the legitimacy of service. This brief highlights some of the changes. Click to read more.
Jan 8, 2019 | Autism, Behavioral
BRG analysis of national commercial data shows that spending on Applied Behavioral Analysis (ABA) services for autism grew significantly from 2015 to 2017, while the levels of spending vary significantly by geography. This brief explores these data findings and highlights reasons for this growth. Click to read more.
