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MIAMI, April 03, 2025--(BUSINESS WIRE)--Ontrak, Inc (NASDAQ: OTRK), a leading AI-powered and telehealth-enabled behavioral healthcare company today announced that a new affiliated practice association has secured official Medicaid designation in two new states. The first is a midwestern state, as talks continue with a large Midwestern Health Plan regarding the potential implementation of its WholeHealth+ solution in their region. The second is a southeastern state that will enable enhancing its solutions for one of its customers and future prospects.
Medicaid affiliation enables Ontrak to operate as a direct value-based provider in addition to its historical operations as a vendor. As a value-based care provider, Ontrak can align the quality outcomes and HEDIS measures with medical cost savings and financial incentives that it shares with payor partners. In addition, classification as a value based provider gives payors greater flexibility to partner with Ontrak through a model that allows for fees to become part of the medical cost ratio rather than an administrative vendor fee. And for Medicaid plans, it will allow for Ontrak to bill codes that are reimbursable at the State level. This shift is further enabling additional pipeline opportunities and provides payors optionality and flexibility in working with Ontrak.
"Securing these new Medicaid designations was a key step in advancing conversations with one of our major prospects, and enables Ontrak to more efficiently address a critical gap in mental health at the core of our solutions; delivering integrated behavioral health services to vulnerable populations," said Brandon LaVerne, CEO. "Collectively, these Medicaid approvals further enable us to create opportunities for value-based partnerships with managed care organizations, health systems, and community-based providers across multiple states for Medicaid beneficiaries."
Operating in the provider model, Medicaid designations are crucial in behavioral health, where access has often been limited for underserved communities. Official recognition in various states allows us to tailor value-based care models to local needs while using insights from other regions. Ontrak will continue to operate as a vendor for existing customers and many new prospects who prefer this model, but will also continue seeking additional state Medicaid affiliations when appropriate to deliver enhanced services to customers or prospects.
About Ontrak Health
Ontrak Health (Nasdaq: OTRK) is a leading AI and technology-enabled behavioral healthcare company whose mission is to help improve the health and save the lives of as many people as possible. Ontrak identifies, engages, activates, and provides care pathways to treatment for the most vulnerable members of the behavioral health population who would otherwise fall through the cracks of the healthcare system. We engage individuals with anxiety, depression, substance use disorder, and chronic disease through personalized care coaching and customized care pathways that help them receive the treatment and advocacy they need, despite the socioeconomic, medical, and health system barriers that exacerbate the severity of their comorbid illnesses. The company's integrated intervention platform uses AI, predictive analytics, and digital interfaces combined with dozens of care coach engagements to deliver improved member health, better healthcare system utilization, and durable outcomes and savings to healthcare payors.