prosperitybh

04/24/2026

What keeps a behavioral health organization moving forward when the system makes it hard?

For Harbor of Hope, the answer is community.

Their team’s story is one of persistence, compassion, and deep commitment to the people they serve in Portland. From helping clients feel welcomed with dignity to continuing care through difficult reimbursement challenges, this conversation is a strong reminder that mission and operations are never separate in behavioral health.

At Prosperity, we believe providers should have operational support that protects care continuity and strengthens financial stability.

That’s the work we aim to do every day.

04/20/2026

Parity enforcement has always been the behavioral health industry's most powerful policy lever and it just got significantly weaker.

The Trump administration's decision to abandon the 2024 MHPAEA rule signals a major pivot on behavioral health parity enforcement.

The new rulemaking, due by year-end 2026, will likely be more favorable to payers, which means providers need to prepare for a more difficult contracting environment.

For CFOs and CEOs: this is a scenario-planning moment.

Model the impact of reduced parity enforcement on your payer mix, authorization rates, and revenue per episode of care.

And, if it's even possible, engage your government affairs partners now. Comment periods on the new proposed rule will be your best leverage point.

The window to shape this rule is open. Are you at the table?

HHS, the Treasury Department and the Labor Department plan to issue new proposed rules revising requirements tied to the Mental Health Parity and Addiction Equity Act, according to a March 30 filing in the U.S. District Court for the District of Columbia.  The 2008 law bars insurers and employer he...

04/17/2026

Behind every behavioral health organization doing meaningful work is a team navigating real operational pressure.

In our latest customer interview, Harbor of Hope shared what it has taken to continue serving its community through insurance delays, authorization friction, and payer red tape.

It’s an honest look at the gap between what clients need and what providers often have to fight to secure.

These challenges are exactly why strong systems around utilization review, billing, and revenue cycle management matter. When operations are stronger, providers are better positioned to keep care accessible.

We’re proud to partner with organizations that keep showing up.

04/13/2026

PE is retreating from addiction treatment. Mission-driven providers, is this your opening?

Private equity is at a 6-year low for investing in recovery organizations. Combined with Medicaid uncertainty, and compressed valuations, there's a strategic window for nonprofit and community-based behavioral health organizations to expand market share and fill critical gaps.

But seizing that window requires financial readiness: access to capital, board alignment on growth strategy, and a clear-eyed view of your cost structure.

What barriers are keeping behavioral health organizations from stepping into the void? And what would need to be true for your organization to make a move in this environment?



MORE BELOW:

The substance use disorder (SUD) treatment industry has been marked by recent volatility.​ Deal volume in the sector has been slow for the past three

04/10/2026

Some behavioral health stories stay with you.

We recently sat down with Harbor of Hope, a recovery organization in Portland, Oregon, to talk about what community-centered care really looks like in practice. Their team shared how trust, cultural connection, and a strong sense of responsibility to the people they serve shape everything they do.

One theme came through clearly: access to care is about more than opening doors. It’s about building an environment where individuals and families feel seen, understood, and safe enough to ask for help.

We’re grateful to support organizations doing this kind of work every day.

Linked to the full interview in the comments.

04/09/2026

$40.9 billion in 2000. $139.6 billion in 2021. And depression and su***de rates at historic highs.

A House subcommittee roundtable just put the most uncomfortable question in behavioral health squarely on the table: why has 241% spending growth produced worse outcomes?

For behavioral health executives, this framing is dangerous but it's also an opportunity.

If Congress is questioning spending efficacy, the organizations that will survive the next era are the ones that can PROVE their outcomes. Measurement-based care, outcome documentation, and transparent data reporting are no longer just clinical best practices.

They're your best defense against defunding.

What outcome metrics clinical or financial are you prepared to bet on?



READ MORE: 👇

 A House subcommittee roundtable is examining worsening mental health outcomes in the U.S. despite expanded access to care. Subcommittee on Health Care and Financial Services Chairman Glenn Grothman, R-Wis., said the number of adults receiving mental health treatment grew from about 27 million in 2...

12/26/2025

Here's something we believe deep into our very core at Prosperity.

The first, is processing claims is table stakes for revenue cycle management companies in 2025. That's not really a value-add service these days. More importantly, being a wholistic growth partner is where the fun is. Helping our customers grow revenues is adding value.

Secondly, as our very own SVP of Operations Brett Reed paraphrases the great Michael Scott of Dunder Mifflin fame, we try to skate to where the puck will be, not where it has been. 😘

12/24/2025

We're about 24 hours away from entering hibernation mode until 2026.

(Not for our customers we're always grinding for them)

We're wishing you and your family a, ahem, prosperous, holiday season. May it be filled with love, core memory making, fruitful therapy sessions, self-care, and lots of rest. Especially for all the parents out there.

We'll be back for more shenanigans soon enough

😘 🫶

12/17/2025

As the great Bobby Dylan once said, the times they are a-changing.

Changing for behavioral health providers as they deal with payer networks and contracting for sure.

12/10/2025

Why does price transparency matter?

"Step one has been managing expectations with our customers around where they're at today and where we can get in the next couple years. In some cases, you're already the market leader setting the benchmark. In others, you're slightly under market, but we can get you there. That transparency has taken the adversarial edge off."

— Brett Reed, SVP of Operations at Prosperity Behavioral Health

Price transparency data isn't just about knowing rates. It's about objective, fact-based conversations that build trust instead of eroding it.