When the Safety Net Shrinks: Inside the Big Beautiful Bill Medicaid Changes

The “One Big Beautiful Bill” is officially signed into law. And the impact will be seismic. Though the full extent remains to be seen, we know major changes are coming, but how disruptive they’ll be depends on how states implement the new requirements and how they respond to the funding shifts. On July 4, 2025, both […]

Medicaid Work Requirements and Federal Scrutiny: What Providers Need to Know

Woman with concerned look sitting in desk chair with notebook and pen

In January, we started tracking Medicaid budget proposals. Every month since, we’ve watched the numbers sharpen. And now, we’re staring down the bill itself. The House passed its budget (what we’ve been calling the One Big Beautiful Bill Act (OBBBA)) by a single vote. The Senate Finance Committee’s mid-June proposal signals that work requirements are […]

Federal Budget Cuts Put Medicaid Funding and Waivers at Risk 

Photo of the united states white house for federal budget cuts announcement

More than a month has passed since the April 15 deadline for Congress to finalize its 2026 budget resolution, and there’s still no clarity. The proposed federal budget cuts to Medicaid, estimated at over $600 billion over 10 years, have cleared the House but remain under negotiation in the Senate. But the longer we go […]

Behind the Budget: What Changed in April—and What It Signals for Medicaid Cuts

Portrait of pensive female entrepreneur reading medicaid cuts news article on tablet computer

Last month, someone told us they appreciated our optimism. And truly, we’re still holding onto it. But we also promised to keep it real.  So yes, we’re still talking about Medicaid cuts and federal shakeups. But this time, it’s not just talk. Some of these changes are here, and they’re starting to take effect.  Let’s […]

The $880 Billion Question: What’s Next for Medicaid Budget Cuts? 

Two coworkers looking over medicaid budget cuts announcements

Well, here we are, folks—another month, another set of regulatory updates. And let’s be honest: if you’d told me years ago that people would be eager to hear about federal budgets and Medicaid funding, I would have laughed. But here we are, and you’re here. That tells me how important this issue of Medicaid budget […]

Why Residential Mental Health Housing Facilities Need a Specialized EHR

Woman and man sitting in a residential mental health facility discussing notes and care plans

Most EHRs weren’t built for what you do. They’re made for hospitals and doctor’s offices—not for residential mental health housing facilities and their unique, day-in, day-out work. In those fast-paced clinical settings, it’s all about speed: quick diagnoses, short stays, and turning over beds. But your world is different. You provide long-term, wraparound care. You […]

The Future of Residential Mental Health: Trends to Watch in 2025 

Three women in an office using devices to review trends in mental health.

2025 has already seen residential mental health facilities face rapid changes—driven by new policies, evolving care models, and new tech. With shifts in government funding, increased AI adoption, and a growing emphasis on whole-person care models, providers feel a real pressure to adapt and stay head.   Here are the top 5 key trends in mental […]

Switching EHR Systems: Top Considerations & Steps for a Smooth Transition 

Coworkers gathered around a computer smiling and happy that their software is working smoothly

Behavioral and mental health services EHR systems are evolving—becoming more integrated, proactive, and holistic every year. This shift benefits clients and boosts practice efficiency but keeping up means having the right technology in place to support these changes.  Today’s clients expect more: client portals, Telehealth options, and flexible payment methods. Behind the scenes, agencies are […]

For the DSPs Who Are Doing It All—and Then Some 

A care taker with their client

If you work in an I/DD organization, you know that Direct Support Professionals (DSPs) are the unsung heroes of hands-on, compassionate care. For DSPs, supporting individuals with complex needs goes far beyond a job description—it’s a deeply personal mission. But despite DSPs’ critical role in behavioral health, they often face overwhelming demands, juggling documentation, goal […]