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Nothing makes a behavioral health provider’s stomach drop quite like the phrase “Cigna audit”. This formal review process can feel intimidating and overwhelming, like a surprise pop quiz—only in this case, the teacher is holding your paycheck. But here’s the good news: you can survive a Cigna audit in one piece. With the right preparation and support, you can turn what feels like a nightmare into just another part of running your practice.

Earlier this year, Blue Cross Blue Shield (BCBS) reached a landmark $2.8 billion settlement resolving long-standing antitrust allegations. The suit, filed in 2012, accused BCBS plans of dividing the U.S. into exclusive, non‑competing zones and fixing provider reimbursement rates, stiffing providers across the country.

The next time you stop into a gas station or convenience store, look closely at the counter; you may spot small blue bottles labeled Feel Free. Marketed as a plant-based herbal supplement that promises to boost mood, energy, and focus, these drinks appear harmless at first glance. But looks can be deceiving.

You’ve probably heard about the One Big Beautiful Bill Act (OBBBA), which has been all over the news since it was signed into law on July 4, 2025. Most coverage has focused on the “big ticket” items like changes to social spending, climate policies, and tax cuts. But what you might not have heard about is one small section of the bill that could have a big impact on behavioral health providers: a change to retroactive Medicaid coverage.

Fall is a season that naturally inspires reflection. Beyond its beauty, autumn offers the perfect opportunity to embrace one of the most powerful (and often overlooked) tools for recovery, mental health, and overall wellness: gratitude.

Few things are more frustrating for behavioral health providers than delivering care in good faith, only to face a recoupment (or insurer takeback) months later due to a retro-termed policy. These surprise repayment demands can throw off your revenue cycle, make accurate forecasting difficult, and put added pressure on your administrative workflows.