In this episode of Mental Health Evolution, host Rachel Harrison sits down with Cathy Gilbert, a seasoned consultant and former insurance executive, to unpack how new and proposed health care policies are reshaping the future of mental health services. Cathy brings a wealth of expertise from her work in provider network development, operations, and policy analysis, offering both a big-picture perspective and practical strategies for navigating change.

Together, Rachel and Cathy dive into the Big Beautiful Bill and other recent federal actions affecting Medicaid, ACA coverage, telehealth, and funding for crisis services. Listeners will gain valuable insight into how these shifts impact providers and patients alike, from reimbursement rates to eligibility requirements. Cathy also shares concrete advice for solo and group practice owners on what to watch for and how to prepare. This episode will help you better understand the fast-moving policy environment and make informed decisions for your practice.

Episode Highlights

• 0:37 – Guest introduction: Cathy Gilbert's career in insurance and consulting

• 1:11 – Overview of the Big Beautiful Bill and major policy shifts

• 3:23 – Why policy changes feel faster in behavioral health

• 4:35 – Impact on vulnerable populations losing health coverage

• 6:20 – Provider challenges: reimbursement cuts and sustainability concerns

• 10:16 – A rare positive: permanent telehealth coverage provisions

• 12:59 – Unresolved concerns: in-person visit requirements for telehealth

• 13:54 – Key advice for solo and group practice owners

• 14:33 – Medicaid retroactive coverage shortened and what it means

• 15:19 – How often providers should check eligibility

• 17:03 – Why monitoring payer notices is critical during rapid change

• 18:35 – Closing reflections and key takeaways

Articles & Resources

• New Policies Affecting Access to Mental Health Care

• NAMI Statement on Final Passage of Bill Cutting Medicaid for Millions of Americans | National Alliance on Mental Illness (NAMI)

Connect with Cathy Gilbert

Website: https://ceghealth.com/ LinkedIn: https://www.linkedin.com/in/cathy-gilbert-29648421/

Connect with Us

Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur

Music by Zach Harrison