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Filtered field notes — 2026.

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Tag · 2026
Archive

All 2026 posts.

Sorted newest first. Each post links primary sources and methodology.

Private Equity's Nonprofit Joint Ventures in Behavioral Health

PESP's July 2026 report found 568 U.S. facilities, including behavioral health, run as nonprofit-PE joint ventures, with no federal disclosure required.

Jul 13, 2026 Matthew Sexton, LCSW

What Happens When Private Equity Buys Your Therapy Practice

A 2023 survey of 750 behavioral health workers found 65% report bigger caseloads and 93% report burnout under rising productivity targets. Here's what that means.

Jul 12, 2026 Matthew Sexton, LCSW

How to Find Out Who Owns Your Therapy Practice (2026)

Private equity closed 56 behavioral health deals in 2025 alone, part of a record 1,029 U.S. health care buyouts. Here is how to trace who owns your therapy practice.

Jul 12, 2026 Matthew Sexton, LCSW

Private Equity Bought the Couch: 56 Behavioral Health Deals

Private equity firms closed 56 behavioral health deals in 2025, inside a record-value year for health care buyouts. The research since is blunt: staffing gets cut.

Jul 06, 2026 Matthew Sexton, LCSW

Psychiatrist Shortage: A 43% Demand Surge Is Coming

A May 2026 Psychiatric Services study projects psychiatrist demand rising 43.7% while supply falls 12.3% by 2037 — a structural failure, not a hiring gap.

Jun 28, 2026 Matthew Sexton, LCSW

Vertical Integration Is Turning Insurers Into Your Therapist

Cigna's Evernorth grew from 1,000 to more than 5,000 clinicians since 2024, targeting 15,000 by 2026 — the insurer now owns the therapist deciding your care.

Jun 28, 2026 Matthew Sexton, LCSW

$700M in Mental Health Funding Doesn't Close the Access Gap

HHS put $700M into 988 and CCBHCs June 17 — less than three months after DOL said it won't defend the MHPAEA rule that makes insurers actually cover care.

Jun 28, 2026 Matthew Sexton, LCSW

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