Expertise in behavioral health comes with a lot of scar tissue and lessons learned. Over the years, we have been honored to partner with legislative, policy, and industry leaders to better integrate payment policies, benefit design, medical/clinical management, and analytic infrastructure within the healthcare system. With unique knowledge in behavioral health condition identification and risk stratification, network assemblage and governance, and alternative payment models (APMs), we have helped guide legislative and public policy that modernizes multi-disciplinary care delivery for the future. Some examples of our work:

• Developed data normalization and risk stratification algorithms using laboratory, census, and hospital claims in a data-restricted environment. The risk modeler successfully identified and documented multifactorial risk elements driving 30/60/180-day admission and readmission risk.
• Designed and implemented transitional care management programs leveraging existing CPT codes to better support 7/30-day treatment engagement. Incorporated peer and social care organizations to destigmatize illness and remove life obstacles to treatment adherence.
• Facilitated inter-organizational (federal, state, county, legislative, hospital, social, and provider) workgroups to identify care transition friction and roadblocks. Worked with parties to streamline patient and partner communications from “factorials to forms,” resulting in a 50% improvement in 14-day appointment show rates.
• Designed and implemented novel ISOC quality improvement initiatives, including CONVERT ED opiate use detection and Suboxone induction, and pre-discharge PatientLINK virtual care team introductions.