FOR HEALTH PLANS & PAYERS
There is No Population Health Without Behavioral Health
NeuroFlow surfaces ineffectively addressed behavioral health risk, making it easier for payers to manage costs, predict utilization, and improve quality measures and outcomes.
AI-Driven Behavioral Health Analytics & Technology are Essential to Improve Quality and Lower Costs
Unidentified and mismanaged behavioral health risk is often hiding in population data, surfacing too late after bad outcomes have compounded and costs have skyrocketed.
NeuroFlow takes a nuanced and context-rich approach to surfacing behavioral health intelligence, giving health plans the AI-driven insights and tools they need to ensure members in need engage in high-quality behavioral health care.
NeuroFlow’s Approach Eliminates Behavioral Health Blind Spots
IDENTIFY
Identify population cohorts with likely behavioral health needs and stratify by acuity
ENGAGE
Activate members based on acuity-driven next best action
CONNECT
Connect members to appropriate benefits & recommended providers through seamless referral flows
MEASURE
Evaluate outcomes during & after care to ensure quality and inform value-based contracts
NeuroFlow AI-Driven Solutions Help Health Plans Improve Clinical & Financial Outcomes
Identify & Manage Behavioral Health Risk
NeuroFlow helps your organization identify and manage hidden behavioral health risk in your population, empowering your teams to drive quality, efficiency, and cost savings.
Optimize Care Management & Integrated Behavioral Health
Integrated directly into care manager and provider workflows, NeuroFlow helps surface members with underlying behavioral health risk, prompts next best actions, and monitors member progress to drive better care outcomes at scale.
Improve Provider Network Performance
NeuroFlow’s technology empowers health plans to collect, analyze, and leverage data from their provider networks to evaluate behavioral health services and network effectiveness, and strategically align financial incentives with value-based care models.
Trusted by Leading Enterprise Organizations
How Leading Healthcare Organizations Use NeuroFlow
We give risk-bearing organizations the analytics, engagement, and referral infrastructure to stratify behavioral health needs, connect members and patients to the right level of care, and turn behavioral health into a measurable performance lever. Our partners use NeuroFlow to:
Understand behavioral health risk. Surface undiagnosed and undertreated behavioral health conditions across the population using transparent ML on claims, EHR, ADT, and assessment data.
Engage and route at scale. Reach members and patients between visits, stratify by acuity, and send each person to the right level of care and provider, from self-guided support through crisis response.
Demonstrate measurable impact. Track outcomes longitudinally to drive P4P performance, hit quality measures, and prove ROI on behavioral health investments.
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Frequently Asked Questions
What reduction in total medical costs can behavioral health integration produce for health plans?
Behavioral health integration can meaningfully lower total medical costs for health plans. In a peer-reviewed study, members whose PCPs leveraged referral management technology saw a $28 reduction in total medical PMPM, were 43% less likely to have a behavioral health-related inpatient admission, and were 33% less likely to visit the emergency department for a behavioral health-related issue, compared to a risk-adjusted cohort who did not have access to NeuroFlow. These savings stem from identifying behavioral health risk earlier and routing members to appropriate care before costs escalate—particularly important given that members with comorbid behavioral health conditions cost 2-6x more.
How can health plans prevent avoidable behavioral health costs?
Health plans prevent inappropriate spending related to ineffective treatment of behavioral health by matching members to the right level of behavioral health care to reduce avoidable acute utilization—the heart of effective behavioral health management. NeuroFlow’s intelligent behavioral health provider matching routes members based on clinical acuity, condition category, and likelihood of engagement, while proactive risk identification surfaces rising need before it becomes a crisis. The impact is measurable: Members who were connected to care through NeuroFlow’s referral management technology were 43% less likely to have a behavioral health-related inpatient admission and 33% less likely to use the emergency department for a behavioral health issue—shifting spend away from the most expensive, least appropriate settings.
How does behavioral health risk stratification work for health plans?
Behavioral health risk stratification works by using multi-source data to identify and prioritize members by behavioral health risk, rather than relying on a single data point or a generic population-health tool. NeuroFlow draws on omnichannel assessments, provider-submitted data, and claims data to flag members with undiagnosed or rising risk before crisis. Because the model is behavioral-health-specific, it more accurately surfaces the members most likely to drive avoidable cost—enabling plans to target outreach and behavioral health management resources where they matter most.
How do you close behavioral health care gaps for HEDIS measures?
NeuroFlow supports closing behavioral health HEDIS gaps by automating screening, follow-up, and engagement around the measures that matter, especially the 7- and 30-day follow-up measures after a behavioral health-related visit. NeuroFlow supports members after ED and inpatient discharge with automated outreach, assessments, and digital behavioral health content, keeping members engaged during the critical follow-up window. Continuous multi-channel screening also surfaces gaps earlier, so members are identified and re-engaged before a measure closes unmet.
The impact of this approach has been demonstrated in practice. At Bergen New Bridge Medical Center, Neuroflow helped increase behavioral health and substance use screening rates from 5.8% to 81.6%, resulting in a 14x increase in quality measure compliance and an anticipated 3:1 Annual ROI. By making it easier to identify needs, engage members, and connect them to appropriate care, Neuroflow helps health plans improve quality performance while supporting better outcomes.
How does NeuroFlow help health plans improve behavioral health provider network performance?
NeuroFlow improves provider network decisions by providing visibility into provider quality and outcomes. With BHIQ, Neuroflow analyzes existing claims and supplemental data to identify which providers are delivering the best outcomes, where network gaps exist, and where opportunities for improvement remain. These insights help plans make evidence-based decisions about network composition, value-based care arrangements, and quality incentive programs. Because BHIQ leverages data that plans already own, implementation is fast and does not require new data collection or provider workflows. The result is a more effective behavioral health network, stronger provider accountability, and better member outcomes. For example, one national payer worked with NeuroFlow to design a pay for performance program which resulted in a 73% increase in 7-day follow-up rates after a behavioral health ER visit, and a 44% increase in 7-day follow-up rates after a behavioral health inpatient admission.