Value-Based Care

The behavioral health groups winning value-based contracts are the ones who can prove it.

Payers are shifting to value-based arrangements faster than most practices are ready for. Shared savings, pay-for-performance, and PMPM contracts all require one thing your current EHR can't give you: a clear, continuous picture of patient outcomes.

71%

of patients across OutcomesAI practices show PHQ-9 remission within 90 days

The shift is here

Value-based care is no longer a pilot program in behavioral health. Commercial payers, Medicaid managed care organizations, and integrated health systems are actively structuring contracts around measurable outcomes—not just visit volume.

React

Wait for contract renewals and scramble to find the data. Hope your EHR can export something useful.

Lead

Walk into every negotiation with longitudinal outcomes data already in hand. Negotiate from evidence, not reputation.

OutcomesAI puts you on the second path.

Quality Measures

NCQA and HEDIS-aligned measures,
tracked automatically

OutcomesAI maps directly to the clinical quality standards payers and health systems use to evaluate behavioral health performance.

Measure
Tracks
HEDIS / NCQA Alignment
How OutcomesAI Uses It
PHQ-9
Depression
DRR-E (Depression Remission or Response), AMM (Antidepressant Medication Management)
Auto-scores every visit, tracks remission at population level, exports response/remission rates for payer reporting
GAD-7
Anxiety
Commercial VBC arrangements, employer plan quality metrics, state Medicaid managed care
Longitudinal anxiety trending, early identification of patients escalating toward higher-cost care settings
PCL-5
PTSD
VA/DOD quality frameworks, specialty BH contracts, commercial carve-outs
Population-level PTSD outcome tracking for veteran programs, trauma-specialized contracts, and payer-specific quality metrics
C-SSRS
Suicide Risk
NCQA BHI standards, Joint Commission requirements, CMS IBH Model, payer risk stratification
Systematic safety protocol documentation across all providers and locations, CMS IBH compliance, risk stratification reporting
PHQ-9 Depression

Track PHQ-9 scores at every visit, measure remission rates across your patient population, and demonstrate depression response and remission at the thresholds payers recognize — 50% symptom reduction (response) and PHQ-9 < 5 (remission). DRR-E is an active NCQA HEDIS measure and an increasingly common VBC quality metric for commercial and Medicaid managed care contracts.

Threshold: 50% symptom reduction (response), PHQ-9 < 5 (remission)
GAD-7 Anxiety

The GAD-7 is not currently a standalone HEDIS measure but is increasingly specified in commercial VBC arrangements and employer-sponsored behavioral health contracts as a standard anxiety outcome measure. Monitor anxiety trajectories over time and identify patients trending toward higher-cost care settings.

Threshold: 50% symptom reduction, GAD-7 < 5
PCL-5 PTSD

PCL-5 tracking positions your group for contracts with veteran populations, trauma-specialized programs, and payers building PTSD-specific quality metrics into their arrangements.

Threshold: PCL-5 reduction ≥ 10 points
C-SSRS Suicide Risk

Standardized C-SSRS tracking demonstrates a systematic safety protocol across your entire organization — a differentiator in health system partnerships and an explicitly required screening component under the CMS Innovation in Behavioral Health (IBH) Model for participating practices.

Threshold: Systematic screening documentation

Contract Negotiation

Stop negotiating on reputation. Start negotiating on evidence.

When you sit down with a payer or health system, OutcomesAI gives you the data they're asking for—before they ask.

Population-level outcomes data

Depression remission rates, anxiety response, risk trends across your entire patient panel.

Longitudinal tracking

Not just a snapshot — a continuous record of how your patients progress over time.

Benchmarking

Understand where your highest-performing providers and locations are driving results.

Contract-ready reporting

Export the exact metrics your payer needs, in the format they expect.

Built for behavioral health groups

OutcomesAI connects directly to your existing EHR—no rip and replace, no manual data entry. Your clinicians keep working the way they work. The outcomes intelligence layer runs in the background, aggregating data across every provider, every location, every visit.

For DSOs and multi-site groups, this means a unified view of performance across your entire organization—and the ability to identify which sites and providers are driving the best outcomes.

HIPAA Compliant
EHR-Agnostic
Multi-Site Ready

Value-based contracts reward the groups
who can prove their outcomes.

OutcomesAI makes that proof automatic.

No commitment. See results with your own data.