Integrated Behavioral Health
for Rural and Small-system
Primary Care Clinics

 

Evidence-based, Timely, Coordinated with

Primary Care - Revenue positive

 

 

 

When you click the button above, your Behavioral Health Integration Guide (PDF) 

will downloadautomatically to your device. No sign-in required.

The Third Rail Solution

A better track to Behavioral Health integration

Third Rail Integrations helps rural and small-system Primary Care clinics build and sustain Behavioral Health Integration (BHI) programs that improve patient outcomes, reduce provider burden, and generate meaningful net revenue for the clinic.
 

What We Do

  • Conduct readiness and needs assessments
  • Develop customized operational and clinical workflows
  • Provide financial modeling to ensure revenue-positive implementation
  • Drive behavioral health revenue to Primary Care rather than to outside vendors
  • Identify patients whose unmet behavioral health or social needs drive excess utilization
  • Determine the optimal number and type of BH clinicians for your setting
  • In the Third Rail model, the clinic hires or contracts with behavioral health specialists and retains revenue they generate
  • Staffing is based on actual demand, not assumptions
  • Program remains revenue-positive for your clinic after clinicians are paid
  • Recruit and vet Behavioral Health specialists for your clinic
  • Train staff and clinicians for coordinated, efficient care
  • Monitor clinic-specific KPI’s to support ongoing success


Our approach blends evidence-based practice, practical operations support, and AI-assisted analytics to ensure clinics can implement and operate a sustainable BHI program—often achieving net-positive revenue within the first several months.

For more information, contact us at info@thirdrail.info or visit www.ThirdRail.info.

We know that you often
struggle to find Behavioral
Health resources for your
patients who need them.
What if they were right there
in your practice, available in a
timely manner, insurance eligible,
revenue positive,  and coordinated
excellently with your other services?

 

        

THIRD RAIL DELIVERABLES

 

Implement all operatons and logistics

 

Readiness and needs assessment

 

Financial modeling and billing operations

 

Workflows for optimum operations

 

Proprietary algorithms for optimal staffing 

 

Recruit and vet Behavioral Health clinicians - right type, right number

 

Train medical and admin staff Champions

 

Develop, monitor and improve KPI's`

WHY INTEGRATION ... WHY THIRD RAIL?

 

More than 2,900 papers published in refereed joiurnals document superiority of Integrated Care over traditional (siloed) care across a wide range of patient populations in terms of satisfactoriness, efficacy, and sustainabiity.

 

There are more than 294,000  Primary Care practices in the U.S. - fewer than 7% of them report adequate access to integrated BH services

 

Undetected BH conditions promote substantial suffering. 

 

They also undermine effective management of co-existing other chronic illnesses and inflate the treatment costs thereof

 

The American Academy of Family Practice has identified Integrated Behavioral Health as the "Gold Standard" of Family Practice

 

We help you overcome typical barriers and make integration

available to Primary Care and Family Practice clinics

 

Our solution is Practical, Evidence-based, and Revenue Positive  ...  different from most of what is currently available elsewhere.

 

If you've delayed integration we can help you  make it happen.

________________________

 

"We cannot solve our problems by using the same thinking we used to create them"

-- Albert Einstein

WORKFLOWS

We provide proven workflows, and train your staff, to insure seamless and successful implementation in your practice. 

 

 

Experience and research demonstrate that proper workflows are essential to success of Behavioral Health Integration.

STAFFING 

Our vetted staffing algorithms guide you to assure that you  have sufficient coverage by the right type and number of BH clinicians.

 

Your patients will access service within 24 - 48 hours. We support you iin recruiting and conttracting with those clinicians.

REVENUE

Our Integration model drives Behavioral Health revenue to you, rather than to an outside vendor. 

 

 

 

Our financial modeling will allow you to predict accurately the increased net revenue to you after implementation.

Value Proposition of Behavioral Health Integration

For your patients, for your practice, for you

 

Integrating Behavioral Health into Primary Care isn’t just good medicine — it’s good business. Here are ten reasons why more practices are making integration a strategic priority:

 

1.  Improved Patient Outcomes – Early detection and coordinated treatment enhance clinical results.

2.  Reduced Stigma – Patients  see behavioral health as part of normal medical care.

3.  Shorter Wait TimesOn-site access replaces long referral delays.

4.  Better Chronic Disease Management – Mental health integration supports treatment adherence.

5. Enhanced Team Communication – Shared workflows and records improve care coordination.

6.  Higher Clinician Satisfaction – Integrated models reduce burnout and increase teamwork.

7.  Lower Total Cost of Care – Prevention and early intervention reduce costly crises.

8.  Revenue Growth – New billable service lines strengthen financial sustainability.

9.  Improved Population Health – Systematic screening and measurement-based care improve quality scores.

10. Stronger Practice Competitiveness – Integrated clinics are better positioned with payers and patients.

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