Who We Are

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.

We focus on models that fit real-world clinics: limited resources, full schedules, and competing demands—but a strong commitment to patient care.

Who We Serve

We primarily work with:

• Rural and small-system Primary Care / Family Medicine clinics
• Practices that see growing behavioral health and social-needs complexity in their patients
• Clinics that want to expand Behavioral Health services without creating an unsustainable cost center

What We Do

We help your clinic:

• Conduct readiness and needs assessments
• Understand your current capacity, patient needs, workflows, and constraints.
• Develop customized operational and clinical workflows
• Integrate Behavioral Health into everyday practice rather than bolting on a separate silo.
• Provide financial modeling to ensure revenue-positive implementation
• Use realistic assumptions—not wishful thinking—to design a sustainable service line.
• Identify patients whose unmet behavioral health or social needs drive excess utilization
• Focus on patients where better Behavioral Health support can meaningfully change outcomes and costs.
• Determine the optimal number and type of Behavioral Health clinicians for your setting
• Often requires no new full-time hires
• Staffing is based on actual demand, not assumptions
• Recruit and vet Behavioral Health specialists for your clinic
• Clinicians are selected for both clinical skill and fit with your practice culture.
• Train staff and clinicians for coordinated, efficient care
• Give your team the tools and workflows they need to work together effectively.
• Monitor clinic-specific KPIs to support ongoing success
• Track results and adjust as needed rather than “set it and forget it.”

Finances

We charge a fixed, consultation and training fee. The fee covers about 40 hours of staff training and implementation services to get you to launch, and an additional five hours of consultation post-launch to fine tune.

In the Third Rail model, the clinic hires or contracts with Behavioral Health specialists and retains the revenue they generate. You will begin to cash-flow positively in about month three.

Program design is anchored in:

• Hundreds of published studies documenting the feasibility and success of integrated care.
• Transparent financial modeling
• Realistic assumptions about demand
• Attention to payer mix and local constraints
• Starting in about the third month, the program becomes and remains revenue-positive for your clinic after clinicians and program costs are paid.

Our Approach

Our approach blends:

• Evidence-based practice
• Practical operations support
• AI-assisted analysis where useful

Together, these elements help clinics implement and operate a sustainable BHI program—usually achieving net-positive revenue within the first several months when the model is followed as designed.

Let’s Talk