Evidence infrastructure for behavioral health
To payers. To auditors. To funders. To acquirers.
Most behavioral health groups don’t have a growth problem. They have a proof problem — and they discover it on the day someone asks for the numbers.
Take the Evidence Readiness Scorecard — 5 minutes 15 questions. Immediate score. No sales call required.Telehealth now carries the majority of behavioral health encounters. Consolidation is accelerating. Payers have tightened medical-necessity criteria and audit activity has followed. CMS’s ACCESS Model, whose performance period began on July 5, 2026, is one example of that shift: payment increasingly depends on demonstrated results rather than services delivered alone — with a portion of payment withheld until results are shown.
Can you produce defensible data, on someone else’s timeline?
For most groups the honest answer is eventually. Eventually is where the money goes.
A payer requests documentation for a sampled episode of care. Your team spends a week assembling it by hand from three systems. What can’t be produced becomes a repayment.
Outcome-aligned contracts require longitudinal, scored measure data. Organizations that can’t produce twelve months of movement don’t lose the argument — they were never eligible to have it.
An acquirer or lender asks for utilization, retention, no-show, and outcome data across sites. It lives in four systems and one analyst’s spreadsheet. The gap is priced into your multiple.
Clinician capacity sits unbilled because nobody can see it in time to fill it. It never appears on a financial statement, which is exactly why it persists.
A fixed 90-day engagement that turns your operation into something you can show people.
After the install: a monthly retainer covering reporting operations, quarterly narrative production, and — once the dashboards reveal unbilled capacity — compliant patient acquisition to fill it.
Engagements begin at $35,000. We take on a limited number of installs per quarter.
Three capabilities that rarely sit in one firm.
Years of Ryan White Part A and EHE program reporting — quarterly narratives, quality assurance improvement plans, continuity of care and targeted case management documentation. Most marketing firms can’t write this. Most consultants won’t.
Clinical records instrumented into live KPI dashboards. Patient outreach systems with role-based access and privacy controls, in production, in clinical settings. We don’t specify a build and hand it to a vendor — we ship it.
Compliant paid acquisition inside a restricted environment: advertising policy, YMYL content standards, healthcare structured data, and clinical content review. We don’t sell marketing standalone, because marketing into an operation you can’t measure is how organizations waste money confidently.
a behavioral health, telepsychiatry, or substance use organization with roughly 25–250 clinicians; multi-site or multi-state; growing through acquisition, or dependent on payer and grant funding under increasing scrutiny.
a solo or small group practice, looking primarily for marketing services, or seeking a report rather than a working system. We’ll tell you directly, and usually within one call.
Limited engagements at a time. You work with the people who do the work.
The 90-day install is priced up front. No hourly billing, no change orders for scope we should have anticipated.
We build inside your stack and document everything. If you want to take it in-house at the end of the install, that’s a successful outcome.
Business associate agreements are executed before any data access. Access is role-based and least-privilege. Professional liability coverage is in force.
Pierre Montalvo has sat on the provider side of the table: as board president, and as webmaster and social director inside provider organizations that had to produce real reporting under real deadlines. His operating background includes years of federally funded program reporting under Ryan White Part A and Ending the HIV Epidemic (EHE) requirements. That is the vantage point behind New Level Consultants’ evidence-infrastructure work—what breaks when someone asks for proof, and what has to be true before the answer is safe to give.
LinkedIn · He leads the firm from Miami.
No. A compliance audit tells you where you’re out of policy. We tell you what you can and cannot prove, and then we build the thing that closes the gap.
No. We build the layer between the systems you already have and the people who need answers from them.
We can tell you whether your data supports participation, and build the measure capture and reporting infrastructure if you decide to pursue it. Program eligibility decisions and clinical model design stay with you and your counsel. We do not determine eligibility, reimbursement, payer acceptance, or regulatory status.
Most clients move to a monthly retainer for reporting operations and quarterly narratives. Some take the build in-house. Both are fine.
Yes, for install clients — compliant patient acquisition against measured capacity. We don’t sell it standalone.
Fifteen questions. Five minutes. An immediate score across measurement infrastructure, audit defensibility, outcome capability, and diligence readiness — plus your three highest-exposure findings.
Take the Evidence Readiness Scorecard
Or write directly: pierre@nlcfirm.com