Addiction to opioids, alcohol, and other drugs have devastating individual and family effects and too often end lives prematurely while driving enormous inefficiency in health care. Unlike many other chronic conditions — where “standards of excellence” inform consumers, health systems, and payers about best practices and services that should be available — today’s recovery services are delivered through a method often lacking alignment or integrated economic structures that incentivize long-term recovery. In late 2016, the U.S. Surgeon General issued the seminal “Surgeon General’s Report on Alcohol, Drugs, and Health: Facing Addiction in America.” The report issues a call for mainstream health systems to begin integrating substance use services was afforded an entire chapter. In response, organizations have formed the Alliance for Addiction Payment Reform (Alliance) to: Provide guidance, recommendations, and tools for the development of integrated delivery models of care for addiction; Collectively champion payment reform and shifting towards value-based purchasing in addiction care; and Advance value-based models nationally through private and public channels. ​ The Alliance, comprised of dozens of health care institutions and professionals, developed the Addiction Recovery Medical Home Alternative Payment Model (ARMH-APM) to establish a structure that promotes the type of integration and patient care capable of producing improved outcomes for patients, payers, and health systems long-term by aligning all incentives. The ARMH-APM was initially developed by a multi-sector process convened by Leavitt Partners, Facing Addiction with NCADD, and Third Horizon Strategies and published in 2018. In 2019, Third Horizon Strategies continued to manage the work on behalf of the Alliance and released an updated paper coinciding with the announcement of pilot explorations of the model in local markets.

U.S. health care is truly transforming in a very unique and exciting way. Third Horizon Strategies focuses on the confluence of key market trends and signals that indicate how the health care ecosystem will operate in the future. This “third horizon” vision is critically important to organizations making serious strategic, investment, and partnership decisions that will fundamentally shift the way key assets are managed and deployed. Together, policy makers, market stakeholders, and consumers will shape a future system that actualizes common access to health care, improved efficiency, and sustainable culture of health. Third Horizon Strategies provides the strategic planning, intelligence sharing, and collaborative problem-solving necessary to arrive at that future state.

Array’s OnDemand Care service delivery model provides timely access 24/7 to a team of psychiatrists and/or LCSWs and behavioral health specialists for risk assessment, consultation, screening evaluation, initiation and management of treatment, case management and disposition.

Who we are 

Array Behavioral Care is a virtual psychiatry and therapy practice that was founded by clinicians more than 23 years ago. We employ and closely manage a large team of licensed psychiatrists, therapists, and behavioral health specialists who use evidence-based assessment tools and treatment protocols to provide high-quality, standardized care. Our clinicians are supported by administrative and technical teams and overseen by engaged, experienced clinical leaders ensuring they deliver care that is effective, safe, and clinically appropriate. 

What we’re not 

We are not a technology platform, a network of 1099 contracted providers, or an Uber-like model where clinicians work gigs. We are not a staffing company or a locums tenens group, and our utility extends beyond simple clinician capacity. The impact of our programs is tangible, and we can predict with confidence what metrics will be improved. 

How we got here 

Array was born out of a bricks-and-mortar behavioral health practice in southern New Jersey that still exists today. In 1999, Founder and current Executive Chief Medical Officer, Dr. James R. Varrell, provided the nation’s first commitment via telepsychiatry. After that first encounter, we started using telehealth to deliver psychiatry coverage to local hospitals. Our telepsychiatry service offerings quickly grew into new care settings and new states. While we now have a national scope, we’re still a closely managed practice and the only one delivering virtual behavioral health services across the entire continuum of care. 

Third Horizon Strategies is a Chicago-based, boutique advisory firm focused on shaping a future system that actualizes a sustainable culture of health nationwide. The firm offers a 360º view of complex challenges across three horizons – past, present, and future– to help industry leaders and policymakers interpret signals and trends; design integrated systems; and enact changes so that all communities, families, and individuals can thrive.