Commentary: I recently led an effort to organize four health systems into one Accountable Care Organization collaborative with the ambitious goal of delivering value-based care to approximately 80 percent of the population in Vermont, New Hampshire and Maine. As is common in other ACOs, we relied on some of the most advanced tools and analytics I’ve seen in my career to stratify populations, track outcomes and improve care coordination.

From our initial efforts, I eventually realized that the historical divide between the physical and behavioral healthcare delivery systems results in siloed and suboptimal care, and that was a leading contributor to poor outcomes. This suboptimal care contributes to a much higher incidence of physical health conditions, and vice versa, and the compounding effect is astronomical.

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