What Your EHR Actually Costs You | Part 1

When someone finally works up the courage to call for help, who answers? In part two of this MasterMined OG series on the behavioral health technology stack, host Mark Scrivner and co-host Lee Pepper move from the system of record to the front door: the phone, the AI agent that may or may not answer it, and the marketing stack sitting behind both. Lee, former CIO and CMO at Foundations Recovery Network and now an admissions trainer, explains why a 30% answer rate is a leadership problem. The two also cover where AI voice and chat agents fit today, what Part 2 means for call recordings and voice vendors, and how lead generators, Performance Max, and LegitScript can cost a center its paid channels overnight. Both hosts say up front where they have a stake: Lee sells admissions training and Snapshot is a marketing agency. Behavioral health leaders will come away knowing what to automate, what to protect, and what to ask every vendor before signing.Show Notes + Resources: https://masterminedpodcast.substack.com/Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.comOur Sponsor - Snapshot: https://snapshot.agency/Follow MasterMined: https://snapshotinteractive.com/mastermined#MasterMinedPodcast #BehavioralHealth #TreatmentCenter #HealthcareAI #BehavioralHealthLeadership #AddictionTreatment #HealthcareCompliance

What does your EHR actually cost once you add implementation, data migration, and your clinical team’s time? Most operators find out after they sign.In this OG episode of MasterMined, host Mark Scrivner sits down with co-host Lee Pepper, who held both the CIO and CMO seats at Foundations Recovery Network through its acquisition by UHS and later at The Meadows. They dig into the system every operator pays for and almost nobody negotiates: the EHR. The conversation covers objective RFPs, cutting through “market leader” claims, pricing signals, hidden team costs, legacy data, vendor consolidation, private equity ownership, and AI. Behavioral health leaders will walk away with a practical playbook for choosing technology that fits their process, not the other way around.Learn More & Connect:Show Notes + Resources: https://masterminedpodcast.substack.com/Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/healthConnect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.comOur Sponsor - Snapshot: https://snapshot.agencyFollow MasterMined: https://snapshotinteractive.com/mastermined#MasterMinedPodcast #BehavioralHealth #EHR #TreatmentCenter #BehavioralHealthLeadership #HealthcareIT #HealthTech

What happens to the person who calls your treatment center at 11 PM and gets a voicemail? For most organizations, that person is gone for good.Geoff Nudd, CEO and Co-Founder of Anonymous Health, joins Mark Scrivner and Jeff Skillen in the Nashville studio during the BH Tech Conference. They talk about how clinically trained AI is changing the way behavioral health providers answer calls, engage web visitors, and support admissions teams. Geoff covers his move from home care software to addiction care, the story behind the Anonymous Health name, and why voice AI drives 2 to 3X more admissions than answering services. He also explains where AI should never replace human connection. Behavioral health leaders will come away with a clear view of where admissions leak revenue and patients, and what it takes to close those gaps without losing the human core of care.Learn More & Connect:Read MasterMined on Substack: https://masterminedpodcast.substack.com/Connect with Geoff Nudd: https://www.linkedin.com/in/geoffrey-nudd-7501b9/ | https://anonymoushealth.com/Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agencyConnect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.comOur Sponsor - Snapshot: https://snapshot.agencyFollow MasterMined: https://snapshotinteractive.com/mastermined

What happens when the seal that signals legitimacy becomes easy to fake? And who holds the certifier accountable? Mark Scrivner and Jeff Skillen sit down with Naomi Moono, Director of Strategy (Certification) at LegitScript, for a candid conversation about what certification really represents. Naomi addresses fake seals, LegitScript’s advertising standard, how gray-area decisions get made, the shift from policing bad actors to supporting good ones, and the compliance risks AI-generated content is creating. Behavioral health leaders will walk away with a clearer view of how certification works, how to protect their organizations, and how to work with LegitScript instead of fearing it.Learn More & ConnectShow Notes + Resources: https://snapshotinteractive.com/mastermined | https://masterminedpodcast.substack.com/Connect with Naomi Moono: https://www.linkedin.com/in/naomi-moono-406111150/ | https://www.legitscript.com/certification/Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/healthConnect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.comOur Sponsor - Snapshot: https://snapshot.agency#MasterMinedPodcast #BehavioralHealth #LegitScript #AddictionTreatment #HealthcareCompliance #TreatmentCenter #BehavioralHealthLeadership

Americans are drinking less, so is alcohol use disorder declining with them? On this OG episode of MasterMined, Jeff Skillen joins host Mark Scrivner in the guest seat to test a question legacy treatment operators keep asking: has the patient changed faster than the program? They dig into young-adult drinking data, wellness culture, rising cannabis and kratom use, and the surge in online gambling. Behavioral health leaders will walk away knowing what the research supports, what it doesn’t, and a 30-day plan for realigning assessment tools, patient profiles, and clinical capability.Key Moments00:00 – Cold open: the one age group where drinking really dropped00:48 – Jeff steps into the guest seat: has the patient changed faster than the program?02:29 – Signal or noise: Jeff reads Mark the latest alcohol headlines07:12 – Young adults show a real drop in drinking from 2021 to 202413:51 – Kratom and the rise of “gas station drugs”15:48 – Process addictions: online sports betting and gambling among young adults21:17 – Why your assessment tool may be a decade out of date24:57 – Three things treatment operators should do in the next 30 daysData Referenced in This Episode: SAMHSA, 2024 National Survey on Drug Use and Health (July 2025): past-month alcohol use, ages 18–25, fell from 50.9% (2021) to 47.5% (2024)NCS/Circana, Sober Curious Nation & Alcohol Survey (Jan. 2025): non-drinkers cited health (29%), saving money (21%), and mental health (20%)Caulkins, Addiction (2024): 17.7M daily/near-daily cannabis users vs. 14.7M daily/near-daily drinkers in 2022CDC, MMWR (March 2026): kratom poison center reports rose about 1,200%, from 258 (2015) to 3,434 (2025)Yeola et al., JAMA Internal Medicine (Feb. 2025): 94% of U.S. sports wagers were online in 2023; gambling help searches ran 23% above expectedFairleigh Dickinson University Poll (Sept. 2024): 10% of men ages 18–30 screened in the problem-gambling range vs. 3% overall; young women 7%Learn More & Connect:Show Notes + Resources: https://snapshotinteractive.com/masterminedConnect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/healthConnect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.comOur Sponsor - Snapshot: https://snapshot.agency/healthSnapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined#MasterMinedPodcast #BehavioralHealth #AddictionRecovery #SubstanceUseDisorder #TreatmentOperators #HealthcareLeadership

Your marketing is working. Your phones are ringing. So why are calls still going to voicemail? Zachary Blevins, President and CTO of RVK AI, joins Mark Scrivner and Jeff Skillen to break down how AI voice and chat agents help treatment centers capture every inquiry, from the 3:00 AM web visitor to the caller in active crisis. Zach explains how RVK detects crisis calls, why every AI agent should disclose what it is, how embedded video drives admissions through chat, and why integrations should disappear into your existing workflow. Behavioral health leaders will walk away with a clear, practical view of where AI belongs in the admissions process and how to deploy it without losing the human side of care. Key Moments 00:00 – Mark and Jeff welcome Zach Blevins of RVK AI 02:57 – The voicemail problem that inspired RVK AI 19:06 – The biggest misconceptions operators and admissions teams have about AI 23:00 – How AI detects and responds to a real crisis call 25:25 – Implementation, integrations, and why technology should "disappear" 33:49 – Why every AI agent should disclose it isn't human 39:16 – The feedback from Zach's physician wife that changed the product 47:02 – Zach announces his new role as President of RVK AI Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined Connect with Zachary Blevins: https://www.linkedin.com/in/zachary-andre-blevins/ | https://www.rvkai.com/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.com Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #AIinHealthcare #TreatmentCenter #AdmissionsLeadership #BehavioralHealthLeadership #HealthTech

What happens when a drug test gets it wrong? For people in recovery, one inaccurate result can mean dismissal from a program, a return to jail, or a complete breakdown of trust. Mark Scrivner and Jeff Skillen sit down with Zed Dhalla, Co-founder and COO of Topaz Diagnostics, who built his company after losing his brother-in-law Tyler to an overdose. Zed explains why point-of-care testing has moved far beyond the "three-dollar cup," how Topaz became the only company detecting orthomethylfentanyl in its fentanyl test, and why the soft cost of fractured trust may be the biggest risk facilities overlook. Behavioral health leaders will walk away with a sharper understanding of what their testing is missing and what accuracy is really worth. Key Moments 00:00 – Intro 02:39 – Why Topaz is not a lab, and why that matters 04:32 – Zed shares the story of his brother-in-law, Tyler 06:48 – Yes, there is an FDA-approved, CLIA-waived fentanyl test 08:19 – 150 fentanyl analogs and the orthomethylfentanyl blind spot 13:16 – A false positive that sent a person on parole back to jail 24:35 – Zed's cancer diagnosis and the push toward preventative testing 33:31 – The soft cost of broken trust in recovery facilities Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined Connect with Zed Dhalla: https://www.linkedin.com/in/zeddhalla/ | https://topazdiagnostics.com/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ https://www.skillsetenterprises.com Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #AddictionTreatment #DrugTesting #FentanylAwareness #HarmReduction #TreatmentCenter

What happens when the thing you thought would fix you becomes the thing that nearly kills you? Scotti Schecter knows. Before he became one of the most respected names in high-profile addiction recovery, he was a teenage musician signed to a major label, burned out by 18, and eventually homeless on the streets of Los Angeles. In this episode, Scotti joins Mark Scrivner and Lee Pepper to trace that arc: the isolation of fame, the morning he realized his body had stopped fighting for him, and the work that followed, cofounding Sober Companions and serving on the board of the Matthew Perry Foundation. He shares what it actually looks like to walk high-profile families through crisis, why credentials matter less than lived experience, and the phrase he leaves with every client who isn't ready to believe in their own recovery yet. Behavioral health leaders and treatment center operators will walk away with a sharper understanding of trauma-informed companion care and why shared experience is one of the most underused tools in this field. Key Moments 00:00 – Welcome and introduction: Scotti Schecter's two decades in high-profile intervention and trauma work 03:26 – Signed at 16, burned out by 18: the brutal pace of early fame 08:49 – The "suit of armor": how celebrity creates a persona that isolates 21:35 – Rock bottom: homeless in Los Angeles, body breaking down 25:11 – The morning everything changed: "You're dying, even your body has stopped fighting for you" 28:14 – Founding RAID and Sober Companions alongside John West 42:55 – Serving the Matthew Perry Foundation and what his memoir opened up for families 51:45 – Closing wisdom: "Let the fear push you until the hope pulls you" Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined Connect with Scotti Schecter: https://sobercompanions.org/ | https://matthewperryfoundation.org/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.com Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #AddictionRecovery #TraumaInformedCare #SoberCompanions #MatthewPerryFoundation

What happens when the people who look like they have it all together are the ones hiding the most? John West, Co-Founder of The Guest House Ocala and Sober Companions and Board Chair of High Watch Recovery Center, joins Mark Scrivner and Lee Pepper to talk about building safe, attachment-based treatment environments for people navigating trauma, addiction, and high-visibility lives. John shares his own path into the field following his father's sudden death, how a 50-acre property in Ocala became one of the country's most exclusive private treatment estates, and why his staff of "OGs" is central to how the model works. The conversation moves from personal loss to hard operational truths about insurance reform, access, and the gap between treatment capacity and national need. Behavioral health leaders and executives will come away with a clearer picture of how safety, staff culture, and family-centered care translate into real clinical outcomes. Key Moments 02:00 – Introducing John West, co-founder of The Guest House Ocala and Sober Companions, and board chair of High Watch Recovery Center 08:42 – John describes becoming "a fully funded alcoholic" within a day of his father's sudden death 13:05 – The "secret sauce" of trauma work: uncovering what you're too afraid to say 15:48 – The origin story of The Guest House Ocala, from a 50-acre property to "follow the butterflies" 19:39 – Why the property is built around attachment, not isolation, in early recovery 26:56 – Inside the "OG" staff culture that shapes The Guest House's care model 30:48 – How Sober Companions functions as an extension of the clinical team, not a replacement for it 47:34 – The insurance reform gap and what it means for the millions who need treatment each year Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined Connect with John West: https://www.linkedin.com/in/johnwestwalsh/ | https://www.theguesthouseocala.com/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.com Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #TraumaTreatment #AddictionRecovery #FamilyRecovery #TreatmentCenterOperations

You know you might be owed money. So what do you actually do about it — without painting a target on your own back? In part two of this conversation, Mark Scrivner, Jeff Skillen, and Lee Pepper bring back trial attorney Devin van der Hahn, founder of Vanderhahn LLP, to walk through the practical side of the MultiPlan (now Clarivate) antitrust litigation. Devin explains why you don't need to have ever subscribed to MultiPlan to be affected, how providers can strategically choose which defendants to name, the hard filing deadlines closing in over the next 12 months, and why he believes a settlement isn't a question of "if" but "when and how much." Listeners will walk away understanding the real risk of retaliation, what a free consultation actually looks like, and what could change industry-wide once this case resolves. Key Moments 00:00 – Recap of part one and today's central question: what to actually do next 02:22 – Why you don't need a MultiPlan subscription to have been affected 06:41 – How providers can strategically choose which defendants to name in a claim 11:43 – The filing deadlines closing in: August '27 and March '28 20:12 – Timeline to settlement: the bellwether trial and what comes after 23:01 – The odds of winning: "not a matter of if, but when and how much" 26:29 – What a free, confidential consultation with Devin's team actually looks like 32:29 – Devin's closing thought: why filing a claim is a public service Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined Background Reading: "Health Insurance and Medical Bills" — The New York Times: https://www.nytimes.com/2024/04/07/us/health-insurance-medical-bills-takeaways.html Connect with Devin van der Hahn: https://www.linkedin.com/in/vanderhahn/ | https://www.vanderhahn.com/ Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner | https://snapshot.agency/health Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/ | https://www.skillsetenterprises.com Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.com Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #AddictionRecovery #OutOfNetworkReimbursement #HealthcarePolicy #TreatmentCenterFinance