Behavioral health patients present unique challenges because of the common co-occurrence of multiple Behavioral Health and medical problems.  Failure to integrate across care systems is costly to both payers and providers.  For example, substance use patients have a 6 times greater healthcare spend than the general population and families of these patients spend about 3 times more than the general population.   Organizations that can directly address this issue will solve payer problems of cost and improve health outcomes for patients.  Value-based and at-risk contracts have been proposed as a solution to create common goals and incentives for providers, payers, and patients.  This presentation will guide owners, investors, and stakeholders in conversations addressing these important issues.