Cartesian Solutions Inc. Case Study

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“Evidence combined with the growing recognition that physical, mental, substance abuse and social challenges are interrelated-has led to calls to integrate behavioral health care into primary care services.” (Klein & Hostetter, 2014, p. 9) Behavioral health and substance abuse treatment in the primary care office is rare and in some cases non-existent. This is mostly due to no or little financial incentive or administrative advantages to integrating these services within the primary care office. Dr. Roger Kathol, M.D. president of the Cartesian Solutions Inc., believes the biggest obstacle in integrating mental health and substance abuse treatment into the primary care office is low payment from payers. Payers use separate provider networks,

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