A plain walkthrough of how Curated works — the gap most plans live with, the model in four steps, what an employer actually gets, and the warranty that stands behind it.
A member calls the number on the back of their card. They get a list. Nobody vetted those programs on outcomes. Nobody checks whether the level of care matches the clinical need. Nobody follows up 30 days later to see if it worked. They aren't failing to seek care — they're being routed into a system that can't receive them.
Four moves close the gap between where the member is and where they need to be.
Every facility in the network is credentialed on clinical outcomes, not just licensure — completion rates, readmission rates, 90-day sustained engagement. Programs that can't demonstrate results don't get in. Continuum is the first named SUD node inside the network: virtual buprenorphine continuity, vetted on retention, routed to like any other program.
Outcome-based credentialingA licensed clinical navigator is assigned at intake and matches the member to the right program at the right level of care. She confirms program fit, coordinates the referral, monitors engagement, and briefs the next program at every transition — no gap, no repeated intake. Not a call center. Not rotating staff. One person per member, for as long as they're covered.
One navigator, permanentCare is sold as a bundled episode with a single price set before treatment begins — warranty reserve included. Centers of excellence replaced per-procedure billing with bundled pricing years ago; Curated applies the same model to behavioral health. The member pays nothing at the point of care.
Bundled episode · $0 member cost-shareEvery episode is tracked to outcome: 30-day readmission, 90-day engagement, program completion, with PHQ-9 and AUDIT-C captured at intake, discharge, and 90 days. Then Curated stands behind the routing with a 30-day readmission warranty. Accountability is the difference between a fee and a warranty.
Measured · warrantedA walkthrough of a single episode chain — 174 days, seven events, one navigator who never resets. Watch the PHQ-9 depression score fall as the chain holds together.
Worsening depression and alcohol use. Navigator M.R. assigned at intake.
Curated-vetted residential, ASAM Level 3.5. Bundle price locked before care begins.
Engaging in group therapy. Medication adjustment working.
Same-day transition. No gap, no new navigator, no repeated intake. M.R. briefs the IOP team.
Third program, same navigator, same continuous record.
Employed, stable. No readmission. The warranty never had to trigger.
This chain is illustrative. It represents the designed care model — the names, scores, and timelines are not historical patient data.
No per-session surprises. The warranty protects the plan. The dashboard shows every active episode.
Platform, risk stratification, and navigator assignment. Member cost-share is $0 at the point of care.
A single bundled price for the episode chain, warranty reserve included, locked before care begins.
Your benefits team sees every active episode and its phase, plus quarterly outcome reporting — PHQ-9, AUDIT-C, completion, and readmission.
Curated earns when outcomes improve against your baseline — aligned incentives, not a flat fee with no accountability.
Not a performance guarantee buried in a rider. A contractual warranty, reserved on our books, triggered by claims data — on SUD residential and acute psychiatric, the two categories where routing quality has the most measurable impact. Our margin depends on getting the routing right.
The member got one navigator who stayed. The programs were vetted on results, not just licensure. The price was set before care began. The outcome was measured — and warranted. That is the whole model: someone is finally responsible for what happens next.
1 HHS OIG, "Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers," OEI-02-23-00540, 2025. Of inactive behavioral health providers, 72% should not have been listed in the directory at all.
2 Heslin KC, Weiss AJ. "Hospital Readmissions Involving Psychiatric Disorders, 2012." HCUP Statistical Brief #189. AHRQ, 2015.
3 SAMHSA, "National Survey on Drug Use and Health," 2023. Among adults with mental illness, 47.2% received treatment.
4 NCQA, "Behavioral Health Quality Measurement," 2024. HEDIS measures FUH and FUM remain core benchmarks. Curated outcome reporting includes PHQ-9, AUDIT-C, program completion rate, 30/90-day readmission rate, and navigator engagement metrics.
Sarah's episode chain is illustrative — it represents the designed care model, not historical patient data.