From Empty Slots to Full Bookings: Solving No-Shows in Behavioral Health
Dr. Edisa Shirley reveals why top behavioral health practices prioritize operational KPIs over patient acquisition to capture $125K+ in hidden revenue.
Guest: Dr. Edisa Shirley
Dr. Edisa Shirley brings over a decade of behavioral healthcare operations expertise to this conversation. As Chief Mental Health Officer at ClinicMind, she's led multi-state behavioral health platforms, directed M&A integrations for organizations acquired by Optum Behavioral Care, and founded an EBV consulting firm partnering with private equity firms on growth strategy and operational diligence. Her background spans frontline clinical work as a licensed mental health counselor to executive leadership scaling service lines. She holds a doctorate in Industrial-Organizational Psychology with research focused on how leadership impacts provider wellbeing and patient outcomes.
Episode Overview: As behavioral health consolidation accelerates and provider shortages persist, industry leaders are discovering that growth comes not from adding capacity but from optimizing what already exists. Dr. Edisa Shirley, who has led operations for platforms acquired by major healthcare organizations, shares the systematic approach top-performing practices use to convert administrative chaos into $125K+ annual revenue gains through five operational KPIs rather than traditional patient acquisition strategies.
Critical 2025 Context:
Post-COVID behavioral health demand is at record levels while access remains fragmented
Credentialing delays averaging 120+ days, creating provider capacity gaps
Payer fragmentation across 50 states with inconsistent billing requirements
Leading practices capturing 80%+ of scheduled visits, while most lose 20% to no-shows
Key Takeaways:
[00:00 - 03:03] The State of Behavioral Health Post-COVID
[03:03 - 07:17] Top Three Pain Points: Credentialing, RCM, Patient Engagement
[07:17 - 12:00] Payer Fragmentation and State-by-State Complexity
[12:00 - 16:13] ClinicMind's Integrated Platform Approach
[16:13 - 19:51] No-Show Mitigation Strategies for Behavioral Health
[19:51 - 22:29] Scaling Practices vs Crisis Mode Operations
[22:29 - 25:07] Five KPIs Every Practice Owner Must Track
[25:07 - 27:26] Turnaround Story: The $100K Unfiled Claims Discovery
[27:26 - 30:02] The $100K EBITDA Question: Three Immediate Fixes
Resources Mentioned
ClinicMind - Cloud-based EHR and practice growth suite for behavioral health
Refresh Mental Health - Multi-state behavioral health operation (acquired by Optum)
Beacon Behavioral Partners - Behavioral health platform
Jade Health - Behavioral health organization
Full conversation on Healthcare100.
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