Mental Health & Addiction

Enhancing behavioral health prevention, treatment, and recovery systems of care to improve outcomes

Capitol Hill Briefing on Paying for Outcomes in Addiction Recovery Services (February 26, 2020).

Third Horizon Strategies understands that behavioral health is critical to overall health. Federal and state legislative changes, incentives for payers and providers to integrate behavioral and physical health, and increasing demand for services are changing how mental health and addiction services are paid for. Too often care delivery systems are not poised with the work force capacity, infrastructure, or financial incentive to provide comprehensive care to individuals across the behavioral health spectrum. The firm helps organizations identify innovative care models and form nontraditional partnerships to promote community behavioral health and integration, improve outcomes, and drive down the total cost of care. Since 2018, the firm’s leadership has supported the work of the Alliance for Addiction Payment Reform – an alliance focused on developing strategies to establish a structure that promotes an integrated treatment and recovery network.

Recent Thought Leadership

Expanding Access to SUD Treatment and Services

The Affordable Care Act (ACA) expanded Medicaid coverage to nearly all adults with incomes up to 138 percent of the Federal Poverty Level ($20,120 for an individual in 2023) and provided states with an enhanced federal matching rate (FMAP) for their expansion...

Systemic Approaches to Behavioral Health Crisis Services

According to Mental Health America’s 2023 State of Mental Health report, 21 percent of adults are experiencing a mental illness yet 55 percent of those (equating to more than 28 million Americans) do not receive treatment. Recent data from the Centers for Disease...

For more thought leadership, check out our blog!

What We Do

Customized Coaching & Strategy

Provide strategic planning and leadership coaching on change management for organizations, help providers navigate complex regulatory and licensing processes, and advise private philanthropy on behavioral health grantmaking strategy

Delivery System Redesign

Facilitate robust stakeholder engagement processes, research and evaluate care models, and provide recommendations and implementation support to improve publicly funded behavioral health services and crisis care

Market Insights

Conduct environmental scans, data analytics, focus groups, and key informant interviews to ascertain gaps, demand, and opportunities to enhance mental health and addiction prevention and treatment


Host congressional briefings and advocate convenings to inform and advance policies; conduct analyses on budget implications, service delivery, and payment reform efforts at the local, state, and national level

Lead Contact

Mindy Klowden

Managing Director for Behavioral Health

Mindy Klowden, MNM is a national consultant, leader, and strategist in behavioral health and integrated care. As the managing director for behavioral health, she provides overall stewardship over THS’ behavioral health and community health consulting practice areas and strategy. Mindy also manages client relationships and deliverables, conducts research and policy analysis, and provides strategic consulting and expert facilitation services to state and local government agencies, health systems, safety net providers, payers, and associations.



Explore our other specialties

Community Development

Advancing the health and vitality of our most vulnerable communities


Partnering with action-oriented commercial insurance entities to redesign how we minimize risk and maximize the health of organizations and individuals

Health Care

Charting a path for all individuals, families, and communities to achieve optimal health