Close behavioral health gaps without adding clinical burden.
Nudge helps primary care teams screen for behavioral health concerns, follow up between visits, and track patient progress, all without hiring a specialist.
Primary care is the front door for behavioral health
Most patients with behavioral health needs first present in primary care. But PCPs have limited time, limited training in mental health interventions, and almost no way to follow up between visits.
The result is screening without follow-through. A PHQ-9 flags moderate depression, the patient is referred to a specialist they never see, and the PCP has no visibility into what happens next. Collaborative care models have proven ROI, but they require structured between-visit engagement most practices cannot sustain manually.
Adults with mental illness receive no treatment
Among 61.5 million U.S. adults with any mental illness, 48% did not receive any mental health treatment in the past year.
SAMHSA NSDUH, 2024Physicians experiencing burnout symptoms
43.2% of physicians reported at least one burnout symptom in 2024. Those with insufficient documentation time are 2.8x more likely to burn out.
AMA / Mayo Clinic Proceedings, 2024Hours on paperwork per hour of patient care
Clinicians spend approximately 2 hours on electronic documentation and clerical tasks for every 1 hour of direct patient care.
Annals of Internal Medicine, 2023How Nudge works for primary care
Structured behavioral health follow-up that runs alongside your existing care model.
Automated screening follow-up
When a PHQ-9 or GAD-7 flags a concern, Nudge starts a follow-up workflow automatically. No manual outreach required.
Medication monitoring
Track medication adherence, side effects, and mood changes between visits with brief, patient-friendly check-ins.
Symptom trend tracking
Longitudinal symptom data feeds into your dashboard. See whether patients are improving, stable, or declining.
RTM & BHI billing
Automated eligibility tracking for RTM and Behavioral Health Integration codes. Monthly billing reports ready to submit.
Integrated into primary care workflows
From screening to follow-up to billing. Nudge handles the between-visit layer so your team can focus on in-office care.
From flag to follow-up in minutes
PHQ-9, GAD-7, and custom screening results trigger automated workflows. Patients receive structured follow-up starting the same day, with branching based on severity.
Track what matters between visits
Brief weekly check-ins track mood, medication adherence, and functional status. Trends are classified automatically as improving, stable, or declining.
Your behavioral health command center
See all patients with active behavioral health workflows at a glance. Filter by risk level, engagement status, and billing eligibility.
The economics of collaborative care
Integrating behavioral health into primary care isn't just better medicine. It's better business. Structured follow-up reduces ED visits, hospitalizations, and total cost of care.
Return on collaborative care investment
Collaborative care models integrating behavioral health save approximately $6 for every $1 invested, with 11% fewer hospital admissions and 23% fewer ED visits.
JAMA Network Open, 2025Employer behavioral health ROI
Every $100 invested in employer-sponsored behavioral health programs was associated with a $190 reduction in medical claims costs in the first program year.
JAMA Network Open, 2025Annual cost of medication non-adherence
Morbidity and mortality from poor medication adherence costs the U.S. healthcare system an estimated $528.4 billion annually in avoidable hospitalizations and preventable deaths.
Annals of Pharmacotherapy, 2023A typical patient journey
From screening to ongoing monitoring. Automated, documented, and billable.
Screen
Patient completes PHQ-9 or GAD-7 during a routine visit. Score triggers the appropriate follow-up workflow.
Enroll
Patient opts into between-visit monitoring via SMS, email, or web portal. Consent is documented automatically.
Monitor
Weekly check-ins track mood, medication adherence, and functional status. Branching logic adapts based on responses.
Alert
Declining trends or risk flags surface automatically in the provider dashboard. No alert fatigue from low-value notifications.
Review & Bill
Structured review forms document clinical time. Eligibility for RTM and BHI codes is tracked automatically.
Built for regulated environments
Primary care practices face overlapping compliance requirements. Nudge is designed to support documentation, consent, and audit requirements from day one.
"The fact that everything is logged, opt-outs are instant, and each therapist only sees their own caseload made compliance conversations with partners straightforward."
Founder, KuduCare
Documented consent
Patients provide consent before enrollment with clear records of what they agreed to and when.
Full audit trail
Every interaction, opt-in, opt-out, and data access event is logged with timestamps.
Provider-scoped access
Each provider sees only their assigned patients. Role-based permissions enforced at the API level.
HIPAA-aligned architecture
Data handling, access controls, and multi-channel delivery designed around HIPAA minimum necessary standards.
Instant opt-out
Patients can unsubscribe at any time. Workflows pause automatically and the event is recorded.
Expected outcomes
Close care gaps
Follow through on behavioral health screenings with structured, automated support.
Reduce ED visits
Catch deterioration early through between-visit monitoring instead of crisis response.
Support medication adherence
Brief check-ins surface side effects and missed doses before they become problems.
Generate new revenue
RTM and BHI billing for between-visit monitoring and collaborative care.
"We went from chasing patients with phone calls to having every patient get the same quality of follow-up without anyone on the team touching it."
Founder, KuduCare
See how Nudge works for primary care
Book a walkthrough and we'll show you how Nudge integrates behavioral health follow-up into your practice without adding clinical burden.
Get in touch