MasterMined: A Behavioral & Mental Health Podcast

What happens when the people who look like they have it all together are the ones hiding the most? John West, Co-Founder of The Guest House Ocala and Sober Companions and Board Chair of High Watch Recovery Center, joins Mark Scrivner and Lee Pepper to talk about building safe, attachment-based treatment environments for people navigating trauma, addiction, and high-visibility lives. John shares his own path into the field following his father's sudden death, how a 50-acre property in Ocala became one of the country's most exclusive private treatment estates, and why his staff of "OGs" is central to how the model works. The conversation moves from personal loss to hard operational truths about insurance reform, access, and the gap between treatment capacity and national need. Behavioral health leaders and executives will come away with a clearer picture of how safety, staff culture, and family-centered care translate into real clinical outcomes. Key Moments 02:00 – Introducing John West, co-founder of The Guest House Ocala and Sober Companions, and board chair of High Watch Recovery Center 08:42 – John describes becoming "a fully funded alcoholic" within a day of his father's sudden death 13:05 – The "secret sauce" of trauma work: uncovering what you're too afraid to say 15:48 – The origin story of The Guest House Ocala, from a 50-acre property to "follow the butterflies" 19:39 – Why the property is built around attachment, not isolation, in early recovery 26:56 – Inside the "OG" staff culture that shapes The Guest House's care model 30:48 – How Sober Companions functions as an extension of the clinical team, not a replacement for it 47:34 – The insurance reform gap and what it means for the millions who need treatment each year Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined  Connect with John West: https://www.linkedin.com/in/johnwestwalsh/  | https://www.theguesthouseocala.com/  Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner  | https://snapshot.agency/health  Connect with Lee Pepper: https://www.linkedin.com/in/leepepper  | https://www.neveroutmatched.com  Our Sponsor - Snapshot: https://snapshot.agency/health  Snapshot Health | Behavioral Health Marketing Built for Growth and Impact  Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined  #MasterMinedPodcast #BehavioralHealth #TraumaTreatment #AddictionRecovery #FamilyRecovery #TreatmentCenterOperations

You know you might be owed money. So what do you actually do about it — without painting a target on your own back? In part two of this conversation, Mark Scrivner, Jeff Skillen, and Lee Pepper bring back trial attorney Devin van der Hahn, founder of Vanderhahn LLP, to walk through the practical side of the MultiPlan (now Clarivate) antitrust litigation. Devin explains why you don't need to have ever subscribed to MultiPlan to be affected, how providers can strategically choose which defendants to name, the hard filing deadlines closing in over the next 12 months, and why he believes a settlement isn't a question of "if" but "when and how much." Listeners will walk away understanding the real risk of retaliation, what a free consultation actually looks like, and what could change industry-wide once this case resolves. Key Moments 00:00 – Recap of part one and today's central question: what to actually do next 02:22 – Why you don't need a MultiPlan subscription to have been affected 06:41 – How providers can strategically choose which defendants to name in a claim 11:43 – The filing deadlines closing in: August '27 and March '28 20:12 – Timeline to settlement: the bellwether trial and what comes after 23:01 – The odds of winning: "not a matter of if, but when and how much" 26:29 – What a free, confidential consultation with Devin's team actually looks like 32:29 – Devin's closing thought: why filing a claim is a public service Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined  Background Reading: "Health Insurance and Medical Bills" — The New York Times: https://www.nytimes.com/2024/04/07/us/health-insurance-medical-bills-takeaways.html  Connect with Devin van der Hahn: https://www.linkedin.com/in/vanderhahn/  | https://www.vanderhahn.com/  Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner  | https://snapshot.agency/health  Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/  | https://www.skillsetenterprises.com  Connect with Lee Pepper: https://www.linkedin.com/in/leepepper | https://www.neveroutmatched.com  Our Sponsor - Snapshot: https://snapshot.agency/health  Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined  #MasterMinedPodcast #BehavioralHealth #AddictionRecovery #OutOfNetworkReimbursement #HealthcarePolicy #TreatmentCenterFinance

What if your behavioral health program had been underpaid for the better part of a decade — and you never knew why? In part one of this two-part series, Mark Scrivner, Jeff Skillen, and Lee Pepper sit down with trial attorney Devin van der Hahn, founder of Vanderhahn LLP, to unpack the MultiPlan (now Clarivate) out-of-network reimbursement litigation — one of the largest antitrust cases in the country, and one that names behavioral health and rehab providers directly. Devin walks through how MultiPlan's subsidiary, Data iSight, built a pricing algorithm using competitors' own data, why that violates the Sherman Antitrust Act, and why substance use disorder and behavioral health providers were disproportionately targeted. Listeners will walk away understanding how this scheme quietly suppressed reimbursement for nearly a decade, what data to start pulling now, and why this matters for the financial health of their organization — set up for next week's part two on what to actually do about it. Key Moments 00:00 – Welcome to the show and introduction of Devin van der Hahn and the MultiPlan/Clarivate litigation 03:18 – Devin's path from federal courts and Quinn Emanuel to representing providers directly 06:44 – Breaking down MultiPlan and its subsidiary, Data iSight, in plain terms 09:18 – Why the pricing algorithm scheme violates the Sherman Antitrust Act 16:16 – The unexplained 50–75% revenue decline Devin witnessed firsthand in 2014–2015 23:00 – Why behavioral health and SUD providers were specifically targeted 35:50 – Sizing the damages: how the potential claims add up 41:36 – Three takeaways: what treatment center owners should do first Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined  Background Reading: "Health Insurance and Medical Bills" — The New York Times: https://www.nytimes.com/2024/04/07/us/health-insurance-medical-bills-takeaways.html  Connect with Devin van der Hahn: https://www.linkedin.com/in/vanderhahn/  | https://www.vanderhahn.com/  Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner  | https://snapshot.agency/health  Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/  | https://www.skillsetenterprises.com  Connect with Lee Pepper: https://www.linkedin.com/in/leepepper  | https://www.neveroutmatched.com  Our Sponsor - Snapshot: https://snapshot.agency/health  Follow MasterMined: https://snapshotinteractive.com/mastermined  #MasterMinedPodcast #BehavioralHealth #AddictionRecovery #OutOfNetworkReimbursement #HealthcarePolicy #TreatmentCenterFinance

What if your census reports look green across the board, and you're still losing? On this OG episode, Mark Scrivner sits down with co-host Lee Pepper to unpack a concept Lee calls "the standing still paradox": the idea that a behavioral health program can remain fully consistent — same clinical team, same census, same reputation — while quietly losing relevance as population growth, new competitors, and new levels of care expand the market around it. Lee breaks down the math behind relative decline, shares a real-world turnaround story from a 72-bed Memphis facility, and explains why "holding ground" is a losing strategy borrowed straight from Patton. Behavioral health leaders will walk away with a new framework for questioning their own status quo, and a clear sense of which metrics actually reveal whether they're growing or just standing still. Key Moments 00:00 – Mark opens the episode and introduces the "standing still paradox" concept 02:28 – The highway analogy: how markets expand around programs that stay the same 07:24 – Breaking down the 1,000-customer, 5,000-person market share example 10:37 – The formula: company growth minus market growth equals relative decline 13:43 – Lee's Patton reference: why "holding ground" is a dangerous marketing posture 21:15 – The La Paloma turnaround: a real case study in local market relevance 30:21 – Force multiplication: staying competitive on content without breaking the budget 32:35 – The one question every operator should ask themselves tonight Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined  Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner  | https://snapshot.agency/health  Connect with Lee Pepper: https://www.linkedin.com/in/leepepper  | https://www.neveroutmatched.com  Our Sponsor - Snapshot: https://snapshot.agency/health Snapshot Health | Behavioral Health Marketing Built for Growth and Impact Snapshot Health is a strategic growth and marketing partner for behavioral health organizations nationwide. We help treatment centers, mental health providers, and recovery programs grow responsibly by aligning brand, digital strategy, and patient acquisition with clinical integrity and long-term outcomes. Our team specializes in performance-driven marketing for behavioral health, including SEO, paid media, branding, marketing strategy, website development, and admissions enablement. We focus on attracting the right patients, improving conversion, and building scalable systems that support sustainable growth. Snapshot Health brings deep expertise in compliance, ethics, and trust-based marketing. We partner closely with executive teams to drive predictable admissions growth while protecting reputation, mission, and quality of care. Follow MasterMined: https://snapshotinteractive.com/mastermined  #MasterMinedPodcast #BehavioralHealth #TreatmentCenterGrowth #MarketShareStrategy #BehavioralHealthLeadership #CompetitiveAnalysis

What happens to women after they leave treatment, and who's responsible for what comes next? In this episode of MasterMined, Mark Scrivner, Jeff Skillen, and Lee Pepper sit down with Denise Marsters, founder and CEO of The McCoy House Extended Care for Women in Jackson, Mississippi. Denise shares her own 32-year recovery journey — from active addiction to a career as a substance use disorder therapist — and the personal loss that led her to open a home for women who had nowhere safe to land after inpatient treatment. The conversation covers what separates sober living from true extended care, how McCoy House built a self-sustaining thrift store and employment pipeline for its residents, and why Denise turned down the chance to franchise her model. It's a candid, deeply human look at what sustainable recovery infrastructure actually requires — essential listening for any behavioral health leader thinking about the gap between discharge and lasting change. Key Moments 03:35 – Denise shares 32 years in recovery and the moment that first sparked the idea for McCoy House 03:52 – The rock-bottom moment that finally pushed Denise into treatment 08:57 – A surprise transfer to the women's unit becomes the turning point in her career 29:03 – The house that would become McCoy House — and the story behind its name 33:11 – "God does not pick the equipped" — the words that carried her through 39:00 – McCoy House by the numbers: hundreds of women served, dozens of alumni stories 42:21 – Why extended care goes further than sober living 48:53 – Building the thrift store: purpose, income, and self-worth Learn More & Connect Show Notes + Resources: https://snapshotinteractive.com/mastermined  Connect with Denise Marsters: https://www.linkedin.com/in/denise-marsters-09bab718/  |  https://themccoyhouse.com/  Connect with Mark Scrivner: https://www.linkedin.com/in/markscrivner  | https://snapshot.agency/health  Connect with Jeff Skillen: https://www.linkedin.com/in/jeff-skillen-199507/  | https://www.skillsetenterprises.com  Connect with Lee Pepper: https://www.linkedin.com/in/leepepper  | https://www.neveroutmatched.com Our Sponsor - Snapshot: https://snapshot.agency/health Follow MasterMined: https://snapshotinteractive.com/mastermined #MasterMinedPodcast #BehavioralHealth #ExtendedCare #AddictionRecovery #WomensRecovery #SoberLivingVsExtendedCare