📢 Big news for your Friday: 10 new states are joining the 2026 CCBHC Medicaid Demonstration, just before the close of Mental Health Awareness Month! Per the National Council for Mental Wellbeing, “The U.S. Department of Health and Human Services (HHS), through CMS and in partnership with SAMHSA, has announced 10 new states selected for the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Program: Alaska, Colorado, Hawaii, Louisiana, Maryland, Mississippi, Montana, North Dakota, Washington, and West Virginia. This expansion reflects continued momentum behind the CCBHC model, which provides sustainable Medicaid funding to expand access to comprehensive mental health and substance use disorder services nationwide.” As big believers in the #CCBHC model, and supporters of improving access to life-saving care, we’re excited to cheer on these new states! Check out the announcement → https://hubs.li/Q04jlPc10 #YouCareWeCare #CommunityBasedCare #MentalHealthAwarenessMonth
Eleos Health
Mental Health Care
Boston, Massachusetts 62,012 followers
More Care. Less Ops.
About us
Eleos® is the system of action for community-based care – transforming signals into real-time action across the care journey, reducing repetitive work and preventing problems before they arise.
- Website
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https://www.eleos.health/
External link for Eleos Health
- Industry
- Mental Health Care
- Company size
- 201-500 employees
- Headquarters
- Boston, Massachusetts
- Type
- Privately Held
- Founded
- 2020
- Specialties
- Care at Home Solutions, SUD Solutions, Behavioral Health Solutions, Community-Based Care AI Platform, System of Action, and AI Platform
Locations
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Primary
Get directions
Boston, Massachusetts 02141, US
Employees at Eleos Health
Updates
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EHRs are systems of record. ✔️ Dashboards are systems of intelligence. 📊 Community-based care needs something different. For decades, EHRs and revenue cycle platforms have been the infrastructure for storing what happened. Essential, but backward-looking by design. Then came smarter tools — dashboards, analytics, and ambient AI scribes. A real step forward. And yet...insight without execution still leaves the work to people. Someone still has to read the dashboard, catch the compliance gap, and flag the eligibility issue. Both categories still depend on what has already happened and rely on humans to act *after* the fact. The next evolution isn't better records or better insights. It's a system that acts all on its own. 👀 *Before* the claim walks out the door. Our CEO, Alon Joffe, wrote about what that looks like for community-based care. Read it #OnTheBlog: https://lnkd.in/gRDd8dCQ #YouCareWeCare #SystemOfAction #CommunityBasedCare
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Your org has a revenue leakage problem. This likely isn't news to you. But what is news is where the leak is coming from. Do you know where to look? 🤔 Most claim denials could’ve been corrected before they went out the door. But behavioral health orgs are stuck in a cycle of post-claim analysis, trying to find the leaks once money is written off. (If there’s even time for analysis.) It’s time for leaders like you to abandon this defensive posture and instead take a proactive approach to revenue leaks—and attending Eleos’ webinar with the National Council for Mental Wellbeing is the first step. From Reactive to Proactive: How Behavioral Health Orgs Are Protecting Revenue Before the Claim Why you should attend: Eleos CEO Alon Joffe is joining leaders from New Vista and Crosswinds to address how orgs like yours can shift left—and why this critical change in thinking is the future of community-based care RCM. What you’ll learn: 1. Where claim breakdowns typically occur, and how to find out where your leaks are coming from 2. How documentation integrity is critical to not just RCM, but also to compliance with regulatory requirements (such as CRUSH) 3. Steps you can take to move upstream and prevent revenue leaks, rather than focus on chasing money once it’s been lost 4. The difference between a static system of record and a dynamic system of action—and why that matters Save your seat → https://hubs.li/Q04j0lf60
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What if the best meeting at a conference… wasn’t a meeting at all? At Home Care 100 Summer, we’re turning the Atlantic Room into the Recharge Retreat Suite — a space designed to do the opposite of everything else at the conference. No slides. No agendas. No “quick 15 minutes.” Just lounge seating, ambient soundscapes, artisanal refreshments, and the kind of quiet that makes the rest of the day actually productive. Oh, and complimentary IV hydration and vitamin shots for anyone who wants the full reset. Because why not. 💧 📍 Atlantic Room 🗓️ June 1–2 | 7am–6pm 🚶 Walk-ins welcome See what's inside and reserve your IV slot here Come decompress. We’ll save you a seat. #YouCareWeCare #HomeCare100 #CareAtHome
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Minnesota. California. New York. Texas. North Carolina. Florida. And now — every state, all at once. If you've been following Alon Joffe's updates on Medicaid fraud, waste, and abuse — or if you’ve been tuning it out, hoping it wouldn’t reach your state 😬 — this is a great post to get a quick rundown on where things stand today. The TL;DR? The shift CMS is making — from retrospective, sample-based audits to proactive, prepayment review — changes what "good enough" documentation looks like. We built Eleos for exactly this moment. A true system of action: ✅ 100% documentation visibility before claims are submitted. ✅ Real-time guidance at the point of care. ✅ Alignment between notes and billing, so nothing falls through the cracks. The window to get ahead of this is narrowing. Don't play the wait-and-see game. Check out what we mean by “System of Action” here: https://lnkd.in/gNd9_nQK #AIForGood #CMSNews #FraudWasteAbuse
A month ago, I was writing updates about Medicaid fraud, waste, and abuse probes in a handful of states. Now I'm writing about all of them. Here's where things stand today — because the pace of this has been fast, and I want to make sure community-based care leaders have a clear picture. At the federal level: CMS directed all 50 states to submit provider revalidation plans by May 23, putting the “problem of health care fraud” on the states to own. That deadline was a few days ago, so now we’re watching what happens next. Minnesota: The most aggressive enforcement action in the country, full stop. Over $350 million in reimbursements withheld. A $2 billion annual funding freeze still looming. California: Eight people arrested. 447 hospices and 23 home health agencies suspended. $600 million in allegedly fraudulent spending under review. New York: CMS sent a formal letter demanding a full accounting within 30 days. Behavioral health is specifically named — psychotherapy codes alone account for $2.4 billion in spending flagged for deeper review. Texas: CMS Administrator Dr. Oz named Texas explicitly as the likely next major enforcement focus as hospice fraud pressure migrates from California. Missouri: Became the first state to proactively respond — launching an accelerated off-cycle revalidation process targeting high-risk providers the same day the federal directive landed. North Carolina, Florida, Arizona, Nevada, Georgia, Ohio: All in various stages of heightened scrutiny, expanded audits, or new transparency requirements. The through-line across all of it is the same: Documentation gaps are becoming financial and operational risk in real time. The organizations I'm most encouraged by are the ones treating this as a strategic moment — not a compliance drill. The window to get ahead of it is narrowing. #MedicaidNews #CMS #HealthPolicy #CommunityBasedCare
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T-minus 6 days until our National Council for Mental Wellbeing webinar with our friends at MTM! The topic is a serious one: Premature dropout. It’s one of the most concerning issues in behavioral health today. The average number of sessions attended is 1. And only 25% of clients make it to a 3rd appt. Yikes. So why should you attend the webinar? (Aside from the amazing speakers Dennis Morrison PhD, CCO of Eleos and Scott Lloyd, President and CEO at MTM Services) 1️⃣ Panelists will examine why clients disengage and what organizations can do to improve retention and adherence. 2️⃣ Presenters will review current dropout patterns, common intake design pitfalls, and the impact of second- and third-appointment retention on long-term outcomes. 3️⃣ We’ll also examine how clinician workflow, documentation burden, and service delivery models influence engagement—and how organizations can leverage operational, clinical, and technology-enabled strategies to strengthen therapeutic presence, improve client experience, and extend appropriate length of stay. 4️⃣ Attendees will leave with a practical framework for diagnosing engagement breakdowns within their own systems and actionable steps to reduce premature dropout while supporting both clinical outcomes and organizational sustainability. Save your seat → https://hubs.li/Q04hDWR_0 #YouCareWeCare #BehavioralHealthWebinars #FriendsOfEleos
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When an AI pilot fails, the instinct is to blame clinician resistance. "They just didn't adopt it." "The team wasn't ready." Insert yawns and eye rolls. 🥱🙄 But here's what Eleos' Christy Doneff, AVP of Partnerships, and Michael P. Johnson, BAYADA Home Health Care executive leader, found when they dug into why pilots actually stall on the McKnight's Home Care AI Forum: The breakdown almost always starts at the top, not the frontline. Clinicians are excellent at identifying when something isn't working — and sometimes that means they take the blame for pilot problems. But the real problem is no one built in a real-time feedback loop to listen — and when things quietly fall apart, it's easier to blame attitude than to examine the rollout strategy. But you don’t want to hit the easy button on this one. So we turned their McKnight's Home Care AI Forum conversation into a full recap with actionable takeaways for home health and hospice leaders who are done watching pilots fade into the void. Read it here → https://hubs.li/Q04hsM-z0 #YouCareWeCare #HomeHealthAI #HomeCare #Hospice
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This is the tension most care at home organizations are navigating right now — waiting on relief that may not reach them, while facing scrutiny that already has. The difference between organizations that weather this moment and those that don't comes down to whether problems are caught before they become denials, audits, or withheld reimbursements. That's the shift left Eleos is built around. Not a system that flags what went wrong last quarter. A system of action that works in the flow of care itself — reviewing every note before it's signed, enforcing compliance before a claim is submitted, and preventing the documentation failures that trigger audits in the first place. Two-thirds of improper Medicaid payments stem from insufficient documentation. They're preventable. But only if you catch them upstream… not after the fact. Learn more about how Eleos can help your org: https://lnkd.in/gid2QGSe
CMS is making two very big moves — and they're pulling in opposite directions. On one hand, CMS just announced a push to digitize prior authorization, with a January 1, 2027 deadline for payers to implement electronic interfaces. The goal is to cut the days — sometimes weeks — it takes to get care approved. Less paperwork, faster decisions, better access. Hard to argue with that. But on the other hand, every state is now on notice to revalidate Medicaid providers, documentation scrutiny is at an all-time high, and prepayment review is becoming the new normal. More scrutiny, more proof required, higher bar for every claim submitted. So, CMS is trying to remove friction at the front door while adding accountability at the back door. Both are legitimate goals, but for home health and hospice organizations, they land at the same time — and they require very different responses. And it's not clear whether post-acute care providers — including care at home agencies — will actually be able to use the new electronic submission tools, or whether they'll see any of the promised administrative relief. Regardless, the prior auth deadline is worth watching. But the documentation piece isn't waiting for 2027. For care at home leaders trying to plan ahead — the pressure on documentation quality is here now.
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#WhereIsEleos going to be to kickoff the Summer? You know the drill, peep the sched below! 👀👇 💡 Upcoming in person events: 🌟 May 17 - 19 | Home Care Innovation Forum | Indian Wells, CA 🌟 May 31 - June 3 | Home Care 100 Summer | Dana Point, CA 🌟 June 9 - June 11 | OPEN MINDS Circle Strategy & Innovation Institute | New Orleans, LA 💻 Upcoming Virtual Events: 🌟 May 28 | Webinar: From First Appointment to Third Visit: Strategies to Reduce Premature Dropout | Register here: https://hubs.li/Q04h1NF90 Eleos' full event schedule 👉 https://hubs.li/Q04h1vVt0 #CommunityBasedCareEvents #YouCareWeCare #WhereIsEleos
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Group therapy is the backbone of SUD treatment — and one of the most documentation-heavy services. If only there was a way to make it more manageable...😎 In the latest episode of No Notes, Dennis Morrison PhD sat down with Dr. Janice Ruesler PhD, LPC, NCC, CCTP, SQP, MARS, Director of Education and Special Initiatives at Gibson Center for Behavioral Change, to talk about what it actually takes to run group therapy — and what changed when Gibson brought Eleos into the room. The numbers speak for themselves: Roughly 80% reduction in documentation time. A 90-minute process was brought down to 10–15 minutes. But what stayed with us was something Janice said near the end: "You don't hire your staff to be clerks. You hire them to be healers." That's exactly why we built what we built. To help your clinicians, stay clinicians. 🎧 Listen to the full episode: https://lnkd.in/gCZXKwHe #SoundBites #AIForGood #TGIF
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