Our goal is to make behavioral health fit into your existing flow, not blow it up.
For primary care teams serious about behavioral health
You see the mental health needs every day—anxiety, depression, trauma, substance use—but your visit templates and schedules weren't built for this. Zenara helps you integrate behavioral health in a way that fits primary care, supports BHI/APCM now, and positions you for future GPCM-style payment models.
The behavioral health gap in primary care
Mental health is everywhere, but time isn’t
Anxiety, depression, trauma, insomnia, substance use—most days feel like 50% mental health, 50% everything else. But your schedule hasn’t changed.
Limited access to psychiatry and therapy
Referral lists are long, fragmented, and often full. You‘re left trying to manage complex mental health needs in 15 minutes.
No easy way to track mental health status over time
PHQ-9s and GAD-7s are done inconsistently; trends across visits are hard to see. It’s difficult to know if your interventions are truly helping.
Unclear path to sustainable BH models
BHI and APCM codes exist, and GPCM is on the horizon, but the operational ‘how’ is murky and you don’t have bandwidth to reinvent workflows.
Clinician burnout and helplessness
Your PCPs want to help but feel like they’re failing patients with complex psych needs. It’s demoralizing and unsustainable.
Zenara Assist exists to close that gap—clinically, financially, and humanly.
What a more integrated primary care practice can look like
How Zenara Assist fits into primary care
Assess – available Q1 2026
Deeper BH assessments when needed
Configurable behavioral health assessment when you need it. Produces a PCP-friendly summary that fits into the chart.
How are you feeling?
How are your sleep patterns?
Monitor — Coming 2026
Mental vitals alongside medical vitals
Outcomes like PHQ-9 and GAD-7 collected and trended—so treat-to-target becomes routine.
• PHQ-9
• GAD-7
Care – Coming 2026
Care management you can sustain
Between-visit coordination organized and documented—supporting BHI/APCM workflows when appropriate.
• Goals met
• Barriers cleared
• Interventions complete
Support the care models that matter in primary care
Zenara Assist doesn’t force you into any one financial model. It helps you run the care models that make sense for your patients, your clinicians, and your payers—by making sure your documentation is clear, consistent, and ready.
Behavioral Health Integration (BHI 99484)
Advanced Primary Care Management (APCM 99426 / 99427)
Chronic Care Management (CCM 99490 / 99487 / +99489) for patients with combined medical and mental complexity
Collaborative Care Management (CoCM 99492–94) when you have a BH care manager model in place
Proposed GPCM behavioral health adjustments (as CMS finalizes details)
* We’ll map these models to your actual patient panel, staffing, and payer contracts during a practice assessment—so you only invest in what makes sense for your context.
Examples of how primary care teams can use Zenara
Independent group practice
A 10-physician primary care group uses Assess for deeper BH assessments on complex patients and Monitor to track PHQ-9 scores over time. BHI codes help support a nurse-driven follow-up program.
FQHC or community clinic
An FQHC with high BH needs uses Assess to standardize behavioral evaluations, Monitor to track outcomes, and Care to organize between-visit outreach to high-risk patients, supporting APCM and care-management funding.
Health system clinic
A health system primary care clinic uses Zenara to complement its existing collaborative care program—making assessments more consistent, measurement more visible in the EHR, and care-management work more organized.
Grounded in both clinical care and policy
As a psychiatrist, I’ve spent years collaborating with primary care teams in integrated models. I’ve seen up close how BH needs show up in primary care and how hard it is to implement care-management models on top of everything else.
At Kaiser and Headspace Health, I worked on programs that depended on primary care and behavioral health teams working together. At Texas Center for Lifestyle Medicine, we deployed Assess in an integrated primary care setting where 82% of the patient panel had mental health concerns alongside chronic medical conditions. Zenara is shaped by these experiences, and by a clear view of where CMS is pointing care models.
We track evolving guidance around BHI, APCM, and proposed GPCM so we can help your practice stay aligned without chasing every policy rumor.
”"82% of my practice is mental health concerns because we see all chronic diseases. The heart of chronic disease is mental health. You got to think about the diabetic who's depressed who wakes up in the morning and takes a pint of ice cream and shows up in the hospital later on in the evening. To actually move the needle in chronic disease management, you got to treat the depression and anxiety in that population."
— Dr. Cheng Ruan, MDFounder, Texas Center for Lifestyle Medicine
We know you have real constraints
Our PCPs are already overwhelmed
We design workflows so that most of the additional work is handled by care managers, MAs, or other team members—supported by automation. PCPs should see better information and clearer plans, not just more tasks.
We don't want to run a full collaborative care program yet
You don’t have to. Many practices start with better assessments and simple BHI/APCM models, and consider CoCM only when they’re ready. We’ll help you pick a starting point that fits your staffing and risk tolerance.
Our EHR already has some tools—will this conflict?
Zenara is designed to complement your EHR. We focus on structured assessment, outcomes, and coordination that can be summarized back into your existing system, not compete with it.
We're not sure the economics will work
That’s exactly what the practice assessment is for. We’ll look at your payer mix, panel, and staffing and give you a grounded view of what’s realistic before you commit.
Primary care doesn't have to carry behavioral health alone
You see the mental health burden every day. You want to help in a way that's clinically sound and operationally realistic. Zenara can be one of the tools that makes integrated care actually doable—in your clinic, with your staff, under your constraints.
Ready to talk? Get a practice checkup. Want to stay informed as Assess launches? Join the waitlist.
