On this episode of The Lead Climb, Steve Donai welcomes Ryan Paul, Founder and CEO of Mango Health, for a deep dive into a part of behavioral healthcare that too often flies under the radar: pharmacology.
Mango Health isn’t just a pharmacy—it’s a full-service, on-site micro-pharmacy solution designed specifically for behavioral health and addiction treatment centers. Ryan breaks down how Mango is redefining access and equity in care by embedding pharmacists and pharmacy techs directly into treatment programs, offering real-time medication counseling, harm reduction, sexual health support, and management of drug-related infectious disease.
From helping patients understand why they’re taking medications to collaborating with providers on formularies and discharge continuity, Ryan paints a compelling picture of how a true medical-clinical partnership can improve outcomes and extend the recovery journey well beyond discharge.
Whether you’re an operator, clinician, or someone working to improve patient engagement and retention, this conversation will change how you think about the role of pharmacy in treatment—and why it’s time to stop treating it like an afterthought.
Below is the transcript for this episode: Ryan Paul with Mango Health
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Steve Donai: Alright, we’re good.
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Steve Donai: Hey, everybody! Welcome back. So this time on the lead climb, podcast. I have Ryan, Paul, libenow with mango, health, the CEO Ryan. Why don’t you tell us a little bit about yourself?
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Ryan Paul: Thanks for having me on Steve. You know great opportunity to to have a conversation about mango health and what mango health does
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Ryan Paul: mango health is an on-site micro pharmacy solution for behavioral health. And what does that mean? That means that we actually come on
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Ryan Paul: build a micro pharmacy for primary mental health and addiction treatment centers and actually operate those programs on their behalf. And
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Ryan Paul: we were really excited about being able to introduce it about a year ago, because pharmacology has been something, a bit of a redheaded stepchild in behavioral health. We’ve always just seen it as something that we outsource. We don’t really get involved. It hasn’t been an integral part of the care continuum, and what we’re able to do is bring the really important aspects of pharmacology into the care that’s happening at mental health organizations and addiction treatment centers.
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Ryan Paul: So we bring 4 really specific specialties, psychiatric medication, management.
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Ryan Paul: harm, reduction, sexual health and drug related infectious disease. And why is that important? It’s important, because
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Ryan Paul: in the medical model you are prescribing, yet you’re missing the opportunity to be able to really bring context to why an individual is taking that medication, you know, a lot of times. We just say the doctor told me so
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Ryan Paul: a long time ago somebody actually asked me a question that I think really changed my perspective, and I’m openly in recovery, both from a mental health perspective and from an addiction, treatment, perspective, but they asked me this question. They said, Ryan.
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Ryan Paul: I know what I want you to take. I know what I want you to do. But what are you willing to take? What are you willing to do?
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Ryan Paul: And that conversation happens with the pharmacist right? And the pharmacist is really one of the most accessible clinicians in the Care continuum. They’re seeing you’re seeing. You’re taking a medication all the time. You’re not always seeing the doctor. You’re not always seeing your therapist. But you’re always going back, and you’re seeing that pharmacist. So what if
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Ryan Paul: there was a pharmacist? There were pharmacy technicians on site that could do drug counseling that could provide that medication, assisted therapy in a really really fantastic and professional way.
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Ryan Paul: and build a relationship with the patient, the client, so that they are not only trained to be able to understand why they are taking this medication, but be fully convinced that this was part of their recovery journey, and so.
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Ryan Paul: being able to do that has, I think, is changing lives. I think it’s improving care at mental health and addiction treatment organizations around across the country.
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Steve Donai: So I love this. And I’m glad we were able to talk about this today, because I’ve been in this space for what now? About 11 years, 2 or hundreds of programs worked at different programs, work with them. Still, currently, and for me, and my experience in outreach in particular admissions, I think, is very similar. The the conversation around
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Steve Donai: pharmacy, med management. How? That’s part of the care is very limited, right? So it’s basically this is what our 5 day taper looks like these are the medications your loved one, or you can take with you into treatment, or we’ll represcribe them, or
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Steve Donai: exclusionary criteria for polypharmacy or poly addiction. So by substance addiction. So it’s like, it’s very surface. But then, when we started talking 18 months or so ago, now, it really dawned on me. This is a big connector or a big opportunity for treatment centers to connect the medical and clinical model with treatment. So can you talk a little bit about that like, how
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Steve Donai: how have you seen that work being more than just? You know what I’ve witnessed? Which is this, hey? Let’s talk about what drugs we use. And like, that’s it. That’s the surface level conversation to it.
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Ryan Paul: Yeah. And I think that it’s important to have the conversation about it, because
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Ryan Paul: pharmacy isn’t about dispensing medication.
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Ryan Paul: Right? I mean, if we think about it. I mean, you go to a residential center, you know, who is dispensing your meds 2 to 3 times a day. It’s a behavior tech in many cases in these residential centers. So there’s no conversation
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Ryan Paul: about what the there’s no medical conversation happening around the pharmaceuticals that you’re taking, which, in my opinion, is kind of scary right now. God bless the person that got their 12 month chip, and now is dispensing medications at a residential treatment center. But the reality is is that it goes so far beyond that. So when you talk about being able to connect the medical model with the clinical model, it’s a conversation about kind of what I was talking about.
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Ryan Paul: about, how we view ourselves in this recovery process, and how we view ourselves in relation to our doctors, our nurses, our clinicians, and the medication that we’re taking.
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Ryan Paul: And so we actually our our chief clinical officer actually does a really incredible job of actually bringing both of those departments at treatment centers together to have the conversation about like, look, you have a pharmacy. Now.
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Ryan Paul: what do you want to do with the pharmacy. How are you going to make this make sense from a care, continuum perspective. And look, doctors love it, because now we’re able to work with them on the prescribing formulas. We’re able to work with them on the actual formulary that’s being dispensed at the residential treatment center. Or even if it’s an outpatient setting. Right? We work in with Phps Iops. Primarily those that are.
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Ryan Paul: you know, working with dual diagnosis makes a whole lot of sense to be able to have a pharmacy on site to be able to take care of that population.
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Ryan Paul: but it also really brings the glue together, and I know that you you talk a lot about alumni programs. But when we talk about, you know, keeping people in touch, this is a a medical way, right? A hipaa, compliant way for us to
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Ryan Paul: travel with that individual after their discharge. Why? Because they’re going to continue to take that medicate. They’re going to continue to get that medication from us. They’re going to continue to see our psychiatrist. They’re going to continue to see primary care physicians that we know
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Ryan Paul: and if you know, God forbid, something happens and they end up back in the hospital. Guess what? We’re gonna know that because we control their electronic medical record past discharge. And so there are so many reasons why pharmacy just simply makes sense to integrate within this model. And you know, I? I asked this question about 2 years ago, I said, why don’t
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Ryan Paul: mental health organizations? Why don’t addiction treatment centers have their own pharmacies? And no one could answer that question if you think about it. Yes, you’ve got Cvs. You know, Walgreens, you get the independent pharmacies that are delivering medications on a daily basis and for some that works.
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Ryan Paul: But you still have a clinical problem to solve. You still have a logistical problem to solve, and you have a financial problem to solve.
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Ryan Paul: I mean time. And I mean, we were just talking about the fact that you know, sometimes.
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Ryan Paul: you know, in this world there are financial issues right?
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Ryan Paul: You know, somebody didn’t pay
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Ryan Paul: a carrier didn’t pay. You know our number one carrier hasn’t paid yet, you know, and it’s been 90 days.
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Ryan Paul: In pharmacy. You’re getting paid in real time. Right? Everything’s a 30 day term, and you are getting paid in 30 days. That is happening right. So what would it look like for you to be able to solve that clinical problem of being able to bring together your doctor, your nurse, your pharmacist, your clinicians, so that the care continuum is glued together in a different way.
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Ryan Paul: What would it look like if you were solving the logistical issue of hey? Somebody came in on Detox right? And we didn’t have. We ran out. Our inventory was low, and what we had on site was not the right types of medications for this individual, and we had to call the pharmacist. The pharmacist wasn’t available, and we weren’t able to get that medication until next day. So solving those types of logistical issues. And then, finally, the financial piece
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Ryan Paul: which you know could hey, it can solve a lot of problems is, you know, can we start to make the money or transition the money that the pharmacy is making on us and our prescriptions in house? And the answer is.
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Ryan Paul: number one. Yes, you can. And number 2. You can actually do better than your independent pharmacy, because with us we’re actually purchasing
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Ryan Paul: through our own. Gpo, right? So we’re aggregating hundreds of thousands of medications a month. And so it’s almost like you get to purchase like a large hospital. So you’re getting a better rate for those medications. Your margin is better. And now you have a profit center, a business unit and asset that we’ve built for you, that you own. And I think that a lot of the reasons going back to my why hasn’t
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Ryan Paul: the industry brought this to behavioral health? Because right now, behavioral health is one of the most lucrative medications that you can dispense. Right? So if you look at about 20% of behavioral health medications, they are. The margins are very large. Right? So you have the Evitas.
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Ryan Paul: the Maxors, the Genoa’s the Amerameds, all great organizations. But look, they’re half a billion dollar organizations, and they have no interest in helping you build an asset. They have no interest in helping you profit right. Their role is to dispense in mass without actually bringing real, clinical, logistical, and financial solutions to the people that they serve.
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Steve Donai: Awesome. Yeah, you brought a couple topics. I want to come back to a few of those. I do want to tell a story so several times over the years I’ve secret shopped treatment centers. I’ll go in under an alias, and not being in recovery, I’ll have a couple of drinks. I’ll blow like a 0 point 0 8 or point one or something like that. And then, okay, this guy’s drinking. He’s a patient here.
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Steve Donai: I usually go by the name Matt Mcglon, which is a former coworker of mine, who asked me to use his name, and I still get bills from him from time to time, which is, which is kind of fun. But I was in there getting meds dispensed, and they were saying, Hey, do you want some ativan
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Steve Donai: so like. No, thank you. And it almost shocked the tech like, what do you mean? You don’t. Wanna you don’t want to have any any of these any of these drugs like, no, I’m good, thank you. So you’re right. I think a pharmacist having that conversation probably would sniff me out pretty quickly that I was secret shopping or a pharmacy tech, or someone who’s trained to to see what was going on there versus the Bh tech. But yeah, that was a very interesting moment for me. I probably got a lot of trouble. If I did take that, I don’t think the company would have liked that interaction one bit. But
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Steve Donai: But no, you brought up alumni, and and that’s something I really I really gravitate towards for doing alumni in house, because I’m I’m always looking to solve problems right? Sure. But we we get
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Steve Donai: calls mostly from programs who are needing to increase revenue right? Like, if everything’s peachy keen, we typically don’t have the phone ring. And so for me, I think of revenue in several stages. And and there’s, of course, very short term tactical things you need to do to right the ship immediately, in some instances.
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Steve Donai: But then I’ve been in business long enough, and I have enough gray in my beard to know that next year is gonna happen the year after is gonna happen the year after is gonna happen. And we’re gonna be there eventually. So you got to do some stuff now to
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Steve Donai: get ahead over the next couple years.
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Steve Donai: and for treatment centers man competition has increased. Patient acquisition challenges have increased. You have in many instances decreasing reimbursement rates, shorter length of stays being approved, slow payment by payers. We’re going to see that, especially with the market being volatile right now, a lot of commercial payers. You’re going to start, probably seeing slow pay on reimbursements. So you have all these financial challenges going as treatment centers.
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Steve Donai: But we also know to be true that what
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Steve Donai: 30%, 40%, if you’re a really good treatment center at the end of the year, are still remaining in remission from substance use disorder. That means 60% of your former patients are not.
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Steve Donai: If you’re really doing a great job, you’re really humming. So engaging.
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Steve Donai: engaging alumni through medication management. Long term to me seems like such a brilliant way to, instead of
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Steve Donai: push them into doing fidelity and alumni and research and connection with alumni by saying, Hey, $5 gift card to Starbucks, if you answer my phone call and answer these 6 questions, but it’s more like, hey? Why don’t we? Why don’t we just continue to take care of everything you’re prescribed here like you said, have it in your Emr, and then, if you see your patient or your former patient, your alumni stop filling their meds.
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Steve Donai: having a system in place to contact them. See how they’re doing to me from a business standpoint. This seems like an incredibly
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Steve Donai: smart way to keep engaged with your former clients for potential readmissions from a human standpoint. What better way would you have to catching someone early relapse by being able to do this system so well, so like, I always say, business acumen, altruism, 2 wings on the same plane in our industry this seems like a very logical step for treatment centers to take to continue long-term client engagement, and
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Steve Donai: from that standpoint patient acquisition gets easier. Cost of patient acquisition goes down eventually. You’re going to have better outcomes because you have people who have worked through your program, maybe once or twice, and now they’ve stayed engaged with peer support. So it just there’s so many benefits. And it to me it seems like a no brainer. Why wouldn’t more treatment centers do that.
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Ryan Paul: That’s a good question. I don’t know. You know we’re we’re trying to. We’re trying to have that conversation right now.
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Ryan Paul: I will tell you that something that is interesting, and I I find.
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Ryan Paul: and maybe some of your audience will will know this individual. But
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Ryan Paul: certainly you do. Dr. Dixie Brown.
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Ryan Paul: She says something all the time. That I think is really important. Is that
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Ryan Paul: why are we doing in Php, Iop, and OP?
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Ryan Paul: What wasn’t working in residential care.
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Ryan Paul: And the point in that statement is like we, we got a hold of something people come in and they’re like they got hope right.
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Ryan Paul: They got a hold of something. And now they have a program that’s seemingly working for them. Right? And they are. You know, they have found some safety, some honesty, some intention.
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Ryan Paul: and they’re 2121 days in. They’re a week away from being discharged.
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Ryan Paul: And all of a sudden, now they’re being introduced to a Php Iop or OP program that’s radically different than what was working for them.
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Ryan Paul: I think that that’s really important to consider.
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Ryan Paul: When you’re building out
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Ryan Paul: your addiction treatment program in general. And I think that what we do enhances that because it creates this logic, that consistency
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Ryan Paul: is key, like more than anything more than Dbt. CD. Cbt. Whatever
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Ryan Paul: that the care team, if it stays consistent and is familiar, the more success you’re going to have right. I mean the more opportunity for failure
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Ryan Paul: comes with lack of consistency. And that’s just the reality. And again, as a person in recovery, I I know that there are certain things that I do. After all of this time there are certain things that I do
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Ryan Paul: every single day to make sure that I am healthy right taking my medication, exercising doing a a daily reflection. All of these things are things that I do, not because I want to do them, but because it’s necessary for me, and that is familiar.
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Ryan Paul: right? And so when we talk about building a care team around an individual and looking at the whole person.
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Ryan Paul: If you don’t have a pharmacological solution in place, then you have. You’re completely missing an opportunity to be able to take care of this individual long term, and quite frankly, it then begs the opportunity that maybe you should have a P. If you’re residential, maybe you should have some extended care. Maybe you should have Php or Iop, if you’re an Iop program, maybe you should build out an OP program so that you can
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Ryan Paul: see these people for the next 5, 6, 7, 10 years of their life. Right? There’s all of these opportunities that are missed simply because we’re not. We’re not. We’re thinking about it. In the the micro, and not the macro.
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Steve Donai: Yeah. The consistency thing. I had a actually one of my 1st bosses out of college would always say, consistency breeds confidence, said over and over and over again, and and being a outside salesperson for 2 and a half decades. Now, that’s wild, the same sort of the same sort of behaviors and habits on a regular basis. You know. Give you that that
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Steve Donai: unconscious competence where you know? Like you’re you’re taken care of. You’re good. You do what you have told yourself to do, and you continue on with it. So I completely completely believe
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Steve Donai: completely agree with you there
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Steve Donai: financially. So earlier in my career, I used to work in medical dietary supplements. So we would sell to physicians, chiropractors, pharmacies.
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Steve Donai: You know, dietary supplements everything from basic vitamin D to fish oil to more complicated stuff. And for a lot of practices this was actually a really nice revenue stream. So a good practice of ours could make 50, 60, $70,000 a year straight to their bottom line by carrying our products.
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Steve Donai: The benefit, too, is their patients have their what they needed right there, you know. You tell your patient you need to take vitamin D, because you’re deficient. It’s right there in the lobby. You pick it up and you go. And it’s a good product.
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Steve Donai: Financially with pharmacies. You brought up Gpo. And for those who are unfamiliar group purchasing organizations. Can you talk a little bit about the financial side of of this? Because the way I, another thing that I’ve really dug with our conversations over the last year and a half is
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Steve Donai: providing treatment centers more stability and more predictability in their revenue streams by diversifying.
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Steve Donai: And for me a lot of the questions that I get, or at least a lot of the desired outcomes that I get in the 1st conversation treatment centers is I want to have different payer mix. So what they’re telling me is they want to have a diversity of revenue not necessarily different payer mix. They want to have a diversity of revenue. It could look like different payer mix. It could look like more self pay. It could look like more collections. Better billing, better, patient responsibility.
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Steve Donai: or it could look like something like more medical one on one providing, and then more pharmacy. So can you talk a little bit about the financial side like, how do treatment centers navigate that.
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Ryan Paul: So I think that it’s a
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Ryan Paul: interesting prospect to know that if you’re transitioning into pharmacy, you’ve built a million dollar business within 6 months. And that’s not something that
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Ryan Paul: even the most successful addiction treatment organization can hope for, you know, in the 1st year, because there’s so much overhead. But the way in which we built
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Ryan Paul: our model. This micro pharmacy model, though overhead, is very low, and since we’re operating it, you don’t have to be a 2 decade professional to be able to figure this out. We we’ve given. We’re bringing all of the tools that are necessary to be able to say, Hey, we need 600 to a thousand top square feet.
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Ryan Paul: And we’re going to give you this incredible micro pharmacy that’s going to look no different than what you see, at your local hospital, and it’s going to be able to stock and inventory everything you could possibly need to be able to take care of your patients in real time
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Ryan Paul: and great news. If you are operating somewhere between a 45 and a 65 person bed, you’re gonna be at a million and a half net income business
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Ryan Paul: after you’ve gotten past your 6 month, build outs right? So in the 1st year, so 18 months, you’re adding
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Ryan Paul: anywhere from 80 to a hundred $1,000 a month in your bottom line. You know, we just I just did a pro forma for an organization that has a hundred 10 beds. They saw 1,886 patients in the last 18 months.
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Ryan Paul: And they’re going to be. It’s a 3 million dollar business, right? So it’s possible. Right? It’s possible. But here, like, what’s your worst case scenario? Worst case scenario is is that you’re you’re adding 30 to $40,000 a month in revenue, and you really haven’t changed your model, because if you think about it, you’ve got the detox. You’ve got your detox and nurses station, all set up
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Ryan Paul: right to just be able to expand that a little bit, to be able to hold inventory. You already have what you need, and our people are going to come in and staff it and work it where we’re going to find the the pharmacist in charge to be able to oversee the pharmacy, the pharmacy tech all of these things we’re we’re taking care of. We’re taking care of inventory relationships we’re doing, manage. We’re taking care of the managed care aspect of this
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Ryan Paul: which is, is another really important thing managed. Care on the pharmacy side is radically different
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Ryan Paul: than it is on the medical side. You’re not negotiating your rate. You’re not in network or out of network. You’re either in network or nothing right with a pharmacy benefit manager. Right? So there are 3. There’s express scripts.
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Ryan Paul: there’s optum
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Ryan Paul: and their Cvs health, right? And they’re about 99.9% of the market. So like, if you’re blues united, Cigna, Aetna, humana type of plans, those pharmacy benefit managers that are actually paying and managing the pharmacy claim are sitting behind those carriers, and those are the folks that we work with.
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Ryan Paul: So they have a reimbursement mechanism that basically shoves that whatever they’re gonna reimburse us down our throats right? There’s not too much we can. We can do about that right where you’re saying. Oh, we gotta negotiate. What’s the rate? The 1st thing that people ask me is, well, what’s the what’s the reimbursement rate? Well, the answer is is that it changes
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Ryan Paul: from here to here to here, to here, to here, right? Because average wholesale price on a pharmaceutical is changing in real time, right? And I’d have to get it to be a day long seminar to even explain. You know what average wholesale converts to a wholesale acquisition cost, and it’s the whole thing.
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Ryan Paul: But what you can know is is that when you are aggregating through group purchasing. You’re buying better. You’re buying better than your independent pharmacy, and so, by buying better than your independent pharmacy, you give you a good example. Sublocade. For instance.
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Ryan Paul: we can buy sublocate for a hundred $74 right?
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Ryan Paul: But the average reimbursement, even with Medicaid, is 2,000 plus an additional $800 for administration.
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Ryan Paul: Right? So you’ve got sub. Now you’re making. So if you’re doing
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Ryan Paul: that type of work, that type providing that type of care.
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Ryan Paul: Then
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Ryan Paul: you’ve got a beautiful, beautiful profit center, just just in sublicate. Or, let’s say, Spravato. Right? Spravato. Again. Perfect example. It’s an important medication, and more should use it. But the reality is you get your drug reimbursement and you get your administrative reimbursement right? So all of a sudden, you’ve got 2 drugs there that are pushing $3,000 a month in reimbursement.
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Ryan Paul: The list goes on and on and on, of though that 10%, you know, because here’s the here’s the flip side.
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Ryan Paul: Somebody’s taking lithium.
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Ryan Paul: It’s not gonna get reimbursed anything because somebody’s gonna take a bill. If I oh, boom! All of a sudden. You’re back up right 800 to $1,200 in margin.
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Ryan Paul: But then, all of a sudden, you know, you’re taking hydroxazine.
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Ryan Paul: Nothing
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Ryan Paul: you know. You go back and forth and back and forth. But the reality is that you’re gonna the 10%. Those specialty medications that you are dispensing are gonna be 80 to 90% of your revenue. And it’s gonna be you’re gonna you’re gonna see the pro forma. And it’s gonna be very exciting for you.
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Steve Donai: And and the patient sees nothing different. There’s no difference between this and going to your local pharmacy from their their standpoint. Correct.
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Ryan Paul: No, it’s it’s better because there, there’s there’s relationship. I mean, there, there.
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Steve Donai: Oh, I mean.
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Ryan Paul: Yeah, there’s people. Oh, financially, yes.
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Ryan Paul: for for the, for the patient.
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Steve Donai: Yeah.
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Ryan Paul: The patient. It’s the same Copa.
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Steve Donai: Yeah, exactly so. And so I do want to bring this up, because our obviously our industry has a history with we’ll call them
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Steve Donai: ancillary services aside from treatment, and there’s concern at least some of the conversations I’ve had with folks about this in the past, with in their back of their mind. They had the the bad days of Uas, right where Ua testing was being charged to the roof. It was being part of a large part of the profits for many of the major organizations out there that came to light. Probably about 2016 ish that some treatment providers were getting a quarter of their revenue from from your analysis
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Steve Donai: this is wildly different. Right? Can you talk a little bit about how this, from a
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Steve Donai: ethical, and a treatment standpoint is completely different than giving a patient 5 Us. A day, billing them a few $100 each. And then, you know, building that into your treatment program versus something that they’re already currently doing from a second vendor. But now you’re just bringing in house correct? Or am I getting that one wrong?
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Ryan Paul: Yeah. So yeah, so I mean, number one, pharmacy is A is, a, is a completely separate benefit from medical. There’s there’s no way to bundle reimbursement number number 2.
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Ryan Paul: There is no, there is no way to
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Ryan Paul: to manipulate reimbursement. Right? So I mean, like, here’s the here’s the point. The point is is that we are the only way that you are making more money is you’re buying better, right?
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Ryan Paul: From a care perspective and from a licensing perspective.
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Ryan Paul: Your Npi, your Dea, all of it’s no different than any other facility in any other category of care. Having an on-site pharmacy, your federally qualified Health center has an onsite pharmacy. Your community health Center has an onsite pharmacy. Your hospital has a pharmacy so that you can get your outpatient retail pharmacy so that you can get your drugs after you’ve been discharged
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Ryan Paul: for your after your overnight. Stay! The list is long
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Ryan Paul: again. Why hasn’t behavioral health done this? Well, here’s the reality is is that some of the most world class mental health organizations in the United States. They do have pharmacy. They do have licensed pharmacies on site have to have licensed pharmacies on site because of the acute care that they are providing for individuals, because it’s essentially, I mean, think about think about Mclean. They have to have a license license pharmacy. They’re not. They’re not working with Cvs
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Ryan Paul: right in in Boston, or
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Ryan Paul: I mean, the list list goes on addiction treatment, you know. Here, here’s the unfortunate reality of addiction. Treatment is is that anybody can start an addiction treatment center.
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Ryan Paul: And that’s that’s my opinion. That’s not. Steve’s right. So like, that’s just the reality like
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Ryan Paul: anybody can. Anybody can do it like there’s no there’s there’s no backstop to that, right? So what has unfortunately happened, and it could happen in any part of the therapeutic category of medical services.
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Ryan Paul: Nefarious activity always happens. That’s just the nature of it. But the bottom line is is that there’s no way to manipulate pharmacy in a way that could create a nefarious activity. Because here’s the thing. The only thing.
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Ryan Paul: The only thing that is an issue
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Ryan Paul: is steering patients to one pharmacy over another.
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Ryan Paul: and we take care of that because we’re going to tell a patient. You do not have to have your your medication dispensed here
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Ryan Paul: like we’re straight out, going to say that is going to be on the record. You do not have that we we do not have to service, that if you have got a pharmacy of choice, then you should. You should have the right, and you do have the right to be able to go to that pharmacy of choice. Now.
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Ryan Paul: are they going to choose a scenario that
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Ryan Paul: is going to get in the way of their care? Probably not. And in most cases they’re going to recognize that this is a part of their care continuum, and the pharmacist a part of their care team now, and they’re going to choose for that medication to be dispensed. But here’s the reality right now.
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Ryan Paul: Are you allowing your patients in residential settings to choose
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Ryan Paul: somebody else besides the independent pharmacy that you’re currently using.
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Ryan Paul: So in my opinion, we’re actually improving the situation. We’re actually giving your patient a choice that you’re not currently giving.
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Steve Donai: It’s a very good point. I’ve actually never heard that brought up in a treatment center before having that option for for the Med management. That’s very interesting.
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Steve Donai: Alright! Brian, that’s been awesome. So let me ask you this one last thing. What is one last one thing you’d want to leave everyone knowing about incorporating pharmacy in part of their clinical medical treatment plan, whether in house or out of house. What’s 1 thing that everyone listening should know about that.
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Ryan Paul: Yeah. So I think that.
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Ryan Paul: regardless if somebody is going to use us and bring a micro pharmacy on site or not.
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Ryan Paul: reality is is that they need to utilize the pharmacological strategy that’s happening from prescriber to patient.
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Ryan Paul: And there’s always this huge gap in conversation between what does that mean? And so I think that more than me, telling the audience
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Ryan Paul: what they should do, I think it’s more of. Are you willing to ask that question? What is the purpose of pharmacy within your program.
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Ryan Paul: and is it meaningful? Does it do? Does it do anything more than dispense a drug to an unknowing patient?
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Ryan Paul: And I think the answer is, in a lot of cases we don’t necessarily know we’re gonna need to ask our chief medical officer or our director of nursing to answer that question for us. But I think if the conversations happening in the right way.
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Ryan Paul: everybody knows what that answer is for their organization.
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Steve Donai: Awesome. How can everyone find you.
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Ryan Paul: So everyone can find us at Mango health.
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Ryan Paul: That’s Mangohealthco. Or you can email me at Ryan, at Mangohealthco. Or I love Instagram. Please find me on Instagram at Realryan Paul. That’s at Realryan. Paul.
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Steve Donai: Awesome. And if you’ve listened and watched this long, thank you. That’s awesome. You’re awesome. Appreciate you do the like subscribe shares all that jazz and looking forward to have you on our next one. Thanks so much, Ryan, appreciate you.
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Ryan Paul: Thank you.