Your claims data is lying about gambling disorder volume. My latest Claims Denied podcast episode with two experts in the mental health space (Elliott Rapaport, Founder of Birches Health, and Dr. Douglas Nemecek, a senior advisor with Birches Health and former Cigna/Evernorth CMO for behavioral health) was one of the more eye-opening conversations I've had on payor behavioral spend. Think about this: 39 states + DC have legalized online gambling, FanDuel and DraftKings are sponsoring everything that moves, and yet payors will tell you they don't "see" the gambling disorder volume in their claims data. That's because it's getting coded as depression or anxiety. F63.0 never makes it to the bill. The three of us get into: • The real prevalence numbers (a recent Pennsylvania study puts roughly a third of the state somewhere on the gambling-risk spectrum) • Why specialty networks for behavioral process addictions are about to follow the same pattern Equip ran in eating disorders • What AI actually does in this model (spoiler: it's not replacing the therapist). I also pushed Elliott on the "anti-capitalism" of building a clinical model that explicitly wants patients to use you less over time. Elliott’s answer was sharp. Worth your time to listen to the full episodes (links in comments). 𝐓𝐈𝐌𝐄𝐒𝐓𝐀𝐌𝐏𝐒 (00:00) Why FanDuel nation is about to land on payor claims files (and isn't there yet) (09:00) F63.0 hiding in plain sight — how gambling disorder gets miscoded as depression and anxiety (20:30) Real prevalence numbers (way north of the 1-4% you've been quoting) (28:30) Birch's specialty network playbook — Equip for gambling, gaming, and process addictions (40:00) Why your dentist asks about marijuana but no one asks about gambling (free idea: fix this) (45:00) AI's actual job in behavioral health: the 3 AM Sunday gap, not the therapy hour @Hospitalogy_HC @BirchesHealth