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Mental health delivery is broken. Access to care is poor, outcomes are rarely measured, and PCPs are not sufficiently involved. An integrated medical and behavioral healthcare model improves outcomes and reduces costs. Valera Health is a startup that enables an integrated model by offering a comprehensive service that combines analytics, high quality tele-psychiatry, responsive case management, and cutting edge technology. Valera Health works with payers and providers to identify patients with co-morbid medical and behavioral health conditions using claims data analysis. Primary care providers are then supported with trained remote case managers for behavioral activation and coordination supervised by psychiatrists. Additionally, the app will track both passive (distance traveled, amount of texting, etc) and active patient sentiment and use algorithms to detect change. Valera aims to provide a scalable end-to-end solution that supports improved outcomes and cost-savings.