Better Together · Licensed Group Therapy at Scale
For the people
every other system
left behind.
every other system
left behind.
Better Together delivers licensed, clinician-supervised group therapy at a price every system can afford — to every population that needs it. Not a chatbot. Not a wellness app. Real clinical care. Real outcomes. Measured every session.
One Story · Thousands Like It
Marcus is 34. He's not sleeping. His anxiety is constant. His doctor prescribed medication — she had nine minutes. His insurer approved six therapy sessions. He used four, then stopped because the copay was $90 and the waitlist for a new therapist is fourteen weeks. He never made it to a group. He never came back.
What Better Together Is
AI that amplifies the clinician.
Never replaces them.
Never replaces them.
The mental health system has a delivery problem. The need is documented. The professionals exist. The funding mechanisms are in place. What's missing is the infrastructure to connect all three at the scale the crisis demands.
Better Together is that infrastructure. A licensed therapist supervises a group of up to twelve. Every session produces a clinical SOAP note. Every participant's improvement is tracked longitudinally across seven life dimensions. The therapist controls everything.
The result: one clinician serves ten people simultaneously, at $30 per person per session, with zero administrative burden and full clinical documentation. The math changes completely — for insurers, for school districts, for public health agencies, for corrections departments, and for national health systems.
Amplifiers
01
The clinician is always sovereign.
Sage facilitates. The licensed therapist supervises, reviews, and can override at any moment. AI amplifies human judgment. It never substitutes for it. Every clinical record is reviewed and signed by a licensed professional.
02
Outcomes are measured — not engagement.
Most platforms count logins. Better Together measures whether the person's life is actually getting better — across seven dimensions, session after session. Differential Improvement: real change, documented longitudinally.
03
Safety is non-negotiable.
Real-time safety monitoring every 8 seconds. Zero tolerance for crisis signals. Mandatory routing to emergency services. Clinician dashboard with full override capability. A system people in crisis can trust.
🟣 Conversational Intake
Sage triage screen — no forms, no onboarding friction. Crisis signals route immediately to human review. 70% of participants qualify for group care.
👥 Dynamic Group Matching
Matched by condition, severity, availability, language, and therapeutic fit. Groups of ten. One clinician. Sixty minutes. Facilitated by Sage, supervised by the licensed professional.
📋 Clinical Documentation, Automatic
After every session, Sage generates a complete SOAP note per participant. Clinician reviews and signs. Full clinical record. Zero documentation burden.
📈 Longitudinal Improvement Tracking
Every participant's trajectory tracked across seven life dimensions. The system knows if it's working. Human professional notified when it isn't.
⚠️ Escalation, Always Built In
Participants needing more than group support are routed automatically — to individual therapy, crisis resources, or specialist care. Full session history transferred.
🌐 Culturally Calibrated
Sage infers each person's cultural context from natural conversation. Every person receives care that speaks their world. Multilingual. Adaptive.
🚪 Onboarding
Sage conducts a conversational intake. DSM-5 informed. Plain language. No forms. Presenting profile delivered to the clinician before the member ever enters a group. Details →
📊 Life Measures Review
Seven dimensions of the member's life — ranked by where they're struggling most. Sage surfaces the pattern. The member names it. The clinician sees it. Details →
The Clinical Model
Every session is clinician-governed.
Group Sessions Pat. Pending
Clinician-led. 6–8 members. Structured peer exchange with Sage present as an observer — surfacing signals, never interrupting. Sub-huddles available for private follow-up.
SOAP Reporting Pat. Pending
Sage generates draft SOAP notes from every session. The clinician reviews and signs. Zero documentation burden. Every note audit-ready, superbill-ready, insurer-ready.
DI · Metacognition Pat. Pending
Development Index tracks eight weighted signals across seven life Measures. The metacognition engine identifies root causes — not just surface symptoms — and redirects Sage accordingly.
Gate Enforcement Pat. Pending
Sage never operates outside defined clinical thresholds. Confidence gates, escalation triggers, and crisis protocol fire automatically. The clinician is always notified. Always in control.
The Nugget Pat. Pending
One small actionable commitment, chosen by the member with Sage at session close. Carried forward. Reviewed next session. Behavior change that compounds between clinical contacts.
Individual Therapy Plan Pat. Pending
Sage builds and maintains a longitudinal ITP for every member — tracking progress across Measures, updating after every session, visible to the clinician at any time.
Superbill · HSA/FSA
Every session generates a superbill for member reimbursement. HSA and FSA eligible. Insurer cost per episode drops. Member out-of-pocket drops. Both win.
Clinician Timeline
Full longitudinal member timeline — every session, every Nugget, every DI shift — visible to the clinician at any time. Nothing hidden. Nothing lost.
DI · Development Index Pat. Pending
Eight weighted signals. Seven life Measures. One number that tracks genuine progress — not engagement, not time-in-app. Real improvement, measured continuously.
Patent Pending · BTG Mental Health Platform · Better Together Advanced Technologies, 2026
0M
Million adults¹
with mental illness in the US — nearly half receive no treatment whatsoever
Mental Health
$0B
Billion dollars²
in avoidable annual costs from untreated mental illness — absenteeism, turnover, lost productivity, excess care
Public Health · Workforce
0%
Percent³
of incarcerated individuals have a diagnosable mental health condition at intake
DOJ · Emergency Management
The system was built for acute intervention. The crisis is chronic and continuous. The gap between those two facts costs everyone — patients, payers, and society — more than any existing model can absorb.
¹ SAMHSA National Survey on Drug Use and Health, 2024 (61.5M adults, 23.4% of US adult population) · ² Meharry Medical College / Deloitte, The Projected Costs and Economic Impact of Mental Health Inequities in the US, 2024 · ³ Bureau of Justice Statistics, Survey of Prison Inmates 2016 (most recent) · Source documents: hilton-foundation.org/sage/research
Continuum of Care — Where BTG Fits
Onboarding
Sage · DSM-5 Intake
›
BTG
Outpatient Groups
Sage + DI + ITP
›
Individual Therapy
Licensed clinician
›
Psychiatric Support
Medication management
›
Residential Care
Intensive outpatient
›
Hospitalization
Acute inpatient
The Business Case
Let's look at Mental Health Insurance.
What Insurers Pay Today
$175
Average cost per individual therapy session.
6–12 sessions per episode = $1,050–$2,100 per member.
Readmission rate: 40%+ within 12 months.
6–12 sessions per episode = $1,050–$2,100 per member.
Readmission rate: 40%+ within 12 months.
What BTG Costs the Insurer
$35
Member copay per session — insurer cost near zero after superbill.
Group model = 6–8x efficiency per clinical hour.
Sage-supported between sessions — no billable time required.
Group model = 6–8x efficiency per clinical hour.
Sage-supported between sessions — no billable time required.
$1,800
avg per member · individual therapy
→
$280
avg per member · clinician-led group
→
$1,520
per-member savings · 84% cost reduction · same clinical outcomes
→
$1.52M
annual savings · one insurer · one cohort
The Five Domains
One platform.
Every population that needs it.
Every population that needs it.
The architecture is the same. The argument is different for each audience.
Health Insurance
Insurers & Health Plans
Every group session completed is an individual FFS claim that never gets filed. Insurers pay zero for group sessions and retain 100% of avoided cost.
$160B
Annual insurer savings potential · US + Canada
Public Education
School Districts & State Agencies
The national average is 408 students per school counselor. That's 22 minutes of mental health support per student per year. BTG delivers 480.
22 min
Average annual mental health contact per student in current system
Public Health
Government & Medicaid
27.1 million Americans need mental health care and receive none. Not because they don't want it — 6.2 million sought it or knew they needed it. The system ran out before reaching them.
27.1M
Adults with mental illness who received no treatment in the past year
Criminal Justice
Corrections & Reentry
$44,000 a year to incarcerate. $240 for a full BTG intervention course. If one in 183 participants avoids a single year of reincarceration, the entire cohort pays for itself.
$44K
Annual federal incarceration cost vs. $240 for a full BTG course
National Health System
Colombia · Salud Mental Nacional
Ley 2480 de 2025 mandates scalable community mental health access. CAF has approved $150M for implementation. Better Together is the platform the law was written for.
52.9M
Colombian citizens — a national digital front door for mental health
The Ask
One pilot. 90 days.
Real members. Real data. Real outcomes.
Real members. Real data. Real outcomes.
What a 90-day pilot looks like
25–50 members from your existing population — highest mental health cost burden preferred
Sara Whitley LCSW as clinical lead — licensed, credentialed, accountable
3–5 clinician-led groups running weekly — Sage-supported between sessions
DI measurement from day one — you see genuine progress, not engagement metrics
Full SOAP documentation — every session audit-ready and superbill-ready
30-day report to your team — cost per episode, DI trend, member retention
Pilot cost: negotiated against demonstrated savings. We align incentives.
Sara Whitley, LCSW
Founder & Clinical Architect · BTG
sara@b2gx.com · 864.477.7991
T. Craig Hilton
Founder & CEO · Cognogin · T.C. Hilton Foundation
craig@hilton-foundation.org · 864.477.7991
Demo is a separate scheduled follow-up — 45 minutes with the platform live. Questions welcome now. We have time.
Copyright Better Advanced Technologies & the TC Hilton Foundation & Huddle LLC, 2024–26