ALTHIO, INC. · PRE-SEED · OCTOBER 2026
AI-powered continuous care
for value-based behavioral health.
An AI at both ends of care for behavioral-health practices: a companion between sessions, a copilot inside them, and the outcomes data payers now pay for.
Mariyam Vidhu Vijayan, CEO · Rustum Usman, CPO
THE PROBLEM
Care happens in one hour a week.
Outcomes are decided in the other 167.
CLIENT · DRIFTS
15–30%
of sessions missed. Between visits, nothing holds the plan together.
CLINICIAN · STARTS COLD
2 hrs
of desk and EHR work per patient hour. Context is rebuilt by hand, every session.
CLINIC · LOSES CASH
$300K
in missed sessions a year at a 10-clinician practice. Insurers pay $0 for them.
PAYMENT · SHIFTS TO OUTCOMES
65%
of behavioral health providers earn nothing from value-based care. They can't measure between visits.
One root cause: care is episodic. Althio makes it continuous and measured.
Sources: Mitchell & Selmes 2007 · Gajwani 2014 · Sinsky et al. 2016 · Behavioral Health Business survey 2025 · $300K: Althio model
WHY NOW
Demand outstrips access.
And payment is moving to outcomes.
29.5M
US adults with mental illness received no treatment in 2024
137M
Americans live in designated mental-health shortage areas
165M
people covered by payers pledged to outcome-based payment by 2028
Outcomes get paid
Medicare's ACCESS model has paid for PHQ-9 and GAD-7 gains since July 2026
Supervised tech pays
Clinician-supervised, technology-led care is now reimbursable
Platforms consolidate
Sword bought Headspace; scale still skips continuity
AI is first contact
Clients open up to AI before a clinician
WHAT WE BUILT
An AI at both ends of care, an answer for every gap.
CLIENT
Care becomes continuous
- AI follow-up on action steps after every session
- Relapse risk flagged before drop-off
- Never repeats their story
CLINICIAN
Arrives prepared, leaves done
- Briefed on the client's week
- Notes written live, in any template
- A copilot for the full picture
CLINIC OWNER
Results on the books
- Fewer no-shows
- New clinicians add capacity, not admin
- One record, one standard, a full audit trail
PAYER CONVERSATION
Outcomes it can prove
- PHQ-9 and GAD-7 captured between sessions
- Weekly outcomes across the panel
- Ready for outcome-based payment
SAFETY
Always human-anchored · Crisis escalation · HIPAA · SOC 2
TRACTION · OUR OWN CLINIC
Our first customer is our own clinic.
The results we pitch are the ones we live with.
50%→15%
no-show rate, before and after AI at both ends
1/3
of weekly admin hours returned to clinical work
20,000+
professionals served
Daily
every consultation and note runs through Althio
Context: Mariyam built and ran Crink, our India practice, for five years. Employer-sponsored therapy there runs high no-show rates; a US practice starts nearer 15–30%.
THE PRODUCT
The triangle of continuous care
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The hybrid human-clinician + AI-support model is corroborated by published clinical literature (Noto et al., Journal of Technology in Behavioral Science, 2026).