In a rapidly evolving behavioral health landscape, Foresight Mental Health is positioning itself as one of the most innovative and impactful providers in the country. What began as a data-focused software project has grown into a comprehensive tech-enabled mental health care organization that spans 25 states and offers a full spectrum of services — from psychiatry to nutritional therapy and cutting-edge interventions like TMS and ketamine.
Founded in 2018 by two engineering students from UC Berkeley, Foresight’s origin story is one of personal passion, unmet need, and relentless innovation.
From Tech Platform to National Provider
The co-founders, Matt Milford and Doug Hapeman, didn’t set out to become health care executives. Their original goal was to solve problems in mental health care through technology. After seeing friends struggle with access to care, outdated systems, and inconsistent outcomes, they created software to help clinicians make better treatment decisions.
However, the software alone wasn’t enough. Providers were hesitant to adopt new tools, and distribution was a challenge. So Milford and Hapeman pivoted — launching Foresight as a full-service tech-enabled mental health care provider.
“We realized we had to take the technology in-house, hire our own clinicians, and deliver care ourselves,” Milford explained.
A Seamless, Data-Driven Patient Journey
What makes Foresight different is how it combines human expertise with advanced technology at every step of the care process. Patients begin their journey with a customized intake process, often guided by data from genetic testing and lifestyle surveys. Based on this information, they are matched with providers and receive personalized treatment plans.
As care progresses, wearable technology tracks key metrics like sleep, activity, and stress. These insights help adjust care in real-time, allowing for more responsive, personalized treatment. This is tech-enabled mental health care at its most dynamic — merging innovation with clinical precision.
Foresight uses validated assessment tools like the GAD-7 and PHQ-9 to track symptom severity. According to company data, patients see symptom reductions of nearly 50%, showcasing the effectiveness of their outcome-driven model.
Built for a Value-Based Future
With the health care industry moving toward outcome-based reimbursement, Foresight is already ahead of the curve. Its integrated use of technology, clinical data, and patient engagement makes it an ideal model for tech-enabled mental health care under value-based arrangements.
“We anticipate the majority of our services will be under value-based arrangements in the next few years,” the company noted. “Having the technology and the providers in-house makes us well positioned for that transition.”
The company has already begun working with payers to structure these agreements and will begin accepting Medicare soon, with Medicaid to follow — opening access to a broader population in need of quality care.
Telehealth Meets Brick-and-Mortar
While Foresight leaned heavily into telehealth during the pandemic, the company is reintroducing and expanding its in-person services. About 25% of its planned growth will be physical locations, allowing for services like TMS and ketamine treatment that aren’t feasible through virtual care.
Its recent acquisition of PACT Atlanta — a 14-clinic practice in Georgia — is a reflection of its dual growth strategy: combining organic expansion with targeted acquisitions. But unlike other companies focused purely on mergers, Foresight emphasizes building from the ground up.
“Our focus is primarily on organic growth,” Milford said, “but strategic acquisitions like PACT help us scale faster when the alignment is right.”
Whether in-person or virtual, every touchpoint remains rooted in tech-enabled mental health care. It’s a model that enhances quality, boosts accessibility, and enables precise measurement of outcomes.
A Mission Born from Personal Experience
The heart of Foresight’s story lies in the personal experiences of its founders. From navigating prescription access to witnessing the emotional aftermath of terrorist attacks abroad, Milford and Hapeman were inspired by how broken the system was — and how much better it could be.
“We saw the frustration — the waitlists, the out-of-pocket costs, the outdated tools,” Milford recalled. “That’s what drove us to build something different.”
What they built wasn’t just a clinic or an app — it was a fully integrated, tech-enabled mental health care ecosystem designed for both patients and providers. Their early vision is now being realized on a national scale, backed by over $25 million in funding and an expanding clinical team expected to surpass 1,000 professionals.
The Future Is Tech-Enabled
Foresight is betting big on data, outcomes, and digital infrastructure — all the components necessary for true transformation in behavioral health. As more payers demand accountability and more patients seek accessible care, the demand for tech-enabled mental health care will only grow.
The company’s goal is to lead this evolution — not just as a provider, but as a blueprint for the future of behavioral health care.
“Tech alone isn’t enough,” said Hapeman. “You need people, data, and a mission-driven approach. That’s the foundation of tech-enabled mental health care that actually works.”
With its strong foundation, ambitious growth plans, and unwavering commitment to value-based outcomes, Foresight Mental Health is showing the world what’s possible when technology meets empathy — and why the future of behavioral health will be built by those willing to innovate.
