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Value-Based Readiness — Cornerstone’s Acquisition Strategy For VBR Success

December 8, 2022

The shift from traditional fee-for-service reimbursement models to value-based reimbursement (VBR) is providing opportunities for specialty care provider organizations to be innovative. Value-based contracting success is dependent on several variables, not the least of which is the size of an organization. Recent OPEN MINDS survey data reveals that 80% of organizations have about 20% of their revenue in value-based contracting (see Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value). Most organizations participating in VBR are large — over $50 million in revenue. These statistics behoove organizations to look carefully at size and volume as a key decision point for determining if preparation and readiness for value-based contracting is right for them. Will the investment in VBR readiness have a strong likelihood of return on investment and when? What volume is needed to see a quick return?

Join Cari A. Guthrie, President and Chief Executive Officer for Cornerstone Montgomery, and Karen Carloni, Executive Director of Southern Maryland Community Network, Inc., to learn about Cornerstone Montgomery’s decision to acquire another organization – Southern Maryland Community Network and the importance of this acquisition as a pivotal action to support sustainability and growth, including the active pursuit of value-based contracts.

During this one-hour executive session, attendees will learn:

  • The decision factors influencing Cornerstone Montgomery’s decision to move forward with an acquisition
  • The process of implementation — successes and tips to handle challenging events throughout.
  • The anticipated goals and outcomes from the acquisition.
  • The value of the acquisition in pursuing value-based contracting


December 8
1:00 pm - 2:00 pm
Event Categories:

Featured Speakers

Cari A. Guthrie, LCSW-C, President & Chief Executive Officer, Cornerstone Montgomery

Cari A. Guthrie has been working in community mental health for over 25 years, beginning on the inpatient psychiatric unit at Montgomery General Hospital (now Medstar Montgomery) and then at Threshold Services residential rehabilitation program. She worked for Johns Hopkins Bayview Mental Health Capitation Program Creative Alternatives in Baltimore for 3 years before returning to Threshold Services in 1997 where she served as a Program Director, Rehabilitation Director and Clinic Director as well as the Chief Operating Officer. In 2012, became president and CEO of Cornerstone Montgomery when Threshold Services merged with St. Luke’s House.

Ms. Guthrie has been actively involved in implementing evidence-based practices, including Family Psychoeducation, Integrated Treatment for Co-occurring Disorders, Motivational Interviewing, Illness Management and Recovery, Supported Employment, Stages of Change, Cognitive Behavioral Therapy, and Nonviolent Crisis Intervention. Under her leadership and vision, Cornerstone Montgomery’s budget has grown 30%, from $18 million to over $23 million. She also serves on the Board of Directors for Community Behavioral Health Association of Maryland and the National Council for Behavioral Health.

Karen Carloni, CRC, LCPC, NCC, Executive Director of Southern Maryland Community Network, Inc.

Karen Carloni serves as the Executive Director of Southern Maryland Community Network, Inc., a 501(c)3, non-profit community behavioral health organization. Since assuming the position in May 2013, Ms. Carloni has focused on working with community stakeholders to address service gaps over a three-county region. Ms. Carloni believes in building strong partnerships among service participants, other area providers, government and private entities in order to achieve the agency mission. She specializes in program development and bringing value through achieving impact.

Ms. Carloni has previous experience as a Deputy Director, Rehabilitation Director and private practice therapist. She also writes for Choosing Therapy and served as an officer on the Board of Directors of the Community Behavioral Health Association. Ms. Carloni is the Treasurer of the Maryland Behavioral Health Services provider network. In 2015 Ms. Carloni completed the Executive Leadership Program of the National Council and Leadership Southern Maryland in 2017.

Ms. Carloni completed a Bachelor of Science in Psychology at the University of Florida and a Master of Arts in Counselor Education at the University of South Florida. She holds CRC and LCPC licenses and is a Nationally Certified Counselor.

Ms. Carloni is married with four children and several adult foster children.

Carol Duncan Clayton, Ph.D., Senior Associate, OPEN MINDS

Dr. Carol Clayton is a licensed, psychologist with 30 years of health care experience in the public and private sector, including non-profit and private practice work. Prior to joining OPEN MINDS as a Senior Consultant, she retired as the Translational Neuroscientist for Relias, where she specialized in health care solutions targeting workforce development and population health outcome improvement. Before joining Relias, Dr. Clayton was the CEO of Care Management Technologies, a health IT data analytics company. She also served as the Executive Director of the NC Council of Community Programs from 2000- 2006. The NC Council is the predecessor organization to i2i.

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