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Accountable Impact · For health plans

The recovery platform for health plans.

Peer-led. Clinically measured. Reimbursable. Virtual recovery support that extends the care continuum and reduces your highest-cost SUD episodes.

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NAATP
NAATP
Affiliate Member
LegitScript
LegitScript
Certified
HIPAA
HIPAA
Compliant
SOC 2
SOC 2
Certified
42 CFR Part 2
Certified
Medicare
Accepted
The gap

Treatment has a discharge date. Recovery doesn't.

40–60% of individuals return to use within months of discharge. That's not a treatment failure — it's a gap. The highest-risk period begins the moment someone leaves a structured environment, and traditional care models don't extend into that window.

Health plans bear the cost: repeated ER visits, readmissions at $25K–$50K per episode, and a cycle that traditional outpatient care alone can't break. Accountable fills the missing layer between treatment and sustained recovery — with peer-led support, clinical measurement, real-time data, and insurance billing from day one.

01

The gap is expensive

Readmissions average $16K. Residential episodes cost $25K–$50K. The relapse-driven care cycle is the largest controllable cost in your SUD book.

02

Discharge is the starting line

The highest-risk window begins at discharge. Without structured post-treatment support, members are left to self-manage during the most vulnerable period of their recovery.

03

Clinical outpatient isn't enough

A therapist sees someone one hour per week. There are 168 hours in a week. The space between clinical visits is where relapse happens.

The platform

Virtual peer recovery support, built for every line of business.

Accountable is a comprehensive recovery support platform that wraps around your members with peer coaching, accountability tools, and coordinated care — delivered virtually, nationwide.

01

Peer recovery coaching

Certified coaches (NCPRSS/CPRS) with lived recovery experience. Matched to members by background, substance, and goals. 1-on-1 virtual sessions plus real-time text support between calls. All coaches are full-time W-2 employees — no contractors.

02

Accountability & trust-building

AI-observed at-home breathalyzer and saliva-based toxicology testing. Facial recognition verification. Results shared with authorized care teams and family through consent-driven permissions under 42 CFR Part 2. Testing is included — no separate charges.

03

Community & care coordination

Facilitated virtual peer support groups five days a week. Free family programming and family portal. Active coordination with clinical teams minimum 2x/month. Automatic clinical escalation when PHQ-9 ≥ 10.

Delivery
100% virtual, nationwide
Ages served
14+ through 87
Substances
Substance agnostic
Lines of business
Medicare, MA, Commercial, Medicaid
Treatment partners
500+
Recovery continuum

No wrong door. No wrong time.

Accountable supports members at every stage — from pre-contemplation to long-term sustained recovery. There is no wrong entry point.

STAGE 01

Pre-treatment

Harm reduction, contemplation, HRA populations. 15% of our members are in harm reduction programs. Abstinence is not a prerequisite.

STAGE 02

During treatment

IOP, PHP, residential. We onboard members while they're still in treatment so there's no gap at discharge.

STAGE 03

Post-treatment

The highest-risk window. Where Accountable has the greatest impact — extending support through the period where 40–60% of individuals traditionally return to use.

STAGE 04

Long-term recovery

Sustained recovery support with lifetime access to group programming for alumni.

Acuity
Coaching
Monitoring
Clinical collaboration
Low
1×/week
Selective
As needed
Mid
1–3×/week
Selective
Biweekly
High
Up to 3×/week
Ongoing
Weekly + failsafe planning
Outcomes

The data speaks for itself.

2025 Outcomes Reportn = 5,178 members · 12-month continuous tracking · 5 validated instruments · measured against published TAU baselines (NIDA/SAMHSA). Peer-reviewed methodology available on request.
Headline
50%
Return to higher levels of care — cut in half
From a live, claims-integrated national health plan deployment
8–12%
Relapse rate
vs. 40–60% TAU
63%
Depression reduction
PHQ-9: 7.4 → 3.0
93%
Craving reduction
BSC: 3.5 → 0.2
98%
Member satisfaction · NPS 91
10,000+ members supported
The ROI case

Model your return.

A single residential episode costs $25K–$50K. Drag the slider to model the avoided cost and ROI for your plan's high-risk SUD population.

High-risk SUD members engaged
1,000
Claims-flagged SUD cohort
1001K2.5K5K10K

Modeled on enrolled high-risk SUD members (not full book of business). Claims-flagged cohort: 70% baseline episode rate → 12% with Accountable, $32K blended episode cost. ROI ranges 3–4× for general populations to 8× for high utilizers.

Annual avoided cost$18,560,000
Estimated ROI3.1×
Acute episodes avoided / yr580
Engagement

Eyes and ears for your care management team.

Members with high-cost SUD episodes are likely already under care management — but traditional outreach struggles to engage them. Accountable gives your CM team a peer-led mechanism that reaches this population at significantly higher rates.

When a peer in recovery makes the call — someone who's been there — members engage at rates that dwarf plan-initiated outreach.

All voluntary enrollment. Industry standard for virtual SUD engagement: 30–60 days.

01
Peer outreach
contact rate on warm calls to eligible members
38%
02
Positive contact
enroll after engaging in conversation
29%
03
Active engagement
sustained over time
34%
04
Avg. engagement
~8 months voluntary
227d
Case study · Medicare member · Male · 66 · AUD + major depression + early-stage dementia

"When traditional care falls short, peer-led recovery steps in."

Member profile at enrollment
Prior 18 months
4 inpatient admissions · 2 residential stays
Return-to-use history
Relapsed within 30 days of each discharge
Barriers
Cognitive decline · no transportation · estranged from family
Payer cost, prior 18 mo.
≈ $142K in avoidable acute care

Four inpatient admissions and two residential stays over the prior 18 months — each followed by a return to use within 30 days. IOP wasn't viable due to cognitive and transportation barriers. Accountable matched him with a peer coach 3×/week, coordinated transportation, rebuilt a fractured family relationship, and — when a cancer diagnosis emerged — arranged transportation to every chemotherapy appointment.

0
Returns to use
Sustained sobriety at 18+ months
12 → 4
PHQ-9
Moderate depression → minimal
100%
Chemo appts attended
None missed
Billing & reimbursement

Existing codes. No new coverage category.

We bill through codes your claims systems already process — no new coverage category, no new plan design required. Accountable engages as a vendor solution or as an in-network provider, flexible to your procurement process.

Questions, answered

Common questions from plans.

All coaches are certified peer specialists with lived recovery experience. They hold both state certification and national NCPRSS certification through NAADAC. They are full-time W-2 employees with 3.5–5.5 hours of clinical supervision per week.
We are substance agnostic — alcohol, opioids, stimulants, cannabis, and poly-substance. Our coaching and monitoring model adapts to each member's recovery path.
No. 15% of our members are in harm reduction programs. We meet people where they are. Coaching adapts to each member's goals.
All ages, from adolescents (14+) through Medicare-age adults. Our oldest active member is 87.
Commercial, Medicare, Medicare Advantage, and Medicaid. All ages, all substances.
Coaches assess for risk, safety, means, and plan. They loop in the clinical team and emergency contacts immediately and stay on the line until help arrives. For clinical and medical decisions, we defer to licensed providers and coordinate accordingly.
Yes. We have an integration-ready API and can push data to any EHR or care management system.
All data sharing is opt-in and member-controlled under 42 CFR Part 2. Members choose exactly who sees what through granular permissions. We build trust, not surveillance.
Let's build it

A stronger recovery ecosystem, together.

Virtual, peer-led, clinically proven to reduce return to use. Available as a vendor solution or in-network benefit across all lines of business and all ages.

Schedule an intro call

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Who We Serve

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Contact Us

Contact Us

About Us

Who We Serve

Resources

About Us

Who We Serve

Resources