The healthcare industry is moving away from fee-for-service (FFS) and toward value-based care (VBC) with behavioral health providers no longer being able to afford to sit on the sidelines. In 2025, ignoring VBC could mean fewer referrals, lower reimbursement rates, and lost opportunities for growth. With payers demanding measurable outcomes, patient engagement, and data-driven care, providers who fail to adapt risk being left behind. Here’s why the shift is happening—and five key reasons why ignoring VBC is a major risk in the year ahead.What’s driving the shift to value-based care?The transition to VBC is happening across healthcare, but behavioral health is now at the forefront. Here’s why: A Rising Demand for Mental Health & Addiction ServicesWith mental health concerns at an all-time high, payers want to ensure that resources go to providers who can demonstrate effective, long-term results.Payers Want a Better ROIInsurance companies, employers, and government programs are prioritizing cost-effective care that reduces hospitalizations, emergency visits, and relapses.Focus on Whole-Person CareBehavioral health is increasingly recognized as a critical piece of overall health. VBC aligns mental health treatment with broader healthcare initiatives, making integration with primary care more common.Technology is Making Outcome Tracking EasierWith EHR systems, AI-powered monitoring, and digital health tools, providers can now track patient progress in real-time—giving payers the data they need to reward quality care.Policy and Regulatory PressureGovernment programs like Medicare and Medicaid are leading the push toward value-based models, meaning providers who don’t adapt may struggle to secure contracts and reimbursement. What are the key risks in not using a value-based care approach? Struggles with Regulatory & Accreditation ComplianceMany state and federal programs are moving away from FFS reimbursement. Providers who don’t implement data tracking, outcome measurement, and patient engagement strategies may struggle to meet new accreditation or payer requirements. Patient Retention & Engagement ChallengesVBC incentivizes long-term patient engagement, rewarding providers who keep patients involved in treatment. Ignoring this shift means missing out on new tools and strategies that improve patient retention, adherence, and satisfaction. The Risk of Long-Term Business SustainabilityAs VBC becomes the norm, programs and practices relying on traditional FFS models will become less competitive. Behavioral health providers who don’t invest in technology, outcome tracking, and patient engagement could see revenue decline over time.Decreased Referrals & PartnershipsTreatment centers, primary care providers, and hospitals are aligning with value-based networks. If your practice isn’t ready, you may lose referrals to competitors who can show better patient outcomes and engagement.Lower Reimbursement and Fewer ContractsPayers are shifting dollars toward providers who track outcomes and demonstrate success. Without VBC readiness, behavioral health organizations may see declining reimbursement rates or struggles securing new contracts.How do you prepare for value-based care?Behavioral health providers don’t need to overhaul their entire model overnight—but taking steps now will set you up for success. Start Tracking Patient OutcomesUse standardized tools like PHQ-9 (depression), GAD-7 (anxiety), or ASAM criteria (addiction recovery). Invest in Digital Engagement ToolsImplement EHRs, mobile check-ins, and telehealth to improve tracking and care coordination. Build Relationships with Payers & Referral PartnerAlign with insurers and health systems that prioritize value-based care. Train Your Team on VBC Metrics & ProcesseEnsure staff understands how to track, report, and improve patient outcomes to meet payer expectations.Takeaway The shift to value-based care isn’t a passing trend—it’s the future of behavioral health reimbursement. Providers who ignore VBC in 2025 risk falling behind in funding, referrals, and long-term sustainability. By tracking patient outcomes, investing in engagement tools, and aligning with payer priorities, behavioral health providers can stay competitive, improve care quality, and secure financial stability in the years ahead. The question isn’t if value-based care will take over behavioral health—it’s how soon you’ll be ready to thrive in it.About the AuthorCarolyn Bradfield is the CEO of Pathroot Health, leading the charge in helping providers implement a value-based care and technology-driven recovery support strategy. A seasoned entrepreneur, she has founded four successful technology companies in conferencing, collaboration, and cloud-based content platforms. Her deep commitment to enabling individuals and their families to achieve long-term recovery began with the struggles of her husband and daughter leading her to found Phoenix Outdoor, a pioneering treatment program for adolescents and families facing substance use disorders. Now, through Pathroot Health, she’s empowering treatment programs to track and improve patient outcomes, engage by using technology to engage alumni and their families, and produce data-driven insights to strengthen recovery. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

The behavioral health industry is going through a big change—moving from fee-for-service (FFS) models to value-based care (VBC). In this new scene, providers don't just get paid for the number of sessions they give but are rewarded to improve patient outcomes. As healthcare costs go up, payers push for change, and more people need mental health services, value-based care is what's coming. Providers who get this shift and change with it will be in the best spot to last and do well in the long run.What’s Wrong with Fee-for-Service in Behavioral Health? In the current fee-for-service setup, providers get paid for each visit or treatment, no matter how well the patient does. This approach has a few big problems: X It's All About Quantity, Not Quality – There is no financial incentive to ensure long-term recovery. X It Costs More for Everyone – It leads to extra treatments that might not even work driving up cost X Nobody's on the Hook – There's no clear way to tell if the treatment helped. As insurance companies and employers push for better mental health care that shows real results, the field is moving towards a system that rewards providers for value.What Is Value-Based Care (VBC) in Behavioral Health? Value-based care rewards providers that improve patient outcomes, reduce relapse, and boost engagement. Payers no longer reimburse for each visit. Instead, they pay based on the quality and how well the treatment worked. Key Elements of Value-Based Care:✓ Technology-Driven Engagement – Automated check-ins, monitoring, mobile apps, engagement portals✓ Care Guided by Numbers – Requires tracking of engagement, patient-reported outcomes, and clinical improvements.✓ Preventative Approach – Aims to cut down hospital stays, setbacks, and emergency expenses.✓ Tech & Patient Tools – Digital tracking, AI-driven insights, and patient monitoring play a key role.Why the Shift to Value-Based Care Matters in 2025 1. Payors Are Prioritizing VBC Contracts Medicare, Medicaid, and private insurers are shifting toward value-based reimbursement.Employers and health plans want proof that behavioral health programs actually work. 2. Increased Funding & Reimbursement Tied to Outcomes Grants and state funding favor providers who track and improve patient outcomes.Programs that fail to adapt risk losing reimbursement opportunities. 3. Patients Expect More Personalized, Effective Treatment Engagement tools, wearable data, and remote monitoring are helping tailor care.Telehealth and digital interventions support long-term patient success. How Behavioral Health Providers Can Succeed in Value-Based Care To succeed in a value-based system, providers must track outcomes, involve patients, and prove effectiveness. Here's how:✓ Set up Outcomes Tracking – Apply proven tests like PHQ-9 (depression), GAD-7 (anxiety), and relapse checks.✓ Enhance Patient Engagement  – Use check-ins, support groups, education, community interaction and online tools to keep patients active.✓ Use Monitoring Technology – Wearables, AI, drug and alcohol testing, and predictive analytics catch relapse risk early✓ Team Up with Payers – Learn about different payment plans (bundled fees shared risks fixed rates) to win contracts.The Takeaway:  The Future of Value Based Care Is Here to Stay The shift to value-based care in behavioral health is accelerating. Providers who adapt now will secure better reimbursement, improved outcomes, and long-term success. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

Value-based care (VBC) is changing the game in behavioral health, shifting from a pay-per-session model to one that rewards better patient outcomes. With payers, employers, and policymakers pushing for higher-quality, data-driven care, providers must adapt to stay competitive and secure funding. So, how can your organization make the shift? This guide breaks down the key steps, strategies, and tools to help you succeed in value-based care.Step 1: Understand the Value-Based Care Models Instead of getting paid per session, providers now earn reimbursement based on real impact—patient engagement, symptom improvement, and long-term recovery. Common Value-Based Payment Models:✓ Pay-for-Performance (P4P): Rewards for hitting quality and outcome goals.✓ Bundled Payments: One payment covers an entire episode of care, from treatment to follow-up.✓ Capitated Payments: A fixed amount per patient, encouraging preventative care and long-term support.The shift away from fee-for-service is happening fast. Understanding these models now helps you stay ahead and thrive in the future of care.Step 2: Implement Outcomes Tracking & Measurement One of the biggest shifts in value-based care is proving treatment results. Providers need to track and report patient progress to show their treatments are working. What to track:✓ Symptom Improvement: Use tools like PHQ-9 (depression), GAD-7 (anxiety), or ASAM criteria (addiction recovery).✓ Engagement & Retention: Monitor session attendance, group participation, and app usage to gauge involvement.✓ Relapse Prevention: Track check-ins, biometrics (if available), and surveys to identify risk factors early.A good EHR coupled with a digital monitoring and engagement platform is a must have to automate data collection and reporting—making this process easier and more effective.Step 3: Keep Patients Engaged Beyond Treatment Payers expect long-term engagement strategies that keep patients connected beyond traditional treatment. High drop-off rates could negatively impact reimbursement and make it harder to track outcomes. How to Improve Engagement:✓ Use Digital Check-Ins → Keep patients accountable between sessions.✓ Offer Peer Support & Virtual Groups → Reduce isolation & and build a strong support system.✓ Send Reminders & Follow-Ups → Text/email nudges improve session attendance & medication adherence.Why It Matters: The more engaged patients are, the better their outcomes—and the stronger your value-based success. Step 4: Leverage Technology and Data for Decision Making Technology plays a critical role in monitoring patients, keeping them connected, analyzing trends, predicting relapse risks and providing ways to proactively intervene. Key Technologies for Value-Based Care:✓ Electronic Health Records (EHRs): Track patient data & automate reporting.✓ Engagement Portal: Offer support groups, educational tracks, family support, and AI-driven insights for personalized recovery guidance.✓ Predictive Analytics: AI-driven insights help identify patients at high risk for relapse or crisis.✓ Monitoring Tools: Geolocation, meeting check ins, breathalyzer tests to verify compliance✓ Survey Tools: Push out surveys via text or email to get self-reported patient feedback.What to Do Now: Assess your current tech stack to see if you have the tools to collect and analyze patient outcomes, identify relapse risk and keep patients and their families engaged. Step 5: Build Stronger Relationships with Payers & EmployersTo secure value-based contracts, behavioral health providers must demonstrate value to payers (Medicaid, private insurers, and employer health plans). Prepare for Payer Discussions:✓ Show Data-Driven Results: Present engagement metrics & patient outcomes to prove program effectiveness.✓ Align with Employer Health Needs: Employers want mental health solutions that reduce absenteeism & improve workforce productivity.✓ Be Ready for Alternative Payment Models (APMs): Understand the payer’s expectations for risk-sharing, bundled payments, or performance incentives. Next Step: Reach out to payers now—position your organization as a partner in improving mental health outcomes.Step 6: Get Your Staff OnboardAdapting to value-based care requires a shift in mindset for clinical staff, case managers, and administrative teams. Training Areas to Focus On:✓ Outcome-Based Documentation → Teach clinicians how to document patient progress effectively.✓ Payer Expectations → Ensure staff understands reimbursement models and quality metrics.✓ Tech Adoption → Train teams on EHR systems, data tracking, and predictive analytics tools. A well-trained team ensures compliance, maximizes reimbursements, and improves patient outcomes.TakeawayThe shift to value-based care is here, and behavioral health providers who prepare now will be best positioned for success. Start tracking patient outcomes, invest in technology to support engagement and data analysis, strengthen payer relationships, and equip your team to thrive in a performance-driven system. Acting early ensures long-term sustainability and better patient care. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

Robert F. Kennedy Jr - Credit: Renato68 - ID: 2433055327 - shutterstock.com Last week, the U.S. Department of Health and Human Services (HHS) unveiled a sweeping reorganization that eliminates over $11 billion in federal funding for addiction and mental health services — but the story doesn’t stop there. This week, the National Institutes of Health (NIH) — the country’s largest funder of public health research — began implementing its own significant cuts under this new initiative. The changes could reshape the entire landscape of behavioral health funding, research, and service delivery. What's Happening at HHS and NIH? As part of the federal government’s new “Workforce Optimization” initiative:10,000 HHS employees are being laid off, including at NIH, CDC, SAMHSA, and CMS.SAMHSA is being folded into a new agency: the Administration for a Healthy America (AHA).Over 230 NIH grants were canceled, including HIV-related research efforts serving vulnerable youth and LGBTQ+ communities.A proposed 15% cap on indirect costs for NIH grants could severely reduce operating budgets at leading research institutions.NIH Director Dr. Jay Bhattacharya acknowledged these are “difficult changes” and pledged to implement them humanely.The result? A massive reduction in both behavioral health research and community service funding — especially for programs that serve high-need populations. Programs at Risk This new direction puts key programs in jeopardy, including:Substance Abuse Prevention and Treatment Block Grant (SABG)Community Mental Health Services Block Grant (MHBG)State Opioid Response (SOR) GrantsCertified Community Behavioral Health Clinic (CCBHC) ExpansionMental Health Awareness Training (MHAT)Project AWARE (school-based mental health)HRSA Behavioral Health Workforce TrainingEach of these has supported prevention, treatment, education, and recovery nationwide. Their disruption will hit vulnerable populations hardest — especially youth, rural communities, and those with co-occurring mental health and substance use challenges. What Behavioral Health Programs Can Do NowAlthough states are suing to reverse these decisions, the government will continue to undergo a massive overhaul with drastic employee and expense cuts. Although it may feel as if programs are caught like a deer in the headlights, there are some positive steps that can be taken to future-proof against what is likely to come. Engage with the AHA Transition As HHS reorganizes, stay engaged with updates on the Administration for a Healthy America. Funding may reappear under new umbrellas — but only if voices from the field speak up. Leverage Opioid Abatement Funds With billions flowing from opioid settlements, behavioral health organizations have a rare opportunity to secure local funding for long-term care, technology, peer services, and wraparound support. This is the time to get in front of city and county decision-makers. Build Value-Based Partnerships Health systems and Medicaid plans are investing in behavioral health for better outcomes and reduced costs. Partner with those payers who need your expertise. Tap Philanthropy and Earned Revenue Foundations often step up in crisis. Meanwhile, diversifying through private pay, licensing, training, and tech services can help ensure long-term sustainability. Technology as a Force Multiplier Platforms like Pathroot are proving that you can scale care without scaling costs. With digital tools, you can:Deliver education and group support virtually.Involve the entire circle of care, not just the person struggling with addiction or mental health issues.Do more with less staff and by reducing burnout and admin load.Stay connected to clients post-discharge to be positioned for a shift to value based care.Monitor recovery using technology to ensure compliance with post discharge treatment plans.Flag relapse risk early to prevent costly readmissions.Technology is no longer a “nice-to-have” — it’s essential infrastructure in an underfunded system. Final Thoughts These cuts represent a serious challenge, but also a wake-up call. The behavioral health field must evolve to remain sustainable, evidence-based, and accessible. By combining smart partnerships, diverse funding strategies, and efficient technology, we can continue showing up for the people who need us most. About the Author Carolyn Bradfield is the CEO of Pathroot Health, leading the charge in helping providers implement a value-based care and technology-driven recovery support strategy. A seasoned entrepreneur, she has founded four successful technology companies in conferencing, collaboration, and cloud-based content platforms. Her deep commitment to enabling individuals and their families to achieve long-term recovery began with the struggles of her husband and daughter leading her to found Phoenix Outdoor, a pioneering treatment program for adolescents and families facing substance use disorders. Now, through Pathroot Health, she’s empowering treatment programs to track and improve patient outcomes, engage by using technology to engage alumni and their families, and produce data-driven insights to strengthen recovery. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

One of my favorite books is titled The Missing Piece. The author Shel Silverstein describes an almost whole circle that seeks a “missing piece” to complete it. This began me thinking about the search for a missing piece in addiction recovery to reduce those incredibly high relapse rates. When we think about recovery, we often focus on the individual: therapy, medication, support groups. These are all essential “pieces”, but what if a "missing piece" is actually the family? Recovery is often seen as an individual journey but, addiction impacts not just the person, but their entire family who should play a critical role in recovery by offering support, understanding, and accountability. A Page from My Experience My daughter struggled with substance use disorder and entered an outdoor behavioral program at 15, followed by a therapeutic boarding school. Meeting parents overwhelmed with shame and guilt inspired me to focus on supporting families, so I founded Phoenix Outdoor, a licensed program for adolescents, that took individuals from all over the country. We used a portal to track progress, held virtual support groups, and offered telehealth therapy meetings so we could educate and empower families to make informed decisions for their child after treatment.And it worked so well that other programs in the adolescent treatment industry followed suit and inspired CRC Health (now Acadia Healthcare) to purchase the program and keep it running for the next 15 years. The family became the key to ensuring they made the best decisions to support their teenagers. The Family's Role in Recovery Today, families are often kept at arm’s length when a loved one is in treatment. They may come to a family day and get education about addiction, but they aren’t usually involved in a significant way nor are they assisted in understanding their role in recovery. So, without knowing it, they fail to hold boundaries, communicate poorly out of frustration, and make decisions that are counterproductive to the recovery process. Studies show that an educated and involved family can significantly lower relapse rates by up to 30%. This isn’t just about being there for your loved one; it’s about actively learning how to deal with the emotional and psychological challenges that come with addiction. Putting the Family at the Center of a “Circle of Care” It takes an entire circle of care to help individuals manage the chronic disease of addiction and stay in recovery. This circle could include treatment professionals, therapists, sponsors, friends, and supporters. But given that most people coming out of treatment live with a family member, here are some thoughts about how to help the family complete the circle. Involve Families Early in the Process: Before and during treatment, educate and involve family members to understand addiction and the recovery process. This helps set expectations and prepares them for their role in supporting their loved one and healing their family. Provide Ongoing Education and Resources: Offer families access to resources, including recovery education, coping strategies, maintaining boundaries and effective communication to empower them with the knowledge to support their loved one effectively. Create Clear Communication Channels: Ensure that families have regular access to progress updates, treatment plans, and open lines of communication with the treatment team. This builds trust and ensures everyone is aligned on goals. Encourage Active Participation in Therapy: Include family members in therapy sessions, support groups, and recovery meetings. Active involvement helps families understand their loved one's challenges and enables them to contribute to healing. Provide Ongoing Support After Treatment: Recovery doesn’t end when treatment does. Continue supporting families through post-treatment services like check-ins, family counseling, and peer support groups to ensure lasting recovery and maintain the family’s role in the process. Takeaway As Shel Silverstein writes, “When the missing piece finally arrives, the circle will be complete.” In the context of addiction recovery, perhaps the missing piece is the family, the people who love and care for the person in recovery, and who can play an essential role in helping them heal. The journey to recovery isn’t one that should be walked alone. The family can be the anchor, the support system, and the motivation needed to ensure long-term success. By embracing the role of the family as part of the recovery process, we can help reduce those high relapse rates and build a stronger foundation for lasting recovery.

This week, the National Institutes of Health (NIH) released a public report showing over 200 terminated federal grants, many tied to behavioral health, addiction, and public health equity. The abrupt cancellations have sparked concerns and debates across the research and healthcare sectors. Some terminated projects appeared to be mission-critical. Others are controversial or hard to defend. But together, the cuts represent a sweeping change in national health funding priorities. View full list of HHS terminated grants here Grants That Could Have Made a Real Impact A number of the canceled grants were deeply aligned with urgent priorities in addiction and behavioral health including: University of Florida Project Title: “Digital Interventions to Reduce Binge Drinking in Emerging Adults” This grant aimed to tackle binge drinking among young adults — a major risk factor for overdose, sexual assault, and long-term substance use disorders. Meharry Medical College Project Title: “Behavioral Health Workforce Training for Underserved Populations” At a time of crisis in the behavioral health workforce, this grant supported training providers to serve high-need communities — a critical area for equitable access. Columbia University Project Title: “Community-based Approaches to Address Behavioral Health Inequities” Ground-level interventions focused on marginalized populations could have helped reduce disparities in care, particularly in urban settings. University of Central Florida Project Title: “Technology-Enhanced Peer Recovery Support” This innovative approach aimed to pair digital tools with peer support for people exiting treatment — directly targeting the post-discharge relapse window. Grants That May Raise Eyebrows Some terminated grants, that focused primarily on academic curiosity or niche research, are likely to be viewed as frivolous and lacking in public support. Here are some examples: Research on gender expression in rodents Multiple grants related to studying gender identity and behavior in animals were terminated, prompting critiques from both sides of the political aisle about the relevance and optics of the spending. Abstract or exploratory grants lacking clear public health translation Some funded work lacked a direct line to improving health outcomes, workforce support, or access to care — a point likely not lost on a fiscally conservative administration. Social signaling among niche identity groups Projects studying micro-social interactions among very specific populations (e.g., niche internet communities) may be seen as disconnected from core NIH health priorities. What This Signals The NIH grant terminations, combined with broader cuts at HHS, signal a new era in federal research funding. HHS will scrutinize grants with a more rigorous filter and a push for high-impact and visible return-on-investment projects.Here is what that means to those applying for grants: Expect less tolerance for academic curiosity as the end result.There will be more demand for outcome-driven, scalable solutionsGrants that tie directly to real-world health improvements will rise to the top. What Grantees and Providers Should Do Next Get Ahead of the Shift by reframing proposals to focus on measurable outcomes, workforce impact, and cost-effectiveness.Demonstrate Community Relevance and focus on grants that link to vulnerable populations, digital health innovation, or care coordination.Leverage Other Funding Sources With NIH pulling back, programs should pursue opioid abatement funds, philanthropy, and value-based care partnerships. Final Thought Some canceled grants were arguably overdue to be scrutinized. Others were deeply aligned with current crises in mental health, addiction, and health equity, and their loss is a missed opportunity. Debating what has already happened won't change the loss of impactful grants, but rethinking the grant process has the potential to elevate the grants that are impactful and reject those that are frivolous, so meaningful research can move forward. About the Author Carolyn Bradfield is the CEO of Pathroot Health, leading the charge in helping providers implement a value-based care and technology-driven recovery support strategy. A seasoned entrepreneur, she has founded four successful technology companies in conferencing, collaboration, and cloud-based content platforms. Her deep commitment to enabling individuals and their families to achieve long-term recovery began with the struggles of her husband and daughter leading her to found Phoenix Outdoor, a pioneering treatment program for adolescents and families facing substance use disorders. Now, through Pathroot Health, she’s empowering treatment programs to track and improve patient outcomes, engage by using technology to engage alumni and their families, and produce data-driven insights to strengthen recovery. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

Wearable technology is evolving beyond tracking steps or heart rate—it’s set to transform addiction recovery. By offering real-time monitoring and proactive relapse alerts, wearables can help healthcare professionals, recovery communities, and treatment programs enhance outcomes and reduce relapses. The Role of Wearables in Addiction Treatment Wearables like smartwatches and fitness trackers continuously monitor physiological indicators such as heart rate, movement patterns, and skin conductance. This data provides real-time insights, helping to detect stress and cravings—critical markers for relapse. A study from the "Scoping Review of Wearables in Monitoring Opioid, Tobacco, and Alcohol Abuse" highlighted devices like the Empatica E4 and Spire Health Tag as effective tools for monitoring substance use, enabling healthcare providers to offer more tailored, timely interventions. Continuous Monitoring for Proactive Recovery Management A key benefit of wearables is their ability to provide seamless, continuous monitoring without requiring user action. Unlike traditional clinical check-ins, wearable data is collected and analyzed in real time, enabling proactive interventions. Pathroot exemplifies this with its personalized recovery scores, derived from wearable data, which alert users and their support teams to potential risks before relapse occurs. A key benefit of wearables is their ability to provide seamless, continuous monitoring without requiring user action. The Future of Wearables in Addiction Recovery Wearables are poised to play an even greater role in recovery as artificial intelligence (AI) and machine learning (ML) become integrated. These technologies can process vast amounts of data to predict relapse risks and recommend personalized interventions. In the near future, wearables may provide real-time notifications to both users and their care teams, ensuring timely action.Pathroot is at the forefront of this innovation, using wearable data to inform recovery strategies and engage care teams proactively. Coupled with community support and expert guidance, this approach not only prevents relapse but fosters a supportive and personalized recovery experience. Emerging Trends in Wearable Technology for Recovery The integration of biometric data and advanced algorithms is set to make wearables even more effective. Innovations like biosensors for detecting specific substances and tools to anticipate behavioral changes are on the horizon. As data privacy improves and healthcare systems adopt these tools, wearables will become a staple in addiction treatment protocols.Companies like Pathroot are leading this transformation, leveraging wearable technology to offer scalable, personalized solutions for relapse prevention. By integrating state-of-the-art monitoring with community engagement, wearables are reshaping addiction recovery. Join the MovementPathroot offers a comprehensive platform to support long-term recovery, combining wearable technology, community engagement, and expert guidance. Join the Pathroot community to access cutting-edge tools that make addiction recovery more accessible, supportive, and personalized. Take the first step toward leveraging wearable technology to transform the recovery journey. See how Pathroot can help your organization, Request a Consultation » ReferencesCarreiro, S., Chintha, K. K., Shrestha, S., Chapman, B., Smelson, D., & Indic, P. (2020). Wearable sensor-based detection of stress and craving in patients during treatment for substance use disorder: A mixed methods pilot study. Drug and Alcohol DependenceShopeju, O., & Choudhury, A. (Ph.D.). (Year). Scoping Review of Wearables in Monitoring Opioid, Tobacco, and Alcohol Abuse: A Potential Intervention for West Virginia. Proceedings of the West Virginia Academy of Science

As behavioral health care shifts toward value-based models, alumni programs are becoming critical for long-term recovery support. Yet, many traditional programs fail to keep individuals engaged, leading to higher relapse rates and lost opportunities for ongoing treatment success. In 2025, effective alumni programs must evolve to meet the needs of modern patients, payers, and providers. Below are the key elements that every behavioral health alumni program must offer to stay relevant and impactful. Offer Continuous Engagement After Discharge The most successful alumni programs don’t just check in for a few months after treatment—they provide long-term engagement and support for years. How to Implement It: Automate Check-Ins: Use text, app notifications, or emails to keep alumni connected.Offer Digital Peer Support Groups: Offer online communities for ongoing interaction.Create a hybrid Engagement Model: Combine virtual and in-person events to maintain accessibility. Why It Matters: Alumni who stay engaged are less likely to relapse and more likely to seek help when needed. Commit to Data Drive Outcomes Tracking With value-based care on the rise, providers must prove the effectiveness of their alumni programs to insurers and payers. What to Measure: Alumni Engagement Levels: Participation in check-ins, meetings, and support groups.Relapse Prevention Metrics: Sobriety tracking, hospital readmissions, or crisis interventions.Patient-Reported Outcomes (PROs): Use tools like PHQ-9 (depression), GAD-7 (anxiety), or craving intensity surveys. Why It Matters: Payers and providers need evidence-based data to justify program funding and ensure reimbursement. Offer Personalzed Support for Different Recovery Paths Every person’s recovery is unique. Alumni programs must offer customized support options based on individual needs. Key Features to Offer: Multiple Recovery Tracks: Offer different engagement levels based on alumni needs (e.g., active support vs. maintenance).Targeted Resources: Provide tailored content and coping strategies for specific challenges (mental health, trauma, family dynamics).Personalized Outreach: AI-driven insights can recommend the right interventions at the right time. Why It Matters: One-size-fits-all programs don’t work—customization keeps alumni engaged. Integrate Family and Support Networks Recovery isn’t just about the individual—it’s about their entire support system. Alumni programs must engage peers, family, and community resources to create a stronger safety net. How to Strengthen Support Networks: Peer Mentorship Programs: Connect alumni with mentors or sponsors for accountability.Family Education & Involvement: Offer workshops, online resources, and check-ins for family members.Community-Based Recovery Events: Host in-person and virtual gatherings to maintain connections. Why It Matters: Strong social support is one of the top predictors of long-term recovery success. Add Crisis Intervention & Prevention Tools Alumni programs must go beyond basic check-ins and offer real-time intervention options when individuals are at risk of relapse. Essential Crisis Support Features: 24/7 Access to Support: AI chatbots, peer networks, or on-call recovery specialists.Relapse Risk Alerts: Use geofencing, biometrics, or engagement drop-offs to flag high-risk situations.Crisis Management Plans: Provide alumni with structured action plans for handling high-risk moments. Why It Matters: Early intervention reduces relapse rates and improves long-term outcomes. Use Technology to Enable Engagement In 2025, behavioral health alumni programs must leverage technology to enhance accessibility and engagement. Tech Features Every Alumni Program Needs: Mobile App and Portal: A centralized place for check-ins, support groups, and recovery resources.AI-Driven Insights: Personalized recommendations based on behavior and engagement trends.Virtual & Hybrid Meetings: Online support groups ensure alumni stay connected from anywhere.Monitoring Technology: Increase accountability through geofencing, meeting check ins, breathalyzer resultsSurvey Tools: Deliver simple surveys via SMS and more complex surveys online to get data for outcome studies. Why It Matters: Digital tools improve alumni retention, increase accessibility, and create better data tracking for payers. Provide Incentives and Motivation To keep alumni involved, programs must offer meaningful incentives that encourage participation and progress tracking. Effective Incentives Include: Recovery Milestone Badges: Celebrate 1 month, 6 months, 1 year, and beyond.Exclusive Alumni Benefits: Offer access to advanced recovery workshops, mentorship opportunities, or leadership roles.Gamification & Rewards: Points systems, leaderboards, or recovery streaks help maintain engagement. Why It Matters: Recognition and progress tracking reinforce motivation and long-term success. Add Career and Life SkillsBehavioral health recovery isn’t just about staying sober—it’s about building a stable, fulfilling life. Alumni programs should support career development, education, and life skills training.How to Support Life Beyond Recovery:Job Placement & Career Coaching: Help alumni find meaningful employment.Financial Wellness & Budgeting Help: Support responsible financial decision-making.Life Skills & Continuing Education: Offer workshops on stress management, relationships, and personal growth.Why It Matters: Long-term recovery success depends on life stability—helping alumni thrive beyond treatment is key. Takeaways The best alumni programs in 2025 will be data-driven, tech-enabled, and deeply personalized. Behavioral health providers must shift from passive, outdated approaches to engagement strategies that actively support long-term recovery. Key Takeaways for 2025 Alumni Programs: ✔ Continuous engagement & digital access keep alumni connected. ✔ Outcome tracking & data measurement ensure program effectiveness. ✔ Personalized recovery paths & crisis interventions improve success rates. ✔ Peer support, family involvement, & life skills training build a strong foundation. ✔ Incentives & recognition keep alumni motivated for long-term success.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions. See how Pathroot Health can help you automate and transform your alumni program. Get in touch »

Robert F. Kennedy Jr - Credit: Renato68 - stock.adobe.com As Robert F. Kennedy Jr. steps into leadership at HHS, treatment providers should be paying close attention. The headlines about Kennedy’s views on vaccines and environmental policy have distracted us from the bigger picture surrounding Kennedy’s views on healthcare reform, cost-cutting, and recovery that may have a big impact on behavioral health. Our Healthcare System Is Failing—And Everyone Knows It The U.S. spends more than $12,000 per person each year on healthcare, yet our life expectancy (76.4 years) lags far behind peer nations. We rank last among 11 wealthy nations for healthcare outcomes (Commonwealth Fund). Only 1 in 10 people with a substance use disorder (SUD) receive treatment. If RFK Jr. is serious about fixing a broken system, behavioral health could be one of the obvious places to start. A Push Toward Value-Based Care Kennedy has criticized the inefficiency and waste in U.S. healthcare. This could accelerate HHS’s shift to value-based care, meaning: Greater focus on outcomes, not volumeReimbursement tied to long-term recovery, not just short-term stabilizationFunding for integrated, whole-person care that connects addiction, mental health and physical health. Treatment providers offering continuing care, family education, and digital recovery tools are well-positioned when Kennedy’s priorities become federal policy with changes coming faster than expected."Wellness Farms" as a Strategy?Robert F. Kennedy Jr.'s wellness strategy for addressing addiction focuses on creating "wellness farms"—rural, community-based retreats designed to help individuals recover from substance use disorders. These farms would combine nature-based therapy, organic farming, and holistic practices to foster physical, emotional, and social healing. Kennedy envisions these wellness farms as a way to provide a supportive, therapeutic environment that encourages personal growth and self-reliance, moving away from reliance on medication and traditional treatment models. This approach aims to help individuals reconnect with nature and work in a way that supports long-term recovery and wellness. “I’m going to create these wellness farms where they can go and get off of illegal drugs, off of opiates, but also legal drugs,” Kennedy said at a virtual event during his campaign. Will you know what's ahead?RFK Jr. just rolled back a long-standing transparency rule, the Richardson Waiver, giving HHS more power to change policies, like Medicaid rules or NIH funding, without public notice or input. For treatment providers, this means changes could happen faster, but with less warning or opportunity to adjust. It’s a clear sign that Kennedy plans to move quickly, and on his own terms. Expect a focus on the big players Expect Kennedy to scrutinize pharmaceutical and insurance companies which should signal that treatment providers should be prepared for potential shifts in how care is authorized and paid for. Loosening of prior authorization requirements for addiction medications like buprenorphine or naltrexone making it easier and faster for patients to access these treatments.Revised reimbursement models that favor bundled payments, episode-of-care pricing, or incentives tied to long-term recovery outcomes rather than service volume.Pressure on pharmaceutical companies to increase transparency on pricing and marketing practices related to SUD medications. While these changes may take time, providers who can show they deliver cost-effective, patient-centered care will likely be favored in a more accountable system. Now’s the time to think through a strategy, track your outcomes, and prepare for a shift from volume to value. Takeaway The new administration has left most of us reeling with the pace of change and we should expect that pace will impact behavioral health treatment policy in profound ways.  The transparency afforded to us in the past for advanced notice about policy changes to weigh in on them is now gone. This means that programs cannot afford to be blindsided because they are unprepared to shift strategy to keep pace with the change. See how Pathroot can help programs improve and track outcomes.  Get in touch ».

Behavioral health and addiction treatment is undergoing a significant shift. Instead of reimbursing providers solely based on the number of sessions they deliver, several states are beginning to implement value-based care (VBC). This new model rewards progress and measurable outcomes, focusing on results rather than just effort. Several states have realized that fee-for-service models often lead to fragmented care, higher costs, and, most importantly, missed opportunities for lasting recovery. But now, states like Massachusetts, Texas, Oregon, California, and others are pioneering new approaches that focus on quality over quantity. What is Value-Based Care in Healthcare?At its core, value-based healthcare delivers better patient outcomes while reducing costs. In the mental health and addiction treatment space, this means putting the patient's well-being front and center. Providers are incentivized to use proven and innovative strategies, such as measurement-based care tools, to track patient success and improve long-term recovery rates.What does this mean for providers, patients, and the future of behavioral health? Let’s examine how states are making value-based care a reality.Massachusetts: A Leader in Whole-Person Behavioral Health Care Massachusetts has been ahead of the curve in integrating behavioral health into its healthcare system. What’s Happening?Accountable Care Organizations (ACOs) are at the forefront. These networks of providers are paid based on patient outcomes rather than the number of services delivered. This change ensures a focus on performance-based outcome measures while addressing long-term recovery.Community health centers are stepping up. Centers like Whittier Street Health Center combine mental health, addiction treatment, and primary care services. This offers holistic support for patients and promotes outcome-based care.Massachusetts showcases how value-based healthcare can meet physical and mental health needs under one roof.Texas: Finding New Ways to Fund Behavioral Health Care Texas faces different challenges than Massachussets, like a large rural population, limited access to care, and provider shortages. Still, innovation is alive and well in the Lone Star State regarding value-based care programs. What’s Happening?Medicaid managed care models. Programs like STAR+PLUS align with value-based mental health care principles, keeping patients engaged and focus on improving measurable outcomes for mental health.Digital tools for mental health treatment. For example, the mobile app tested by UT Health San Antonio, used for opioid recovery, reduced substance use by 35% and extended treatment engagement times.Facilities expansion efforts. Texas Tech University Health Sciences Center is adding psychiatric care in the Permian Basin and plans to open a state-of-the-art hospital by 2026.Other States Making Big Moves in Value-Based Behavioral HealthMassachusetts and Texas are not alone in the push toward value-based care solutions. Several other states are also driving innovative behavioral health reforms.Oregon leverages Coordinated Care Organizations (CCOs) to combine mental health, addiction services, and primary care in one seamless system.California’s CalAIM initiative restructures Medi-Cal to prioritize long-term recovery through value-based payment models.North Carolina’s Medicaid reforms under the 1915(b)(c) Waiver Program focus on outcome-based progress measurements.Pennsylvania’s Medicaid programs now operate under performance-based contracts, rewarding providers for proven success rates in behavioral health recovery.What This Means for the Future of Behavioral HealthAs more states transition to value-based care models in behavioral health, the landscape is changing—for the better. By focusing on measurement-based care in mental health and leveraging measurement tools to track patient outcomes, providers can create long-lasting solutions.Better tracking of patient progress. Using tools to measure outcomes will become the standard empowering providers to demonstrate success and areas for improvement in real time.Growth of telehealth and digital tools. Engaging patients outside traditional settings is critical, as mobile and telehealth apps demonstrate they improve recovery and prevent relapse.Funding tied to measurable results. Programs that show higher engagement, lower relapse rates, and better outcomes will be financially rewarded.The Benefits of Value-Based CareThe benefits of value-based care are clear. Patients experience more comprehensive, results-driven treatment. Providers are incentivized to innovate and use measurement-based care tools to track progress. For the system as a whole, this means reduced costs and better outcomes.This shift answers critical questions like "What is value-based care in healthcare?" and "How can we achieve measurable outcomes for mental health?" by demonstrating that programs based on impact, not activity, are viable and scalable.The Value-Based Care StrategyStates are shifting to value-based care (VBC), tying funding to real patient progress instead of service volume. Massachusetts, Texas, Oregon, California, and Pennsylvania lead the way with integrated care, digital tools, and performance-based Medicaid models. Programs like Michigan’s Health Homes and West Virginia’s Quick Response Teams show how local solutions improve recovery. For providers, this isn’t the future—it’s happening now. To stay ahead, start tracking outcomes, using digital engagement, and aligning with payer expectations.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions. See how Pathroot Health can help you shift to a value-based care solution.  Get in touch ».

Many treatment centers recognize the importance of staying connected with alumni after discharge. To do this, some have turned to alumni apps—a convenient way for former patients to check in, find resources, and stay engaged. But here’s the problem: Just having an app isn’t enough. An app alone doesn’t ensure ongoing engagement, provide real-time intervention, or create meaningful recovery connections. In fact, most alumni apps see low adoption rates because they lack personalization, proactive outreach, and integration with a true recovery support system. If your alumni engagement strategy begins and ends with an app, you’re missing out on the full potential of keeping patients engaged and supported in their long-term recovery. Here’s why.Apps Alone Don't Drive Long-Term EngagementMost treatment center alumni apps are passive tools—they provide a platform but don’t actively encourage participation. If alumni aren’t motivated to log in, the app becomes just another unused icon on their phone.Why Apps Fail to Engage Alumni:X No way to ensure regular check-ins.X Unable to engage users when they need it.X No social connection.What’s Needed Instead:✓ Automated engagement with check-ins via text, email, or calls.✓ Peer & mentor networks to involve alumni in community.✓ Push notifications for personalized recommendations.A successful alumni program doesn’t just offer an app—it creates a system for ongoing connection. Apps Don't Offer Real-Time Support When Alumni Need ItA major issue with app-only alumni programs is that they rely on the individual to reach out for help—but many people don’t recognize when they need support.What’s Missing?X Unable to trigger real-time interventions. X No way to detect warning signs of relapse. X Can’t replace a peer or clinician reaching out at the right time.What’s Needed Instead:✓ Geofencing that can notify when an alum enters high-risk locations. ✓ Predictive analytics that track engagement.✓ 24/7 access to peer support or live coaching.A recovery journey needs real-time human interaction, not just an app-based check-in system. Alumni Need More than Just Digital Content & ResourcesA lot of alumni apps function like a library of recovery resources, offering articles, videos, and self-guided exercises. While this can be helpful, it’s not enough to keep people engaged in recovery.Why This Fails:X Self-help content doesn’t replace community support. X Resources alone don’t encourage participation or accountability. X There’s no personal touch—just a one-size-fits-all approach.What’s Needed Instead:✓ Live virtual or in-person alumni events to maintain real connections. ✓ Personalized recovery journeys tailored to each individual’s needs and milestones. ✓ Structured mentorship & support groups that go beyond passive content consumption.Engagement isn’t about reading recovery tips—it’s about feeling connected to a community. Apps Don't Integrate Well with the Bigger Recovery EcosystemA standalone alumni app is often disconnected from the larger treatment, peer support, and value-based care system. If an app doesn’t integrate with providers, mentors, and family, it becomes just another siloed tool instead of a meaningful extension of care.The Problem with Standalone Apps:X No connection to clinical providers or case managers. X No coordination with peer mentors, support groups, or sponsors. X No way to track outcomes or provide value-based care data.What’s Needed Instead:✓ Integration with treatment teams to ensure alumni stay engaged post-discharge. ✓ A seamless referral system for alumni to re-enter care when needed. ✓ Connection to family & caregivers to create a supportive recovery ecosystem.An app should be one part of a larger, well-integrated alumni strategy. Apps Don't Provide the Data Needed for Value Based CareWith behavioral health moving toward value-based care, providers must show measurable success in alumni engagement and relapse prevention But here’s the issue—most alumni apps don’t provide useful data that payers, referral partners, and treatment centers need to measure success.What’s Missing?X No tracking of relapse prevention efforts. X Limited data on alumni participation & engagement trends. X No outcome-based insights for payers or future program improvements.What’s Needed Instead:✓ Data tracking of check-ins, meeting attendance, and engagement levels. ✓ Measurable impact reporting that helps providers secure value-based contracts. ✓ Predictive analytics that assess risk factors and support early intervention.If your alumni program isn’t tracking outcomes, it’s missing a key opportunity to prove long-term treatment success. Takeaways If you are relying on just an app for your alumni program, you are likely missing the big picture.  Ask yourself:❓ Does your alumni program actively keep former patients engaged? ❓ Can it detect when someone is at risk and intervene in real time? ❓ Does it provide real human support, not just self-help content? ❓ Is it integrated with the larger recovery ecosystem? ❓ Can you measure success and prove long-term impact? If you answered “no” to any of these questions, it’s time to rethink your alumni strategy.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions. See how Pathroot Health can help you automate and transform your alumni programGet in touch ».

Alumni programs in behavioral health were designed to keep individuals connected to support after treatment, helping them maintain their recovery. In theory, these programs offer ongoing engagement, community, and relapse prevention. In practice, however, many fail to deliver meaningful impact—leaving providers wondering why participation drops off and relapse rates remain high. The reality is that traditional alumni programs are outdated and struggle to keep up with the needs of today’s recovery community. Below, we explore the top reasons why these programs fail and what behavioral health providers can do to fix them. Reliance on Outdated Engagement ModelsMost traditional alumni programs depend on manual outreach, occasional events, or generic newsletters—which simply don’t work in today’s digital world.Common Issues:X Infrequent Contact – Sporadic check-ins aren't enough to sustain engagement.X Passive Communication – A one-size-fits-all newsletter doesn’t offer personalized support.X Lack of Real-Time Support – Alumni need instant access to community and resources, not just planned check-ins.Solution: Move toward technology-driven engagement including automated check-ins, virtual peer groups, discussion forums, or trained AI chat bots Failing to Keep Alumni ConnectedRecovery is a lifelong process, yet many alumni programs only engage right after treatment before fading into the background. Without ongoing community connection, alumni often feel isolated—leading to increased relapse risk.Why This Fails:X Short-Term Focus – Many programs engage alumni for a few months, then lose touch. X No Personalization – Recovery isn’t linear; alumni need tailored support for their unique challenges. X Limited Social Connection – Without peer interaction, alumni feel disconnected from support systems.Solution: Implement long-term digital communities, peer-led virtual groups, and personalized recovery paths to keep alumni engaged for years, not months. Lack of Outcome Tracking or Meaningful DataTraditional alumni programs don’t measure success in a way that is useful for treatment providers, payers, or the alumni themselves. Without data, there’s no way to demonstrate value, adjust the program, or secure funding.Gaps That Hurt Alumni Programs:X No tracking of engagement levels – Are alumni actually using resources? X No relapse risk indicators – Can you predict who needs intervention? X No outcome reporting for payers – Without data, programs struggle to secure grants, funding, or insurance reimbursement.Solution: Implement real-time tracking of alumni participation, including check-ins, peer support engagement, and behavioral patterns that indicate relapse risk. No Real Clinical or Peer SupportMany alumni programs operate as separate, standalone initiatives rather than integrating into ongoing care models. Without a seamless transition from treatment to long-term support, alumni often feel like they’re “on their own” after discharge.What’s Missing?X Lack of Coordination with Clinicians – Programs don’t connect alumni back to providers when needed. X Minimal Peer Recovery Involvement – No structured way for alumni to engage with mentors, sponsors, or accountability partners. X No Digital Integration – Without an easy-to-use platform, alumni are forced to rely on scattered communication methods.Solution: Connect alumni programs with treatment teams, peer coaching networks, and digital tools that allow for a seamless, continuous recovery journey. Ignoring the Role of Families or Support NetworksRecovery isn’t just about the individual—it’s about their entire support system. Yet, most alumni programs do not engage family, friends, or caregivers, missing a critical element in relapse prevention.Why This Fails:X Families don’t have ongoing support or education. X Alumni lack structured accountability from loved ones. X Programs don’t facilitate ongoing communication between alumni and their care network.Solution: Offer family engagement resources, structured caregiver support groups, and tools that help loved ones track and encourage progress.No Incentives or Motivations for Continuous Engagement Alumni programs often fail to keep people engaged because they lack a reason to return. Without a sense of progress, achievement, or motivation, alumni may drift away over time. Common Mistakes:X No Goal Setting – Without progress tracking, there’s no sense of accomplishment. X No Positive Reinforcement – Celebrating milestones keeps alumni engaged. X No Ongoing Education – Alumni need continuous learning opportunities to stay committed. Solution: Incorporate gamification, milestone tracking, and digital recovery badges to reinforce progress. How to Transform an Alumni ProgramTo truly support long-term recovery, alumni programs must evolve. Here’s what modern alumni engagement should look like:✓ Technology-Driven Engagement – Automated check-ins, monitoring, mobile apps, engagement portals ✓ Continuous Connection – Community-building through structured, ongoing virtual and in-person support. ✓ Data-Backed Insights – Tracking relapse risk factors, engagement levels, and outcome metrics.✓ Seamless Integration – A connected ecosystem between treatment, peer recovery, and alumni networks.✓ Family & Caregiver Involvement – Providing resources and structured check-ins for loved ones. TakeawayTraditional alumni programs fail because they don’t adapt to real-world recovery needs. To be truly effective, providers must rethink how they engage alumni, track outcomes, and integrate long-term support. If your alumni program struggles with engagement, retention, or outcome tracking, it’s time for a change.  The key is to automate, incorporate all of the stakeholders including the family, and provide a vibrant digital community that will support your alumni for the long run. See how Pathroot Health can help you automate and transform your alumni programGet in touch ».