The Current SUD Model Is Failing Health Plans
Substance Use Disorder management today is reactive and expensive. Low-value, crisis-driven spend outpaces high-value recovery spend by 3.6:1.
For Medicaid leaders, this means:
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Repeated ER visits
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Preventable readmissions
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Rising high-cost claimants
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Escalating long-term costs
And despite traditional treatment programs, 96% of individuals relapse.
The system waits for the crisis — and pays for it.
The Economics of Resiliency
When recovery becomes proactive instead of reactive, the financial impact is measurable.
Per 1,000 members successfully transitioned from crisis-driven care to recovery stability, health plans can capture approximately:
$2 Million in Savings
Modeled in collaboration with HMA & Wakely actuarial analysis using 2023 ACA claims data.
Resiliency is not just clinical — it’s economic.
From Crisis Management to Recovery Resiliency
Sober Sidekick changes the trajectory of SUD management.
After just 5 interactions inside the app, an individual’s chance of relapse decreases by 68% (Validated by the Validation Institute).
We do this through our proprietary three-pillar framework:
Predict. Prevent. Engage.
Three-Pillar Framework
Predict — Identify Risk Before the Crisis
We move upstream using proprietary machine-learning models to detect risk before high-cost events occur.
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Predicted to Relapse: Behavioral model leveraging 3.1M in-app data points to forecast relapse within 14 days with 97.6% accuracy.
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Predicted High-Cost Claimant: Random Forest model combining engagement + claims data to identify top 5% spend risk.
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Predicted Rising Risk: Multi-year claims analysis uncovering hidden risk patterns tied to escalating SUD costs.
We don’t wait for the ER visit. We see it coming.
Built for Scale. Validated for ROI.
High-Acuity Interventions
Always-on transition-of-care follow-up to activate recovery immediately.
Scale & Speed
Over 1 million users create the largest relapse dataset in the world — continuously improving predictive accuracy.
Proactive Upstream Intelligence
Predictive modeling allows intervention before the expensive claim happens.
Validated Financial Impact
Clear glidepath from high-cost crisis care to low-cost, high-value support.
Backed by Data. Validated by Experts.
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68% relapse reduction after 5 app interactions
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97.6% relapse prediction accuracy
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Actuarial modeling with HMA & Wakely
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Validated by the Validation Institute
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1M+ users in ecosystem
