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Peer Support Specialists Are a Mainstream Fixture in Substance Use Disorder Treatment. Mental Health Has Been Slower to Adopt Them, and Reimbursement Policy Is a Big Reason Why.

Peer Support Specialists Are a Mainstream Fixture in Substance Use Disorder Treatment. Mental Health Has Been Slower to Adopt Them, and Reimbursement Policy Is a Big Reason Why.

by Ethan Webb | May 4, 2026 | Technology

Key Takeaways Peer support adoption is uneven across behavioral health: Substance use disorder treatment has integrated peer specialists into mainstream practice, while mental health treatment has been slower to embrace the model despite close clinical overlap between...
Addiction Treatment Cost Savings: Why the $12-to-$1 ROI Argument Hasn’t Changed How Payers Pay

Addiction Treatment Cost Savings: Why the $12-to-$1 ROI Argument Hasn’t Changed How Payers Pay

by Ethan Webb | Apr 23, 2026 | Regulation

Key Takeaways Substance use disorders cost the United States more than $700 billion a year, according to NIDA. The White House Council of Economic Advisers estimated in 2025 that the opioid epidemic alone imposed costs of $2.7 trillion in 2023, equivalent to roughly...
Discovery Behavioral Health’s $280 Million Debt Default: The Fragile Economics of Behavioral Health at Scale

Discovery Behavioral Health’s $280 Million Debt Default: The Fragile Economics of Behavioral Health at Scale

by Ethan Webb | Apr 22, 2026 | M&A

Key Takeaways Discovery Behavioral Health, one of the largest behavioral health platforms in the country and a Webster Equity Partners portfolio company, defaulted on $280 million in debt owed to Capital One and HPS Investment Partners under agreements originally...
Behavioral Health Outcomes Measurement Has a Problem. Payers Are Done Waiting.

Behavioral Health Outcomes Measurement Has a Problem. Payers Are Done Waiting.

by Ethan Webb | Apr 21, 2026 | Regulation

Key Takeaways There is no industry-wide consensus on what constitutes a measurable outcome in substance use disorder treatment. Different payers use different definitions, creating a moving target for operators trying to build measurement infrastructure. Longitudinal...
Addiction Recovery Care Kentucky: How the State’s Largest SUD Provider Collapsed from 30 Facilities to “Desperate Straits”

Addiction Recovery Care Kentucky: How the State’s Largest SUD Provider Collapsed from 30 Facilities to “Desperate Straits”

by Ethan Webb | Apr 21, 2026 | Regulation

Key Takeaways Addiction Recovery Care (ARC) was Kentucky’s largest substance use disorder treatment provider, operating more than 30 facilities at its peak in summer 2024. By January 2026, it had shrunk to 14 locations, was enmeshed in multiple federal lawsuits,...
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