Policy Engagement

Changing what is paid for.

The current addiction treatment system rewards engagement and readmission more reliably than lasting recovery. Payment structures favor volume over results. That is expensive for families, employers, and taxpayers — and it fails too many people.

Recovery Outcomes Alliance exists to change what is paid for. We work to realign incentives so that verified recovery outcomes — not bed-days or repeated admissions — become the measure of success.

Three pillars

A framework built on evidence.

Outcome Metrics

Track real recovery at 6 and 12 months — not admissions, not bed-days.

Contingency Management

The intervention with the strongest evidence base for stimulant use disorder and effective across substances.

Fair Risk Adjustment

Ensure programs are not penalized for accepting harder cases through transparent, points-based scoring.

Read the White Paper

We believe treatment should be judged by whether people get better and stay better. That requires changing the financial signals that shape the system.