You Are Accountable

What You Are Accountable does

You Are Accountable (operating as Accountable) is a virtual recovery support platform founded in 2018 and incorporated in Delaware, providing structured accountability and peer coaching for individuals recovering from substance use disorder. The core product combines certified peer recovery coaching (delivered via video and text) with AI-enhanced at-home monitoring, including a breathalyzer with facial recognition verification, randomized saliva toxicology screening, and a provider-facing recovery dashboard. The platform serves three primary customer segments: individuals in recovery (D2C subscription), treatment providers and clinicians (referral portal and dashboard), and health plans/payers under the Accountable Impact sub-brand. The company operates on tiered D2C subscriptions priced at $375, $650, and $850 per month plus a $125 one-time breathalyzer setup fee, and is reimbursed through existing healthcare billing codes by Medicare (NJ), GEHA, and other plans.

The technology stack is a HIPAA-compliant, SOC 2-certified, 42 CFR Part 2-aligned cloud platform with mobile applications (iOS and Android), an integration-ready API for EHR and care management systems, and computer-vision-based identity verification. Business model is recurring subscription across consumer and payer channels; revenue mechanics include direct consumer subscriptions, payer reimbursement through in-network provider or vendor-solution models, and treatment-provider channel revenue. The company reports 10,000+ members supported, 500+ treatment partners, 9.6-month average voluntary engagement, and outcome metrics including 50% reduction in return to higher levels of care versus 40-60% treatment-as-usual baselines.

The company is privately held with approximately $3.85 million raised through exempt securities offerings in December 2023 and February 2025, has 11-50 employees, and is headquartered in Red Bank, New Jersey with leadership including co-founder/CEO Matthew Serel (prior exit via AccuPoint in autism behavioral health) and co-founder/Chief Clinical Officer AJ Diaz (LMSW, CASAC-T). The company maintains regulatory credentials including HIPAA, SOC 2 Type II, 42 CFR Part 2, LegitScript certification, and NAATP Affiliate membership.

Name

You Are Accountable

Legal name

You Are Accountable, Inc.

Website

https://youareaccountable.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

11–50 employees

Short description

You Are Accountable is a virtual recovery support platform combining certified peer coaching with AI-enhanced breathalyzer and saliva toxicology monitoring, serving individuals in recovery, treatment providers, and health plans across the United States.

Ownership category

akta.pro rank

Product category

Behavioral Health / Substance Use Disorder Recovery Support

NAICS

Outpatient Mental Health and Substance Abuse Centers (62142), Offices of Mental Health Practitioners (except Physicians) (621330)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Peer Support, Recovery Coaching & Sober Living Services (HLAFACAN)

akta.pro secondary industry

Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)

Keywords

• Peer recovery coaching
• Substance use monitoring
• Breathalyzer testing services
• Behavioral health support
• Addiction recovery platform

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Individual Subscription Plans: Monthly subscription plans for individuals at $375, $650, and $850 per month. Includes peer coaching, breathalyzer monitoring, and toxicology testing. $125 one-time breathalyzer setup fee.
2. Health Plan/Payer Reimbursement: Billing through existing healthcare billing codes. Works with Medicare, Medicare Advantage, Commercial, and Medicaid plans. Engages as vendor solution or in-network provider. No new coverage category required.
3. Provider/Treatment Partner Revenue: Treatment centers, clinicians, case managers, and recovery coaches pay for services to extend care beyond treatment discharge. Referral portal and dashboard access included.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

You Are Accountable provides 100% virtual, online peer recovery coaching paired with at-home breathalyzer monitoring and saliva-based drug testing for individuals recovering from substance use disorder. Certified peer recovery coaches with lived experience deliver one-on-one tele-coaching sessions (1-3 per week) and text-based support, while an AI-enhanced breathalyzer device with facial recognition verification captures breath alcohol concentration data and randomized saliva toxicology screens monitor compliance. Plans start at $375/month and scale to $850/month based on coaching intensity and stage of recovery.

Product overview

Accountable is a comprehensive virtual peer recovery support platform that combines AI-enhanced monitoring technology with certified peer recovery coaching. The core platform includes the main Accountable service, AI-enhanced breathalyzer and toxicology screening tools, peer recovery coaching, and a recovery dashboard for providers. A payer-focused sub-brand called Accountable Impact serves health plans. The platform operates on a tiered pricing model ($375-$850/month) with features including facial recognition verification, real-time notifications, family and clinical integration, and a referral portal for treatment providers.

Differentiator

Problem solved

Functional benefit

Brands

• Accountable Impact: The payer-facing line of Accountable focused on health plans, providing virtual peer recovery support with clinical measurement and reimbursable services.

Products and services

• Accountable Recovery Coaching Subscription Tiered monthly subscription ($375, $650, or $850/month) delivering certified peer recovery coaching via 1-3 video sessions per week plus text-based support, paired with daily breathalyzer monitoring and weekly/biweekly/triweekly saliva toxicology screening. Targets individuals in recovery from substance use disorder (ages 14-87) across all stages of recovery.
• AI-Enhanced Breathalyzer Monitoring At-home breathalyzer device with AI observation that captures breath alcohol concentration (BrAC), timestamps, device identifiers, and usage metadata. Includes facial recognition identity verification to prevent fraud and ensure compliance with test submissions. Supports offline data collection with deferred sync.
• AI-Enhanced Saliva Toxicology Screening Weekly and randomized saliva-based instant toxicology screening for drug and alcohol monitoring with AI-enhanced random testing capabilities. Included across all consumer subscription tiers with no separate charges.
• Accountable Impact (Payer Solution) Payer-focused line of business providing virtual peer recovery support with clinical measurement and reimbursable services for health plans. Bills through existing healthcare codes (Medicare, MA, Commercial, Medicaid) as a vendor solution or in-network provider with no new coverage category required. Delivers 3-4x ROI for general populations and up to 8x for high utilizers.
• Recovery Dashboard (Provider Portal) Secure dashboard for clinicians and care teams to track patient progress, goals, and compliance in one real-time view. Includes automated clinical escalation when PHQ-9 ≥ 10 and coordination with clinical teams minimum 2x/month. HIPAA-compliant with consent-driven family portal under 42 CFR Part 2.
• Referral Portal Provider-facing portal enabling treatment centers, clinicians, case managers, and recovery coaches to refer clients and monitor their engagement and compliance with the Accountable program.
• Integration-Ready API for EHR and Care Management Systems Integration-ready API enabling push of member monitoring data to any EHR or care management system for care management team integration, supporting HIPAA-compliant data exchange with health plan and provider partners.

Quantifiable outcome

• 50% reduction in Return to Higher Levels of Care (RHLOC) vs. 40-60% TAU
• +9 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature7 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Treatment Providers NetworkcoreChannel Partner/ Reseller/ Distributor500+ treatment partners including clinicians, treatment centers, case managers, interventionalists, and recovery coaches refer clients and integrate with the platform. Partners access referral portal and recovery dashboard for patient monitoring. 38% contact rate on peer outreach through this channel.
• Health Plans (Medicare, MA, Commercial, Medicaid)coreGTM or Marketing PartnerHealth plan partnerships enabling in-network coverage and reimbursement. Currently Medicare (NJ) and GEHA accepted. Expanding to additional plans. ROI modeling shows 3-4x return for general populations, up to 8x for high utilizers.
• National Association of Addiction Treatment Providers (NAATP)minorStrategic or Co-development PartnerAffiliate membership providing industry visibility and alignment with NAATP standards for addiction treatment providers.
• LegitScriptminorStrategic or Co-development PartnerHealthcare merchant certification demonstrating legitimacy and compliance with healthcare regulations.

Scale indicators12 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Pelago (formerly Quit Genius): Pelago is a digital substance use management platform serving employers and health plans with virtual care, coaching, and clinician support for tobacco, alcohol, and opioid use. Directly competes with You Are Accountable in the digital SUD recovery support category serving payers and individuals.
• Workit Health: Workit Health provides virtual medication-assisted treatment and recovery support for substance use disorders, including coaching, therapy, and at-home drug testing. Closely comparable to You Are Accountable on virtual SUD care delivery and self-serve + payer channels.
• Ophelia: Ophelia is a telehealth provider focused on opioid use disorder treatment, offering medication-assisted treatment and clinical support delivered virtually. Comparable in payer contracting approach and virtual care delivery for SUD populations.
• Boulder Care: Boulder Care is a telehealth platform treating opioid use disorder and other substance use disorders with medications, counseling, and peer support. Directly comparable on virtual SUD care model, payer relationships, and recovery coaching integration.
• Confidant Health: Confidant Health provides digital addiction treatment including at-home drug testing, recovery coaching, and clinician visits via an app. Closely comparable on the combination of AI-enhanced toxicology, virtual coaching, and remote accountability that defines You Are Accountable's offering.
• Eleanor Health: Eleanor Health is a value-based outpatient addiction and mental health provider offering in-person and virtual SUD care with peer support, leveraging value-based contracts with payers. Comparable on payer-first business model and integrated peer coaching for SUD populations.
• Lionrock Recovery: Lionrock Recovery delivers online intensive outpatient (IOP) and counseling for substance use disorders via telehealth. Comparable in virtual SUD treatment delivery and digital-first model, though focused on higher-acuity IOP rather than long-term recovery maintenance.

Emerging players

• Wayspring: Wayspring (formerly popHealth) provides SUD care management services for health plans and risk-bearing entities, focused on engaging high-need members with community-based support. Comparable as a payer-facing SUD intervention layer, though it focuses more on care navigation than recovery coaching content.

Broad incumbents

• Hazelden Betty Ford Foundation: Hazelden Betty Ford Foundation is one of the largest nonprofit addiction treatment providers in the US, operating residential and outpatient programs plus a publishing/research arm. Comparable as a SUD treatment incumbent, but with a facility-based model rather than virtual delivery.
• Caron Treatment Centers: Caron Treatment Centers is a large nonprofit addiction treatment organization with inpatient, outpatient, and recovery support services nationwide. Comparable as a comprehensive SUD provider, though primarily facility-based; relevant for treatment partnership network overlap.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/you-are-accountable
• Facebookfacebook.com/youareaccountable

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds2 records

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about You Are Accountable