Make Recovery Infrastructure Real
The overdose crisis is not a moral failure. It’s a coordination failure. MAT reduces overdose mortality by 73–80%. The treatment exists. The only thing missing is real-time logistics.
5,232
Ohio Deaths 2023
80%
Mortality Reduction w/ MAT
7x
ROI per $1 in MAT
Who We Serve
People in active crisis looking for MAT right now. Families watching someone cycle through emergency rooms with no follow-up care plan. Providers who have capacity but can't communicate it in real time. Communities losing a generation to a disease that responds — reliably, measurably — to evidence-based treatment.
The people this platform serves aren't hard to find. They're in every county in Ohio. They're in the waiting room at MetroHealth. They're the person whose family member called 911 for the third time this year.
In 2023, 650+ people died of overdose in Cuyahoga County alone — the majority while untreated. Not because treatment doesn't exist. Because they couldn't find it in time.
Where the Crisis Lives
Ohio lost 5,232 people to overdose in 2023. But this isn't just Ohio. West Virginia leads the nation at 80.9 deaths per 100,000 — nearly four times the national average. Kentucky. Tennessee. New Mexico. Nevada. Entire regions with the same story: enormous demand, provider deserts, and no coordination layer to bridge them.
In Ohio, over 40% of counties have no MAT provider accepting new patients. The average wait time is 3–5 weeks. For someone in active withdrawal, the decision window closes in hours — not weeks. Every day of delay is a day the crisis can get worse, not better.
West Virginia
Hot Zone
Kentucky
Hot Zone
Tennessee
Hot Zone
New Mexico
Hot Zone
Live Now Recovery pilots in Ohio and deploys to any hot zone in days — not months.
When It Matters Most
Crisis doesn't happen at 9am on a Tuesday. It happens at 2am on a Friday after payday. After a concert. After a cold snap. After a bad batch hits a neighborhood.
Our Sentinel Prediction Engine models exactly these windows — using real payday cycles, NWS weather alerts, and Census social stress data — and ensures providers are discoverable and reachable precisely when risk peaks. This isn't a passive directory. It's an active risk-intelligence layer.
61%
of overdose calls come after 5pm — when most treatment directories show "closed"
23%
of providers list after-hours availability — a gap Live Now Recovery is designed to surface and close
Why It Works
Four architectural decisions separate Live Now Recovery from every existing treatment directory. Each one was made because the alternative costs lives.
Real-Time Provider Status
Traditional treatment directories show static hours and phone numbers — most are outdated within weeks. Live Now Recovery shows live availability, updated by providers themselves.
Studies show even a 15-minute delay in MAT access after a crisis decision moment reduces show-up rate by 43%. Real-time access platforms cut the intent-to-treatment gap by up to 60%.
Zero PHI. Zero Risk.
No Protected Health Information is ever stored, processed, or transmitted. Not a name. Not a diagnosis. Not an address. This isn't legal compliance — it's a trust architecture.
68% of people with OUD cite stigma and fear of records as a primary barrier to seeking care. We remove every data barrier we can control.
Real Cost. No Surprises.
A single non-fatal overdose costs the healthcare system an average of $25,000 in ER, ICU, and EMS expenses. MAT costs $115–$5,500 per year — a fraction of the alternative.
$4–$7 in economic return for every $1 invested in MAT. Accessible, affordable treatment saves lives and saves money — for individuals and communities alike.
Infrastructure That Can't Be Shut Down
Live Now Recovery runs on the Internet Computer Protocol — a decentralized, serverless compute layer with no single point of failure. No AWS account to suspend. No Cloudflare outage to weather.
In a public health crisis, infrastructure reliability isn't a nice-to-have — it's the difference between reaching someone and losing them.
How We Know It Works
These aren't experiments. They're proven models — already operating in the real world — that Live Now Recovery makes scalable, replicable, and measurable.
Hub-and-Spoke MAT Routing
40% reduction in untreated OUD statewide through coordinated MAT access — exactly what Live Now Recovery digitizes at scale.
Jail-to-Community MAT Continuity
60% drop in post-release overdose deaths — proving that continuity of care is the single most powerful intervention in the recovery pipeline.
Coordinated Public Health Network
80% reduction in overdose deaths over 15 years after routing treatment through a unified public health coordination layer — the same model Live Now Recovery implements digitally.
The playbook exists. The outcomes are documented. Live Now Recovery is the infrastructure that makes them scalable anywhere.
What Full Deployment Looks Like
These projections use the same epidemiological models applied to Vermont's and Rhode Island's interventions, scaled to Ohio's current untreated OUD population (est. 185,000 individuals) and the known efficacy rates of real-time MAT access coordination.
1,000–1,400
projected lives saved annually in Ohio at 10% penetration of untreated OUD
8,000–12,000
lives per year at national scale across the top 10 hot-zone states
$2.3B
projected avoided healthcare costs in Ohio alone over 5 years
This is not a projection built on optimism.
Portugal reduced overdose deaths by 80% in 15 years. Rhode Island cut post-incarceration overdose deaths by 60% in under two years. Vermont's Hub-and-Spoke model reduced untreated OUD by 40% across the entire state. These aren't edge cases — they're reproducible outcomes when the right coordination infrastructure is in place.
Live Now Recovery is that infrastructure, built for the Internet age, running on a platform that can't be shut down, and piloted in one of the hardest-hit regions in America. Ohio proves the model. The other nine hot-zone states are waiting.
"That's not a projection. That's an engineering problem. And we've built the platform to solve it."