Retention Beyond Benchmarks: Patient-Centered Tele-MOUD Care in the Fentanyl Era

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    • Non-Member - $39
    • Regular Member - $29
    • Retired - $29
    • Early Career Physician - $29
    • Resident - $19
    • Student - $19
    • Associate - $19
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Retention Beyond Benchmarks: Patient-Centered Tele-MOUD Care in the Fentanyl Era

Recorded: Thursday, April 23, 2026 to Sunday, April 26, 2026
On-Demand Session

Overview

This 75-minute on-demand session from the ASAM 57th Annual Conference addresses patient-centered tele-MOUD care in the fentanyl era, featuring retention strategies, harm reduction integration, and equity improvement approaches.

This session presents groundbreaking results from more than 20,000 patients in a telehealth-only program, showing that high buprenorphine retention is not only possible but sustainable-with outcomes far exceeding national benchmarks. Presenters will unpack the care model behind these results, weaving together real-world data and patient voices to illuminate what keeps people engaged in treatment in the fentanyl era.

The target audience for this Intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, and students.

This session addresses the following ACGME Competencies: Patient Care and Procedural Skills, Practice-based Learning and Improvement.

This session addresses the following IPEC Competencies: Values and Ethics, Roles and Responsibilities.

Learning Objectives

Upon completion, learners will be able to:

  1. Compare retention outcomes in a large telehealth-only MOUD program to historical benchmarks, with attention to differences by buprenorphine transition pathway.
  2. Identify program strategies (i.e. harm reduction, peer integration, tailored cadence, and non-punitive re-engagement) that support sustained retention in the fentanyl era.
  3. Identify patient barriers to buprenorphine engagement and translate community insights into practical strategies to improve equity and continuity of care.

Registration Rates

Rate DescriptionRate
ASAM Member$29
Non-Member$39
Associate Member$19
Resident Member*$19
Student Member*$19

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM eLearning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Open: 05/25/2026 - 04/25/2029

User Access Closed: 05/25/2029

Course Instructions

  1. Click on the Contents tab to watch the on-demand recording.
  2. Click Complete Post Test to answer multiple choice questions. You will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.

Need Assistance?

For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please check the FAQ page or e-mail Education@ASAM.org

ASAM is proud to offer Essential Accessibility to ensure our website is accessible and functional for all our learners while providing free assistive technology for people with the widest possible range of abilities.

Laura Monico, PhD

Laura Monico, PhD

Director of Research and Innovation

Boulder Care

Laura Monico, PhD, Director of Research, Strategy, and Innovation at Boulder Care, is an addiction scientist and health services researcher focused on improving access, engagement, and outcomes in treatment for substance use disorders. At Boulder Care, a national telehealth provider of medication treatment for opioid and alcohol use disorders, she leads strategy across research, product, data, and clinical operations to advance care model innovation and payer-aligned outcomes. Her work is grounded in both scientific training and personal lived experience with substance use and recovery, and focuses on translating patient experience, real-world data, and implementation science into practical changes that improve retention, engagement, and quality of care at scale. Dr. Monico has contributed to numerous federally funded studies, including NIDA-supported trials examining pharmacotherapy for opioid and alcohol use disorders, adolescent and young adult treatment, emergency department and primary care interventions, and the implementation of medications for opioid use disorder within criminal justice settings. Her research spans randomized clinical trials, implementation studies, and mixed-methods work across healthcare, community, and criminal justice settings, with a focus on improving treatment access, engagement, and outcomes for underserved populations. Across her career, she has remained committed to harm reduction, patient-centered outcomes, and the design of treatment systems that are more humane, accessible, and effective for the populations they serve.
Ayesha Appa, MD

Ayesha Appa, MD

SVP, Head of Medical Affairs & Assistant Professor of Medicine

Boulder Care & UCSF

Dr. Ayesha Appa is triple board-certified in Addiction Medicine, Infectious Diseases, and Internal Medicine. She serves as Senior VP and Head of Medical Affairs at Boulder Care, Assistant Clinical Professor at UCSF, and Research Scientist at the San Francisco Department of Public Health's Center for Substance Use and Health. At UCSF, Dr. Appa directed San Francisco General Hospital's Health Access Point clinic, a low-barrier program providing integrated substance use treatment, harm reduction, and HIV prevention to people who use drugs. In 2024, she received the Avenir Award from NIDA and is Principal Investigator of a NIDA-funded randomized trial testing novel methods of opioid overdose prevention. Dr. Appa's work focuses on equity-focused care models for vulnerable populations and translating clinical expertise into systems-level change.
Danielle Bellosi, NCPRSS, CPRC

Danielle Bellosi, NCPRSS, CPRC

Peer Supervisor

Boulder Care

My name is Danielle Bellosi and I am a Nationally Certified Peer Recovery Support Specialist as well as a Certified Professional Recovery Coach. I have been in the recovery industry for over a decade and am currently employed with Boulder Care as a Peer Supervisor. In my freetime I enjoy hiking, anything outdoors really, spending time with my family and friends as well as yoga and meditation.
Elizabeth Bambury, MPH

Elizabeth Bambury, MPH

Research Project Manager

Boulder Care

Elizabeth Bambury, MPH, is the Research Project Manager at Boulder Care, where she leads applied research to expand access to evidence-based, compassionate MOUD treatment for substance use disorders. She brings diverse experience across public health, academia, and health services research, with a focus on substance use, behavioral health, and health care access. Her work emphasizes translating complex data into actionable, equity-focused insights to improve population health outcomes.
Jennifer Foreman, DNP, AGNP-C, WHNP-BC

Jennifer Foreman, DNP, AGNP-C, WHNP-BC

Nurse Practitioner

Boulder Care

Jennifer Foreman, DNP, AGNP-C, WHNP-BC is a Addiction Medicine Nurse Practitioner with Boulder Care. Licensed in NC and OH and specializing in Internal Medicine and Addiction Medicine, she has a deep passion for improving health outcomes for vulnerable and underserved populations. With a strong commitment to compassionate care, she focuses on helping individuals navigate complex health challenges, particularly those affected by addiction and homelessness. Jennifer is also working on a PhD in Nursing with a focus in harm reduction for those that use substances.
Melody Avila, DNP

Melody Avila, DNP

Nurse Practitioner

Boulder Care

Melody Avila, DNP, RN, FNP-C, is a Nurse Practitioner with Boulder Care, specializing in addiction medicine and mental health services. She provides person-centered, harm-reduction care to adults with opioid, alcohol, and nicotine use disorders, with particular focus on populations experiencing socioeconomic challenges, justice involvement, and complex trauma. Dr. Avila is a PCSS Faculty Trainer in Medications for Opioid Use Disorder and previously served as Associate Professor at the University of New Mexico, where she helped shape pediatric, mental health, and addiction medicine curriculum within APRN programs. Throughout her decade as a nurse practitioner, she has been committed to expanding access to evidence-based care for diverse communities that have faced barriers to treatment.
Stephen A. Martin

Stephen A. Martin

MD, EdM, FASAM

Stephen Martin, MD, EdM, FASAM has been Boulder Care's Medical Director for Research, Education, and Quality since 2019. Boulder provides telehealth-based care for substance use disorders grounded in harm reduction, low-threshold principles, and unconditional positive regard. Peer coaching and care navigation are core aspects of Boulder's treatment model.

Board certified in family medicine and addiction medicine, Steve is also an Associate Professor of Family Medicine and Community Health at the University of Massachusetts Medical School where he is residency faculty and co-directs the Rural Health Scholars Program. He co-directs the UMass Project ECHO for Opioid Use Disorder and is an affiliate faculty member of the Center for Primary Care at Harvard Medical School. 

Steve began his medical career as a National Health Service Scholar in a rural community health center and a Federal Prison Medical Center. Since 2009, he has worked at the Barre Family Health Center in rural central Massachusetts where he is medical director for the Office-Based Addiction Treatment program. 

Steve’s clinical and research interests include primary care, oral health, complex care, addiction medicine, chronic pain, diagnostic error, and health disparities. He is the lead author of publications in the BMJ, JAMA, Lancet, Annals of Internal Medicine, and the American Journal of Public Health.

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Accreditation & Credit Designation Statements

Joint Accreditation Statement

In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The American Society of Addiction Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

This activity awards 1.25 Nursing contact hours.

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PAs

ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1.25 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.25 AAPA Category 1 CME credits. Approval is valid until 05/25/2029.  PAs should only claim credit commensurate with the extent of their participation.

Social Workers

As a Jointly Accredited Organization, ASAM is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

California Association of DUI Treatment Centers (CADTP)

This educational program is approved by CADTP: #205.

California Consortium of Addiction Programs and Professionals (CCAPP)

This educational program is approved by CCAPP: # OS-20-330-0227.

Other Professions - Continuing Education Credits (CEUs)

Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABIM, ABP and ABS. By completing the online credit claim and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

American Board of Anesthesiology (ABA)

This activity offers up to 1.25 CME credits, of which 1.25 credits contribute the patient safety CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Maintenance of Certification in Anesthesiology® and MOCA® are registered certification marks of the American Board of Anesthesiology®

American Board of Internal Medicine (ABIM)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points and patient safety MOC credit in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pediatrics (ABP)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Preventive Medicine (ABPM)

This activity has been designed to satisfy the Lifelong Professional Development requirements of The American Board of Preventive Medicine’s Continuing Certification (CCP) requirements. These credits are not reported directly to ABPM. Please save your certificate for your records.

American Board of Psychiatry and Neurology (ABPN)

This activity has been designed to satisfy the CME requirements of the American Board of Psychiatry and Neurology’s Continuing Certification (CC) requirements. These credits are not reported directly to ABPN. Please save your certificate for your records.

American Board of Surgery (ABS)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada (RCPSC)

The Royal College of Physicians and Surgeons of Canada will recognize activities registered for CME for MOC as meeting the requirements for Royal College MOC Program Section 3 (Self-Assessment Programs) credits. Visit CME that Counts for Royal College MOC for more information.

Disclosure Information

In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education. Click here to view the full disclosure listing.

Key:

Complete
Failed
Available
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View On-Demand Recording
Open to view video.  |   Closed captions available
Open to view video.  |   Closed captions available Video is approximately 75 minutes long. Recorded between 04/23/26 - 04/26/26.
Complete Post Test
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 to pass the quiz.
Complete Evaluation
9 Questions
9 Questions Scroll down within the evaluation, as some questions may extend beyond the visible window.
Claim Credit & Certificate
Up to 1.25 medical credits available  |  Certificate available
Up to 1.25 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in this activity.