What's Happening?
Boulder Care, a virtual provider for substance use disorder (SUD) treatment, has appointed Dr. Ayesha Appa as the senior vice president of medical affairs. Dr. Appa, a triple board-certified physician in addiction medicine, infectious diseases, and internal
medicine, brings a harm reduction approach to the organization. Her role will involve bridging Boulder’s clinical team with the broader healthcare ecosystem, including payers and policymakers, to ensure clinical excellence. Despite a 21% decrease in overdose deaths in 2025, significant access gaps remain, with 80% of rural counties lacking buprenorphine prescribers. Boulder Care aims to address these gaps through telehealth and patient-centered care.
Why It's Important?
The appointment of Dr. Appa is significant as it highlights Boulder Care's commitment to harm reduction and telehealth as effective strategies in addressing the ongoing overdose crisis. By focusing on patient-centered care and reducing stigma, Boulder Care aims to improve access to treatment for individuals with SUD, particularly in underserved areas. This approach aligns with broader efforts to redefine addiction treatment quality beyond abstinence, emphasizing retention in treatment and quality of life improvements. The integration of harm reduction strategies could lead to better health outcomes and reduced healthcare costs.
What's Next?
Boulder Care plans to expand its telehealth services across the country, potentially increasing access to SUD treatment for thousands more patients. Dr. Appa's leadership is expected to drive innovation in addiction medicine, focusing on data-driven and patient-centric approaches. The organization may also work on developing new partnerships with healthcare providers and payers to further enhance its service delivery. As telehealth continues to gain traction, Boulder Care's model could serve as a blueprint for other organizations looking to improve SUD care.
Beyond the Headlines
The emphasis on harm reduction and telehealth in SUD treatment reflects a broader shift in healthcare towards more inclusive and accessible care models. This approach challenges traditional views on addiction treatment, which often prioritize abstinence over patient well-being. By focusing on harm reduction, Boulder Care acknowledges the complex nature of addiction and the need for compassionate, non-judgmental care. This shift could lead to changes in public policy and funding priorities, as more stakeholders recognize the value of harm reduction in improving public health outcomes.













