PARTNER PROFILE

Goldfinch Health

The Billion Pill Pledge helps hospitals transform surgical care using evidence-based Enhanced Recovery Protocols that reduce pain and prevent unnecessary opioid exposure. By partnering directly with surgeons and care teams, the program improves recovery and protects patients and communities.
Goldfinch Health
FOUNDED
2022
MISSION
To erase 1 billion unnecessary opioid pills prescribed after surgery by partnering directly with hospitals and healthcare professionals—creating safer, smarter, and more compassionate pain management practices that prevent new addictions before they start.
Our Story

Every year in the United States, roughly three billion opioid pills remain unused after surgery. Too many of those pills end up in the wrong hands—misused, diverted, or fueling new addictions. In fact, 80% of illicit opioid users began with a prescription opioid.

Goldfinch Health launched the Billion Pill Pledge to stop this cycle at one of its main sources: surgery. For decades, outdated prescribing habits and misinformation left patients with far more opioids than they ever needed. By working hand-in-hand with hospitals and surgeons, we’re helping them adopt modern, evidence-based methods that treat pain effectively—without the risk of addiction.

Standard protocols often result in prescribing ‘just in case’—dispensing weeks’ worth of opioids for recoveries that typically require only days of management. This excess medication creates an unnecessary risk for misuse and dependency. By matching prescriptions to actual needs, we ensure that a successful surgery doesn’t become a gateway to addiction.

Goldfinch health doctors and nurses

What We Do

The Billion Pill Pledge is an evidence-based initiative that helps hospitals and surgery centers adopt Enhanced Recovery Protocols—scientifically proven practices that reduce pain, improve recovery, and drastically cut unnecessary opioid use.

Through direct hospital partnerships, Goldfinch Health works with surgeons, nurses, and care teams to improve pain management and reduce use of unnecessary opioids.

Every patient in the program also receives a Prepared for Surgery Tool Kit, which includes practical, non-opioid pain relief methods, a pre-surgery nutrition drink, and tools for safe at-home opioid disposal. The result is a measurable, lasting change in both hospital culture and community health—turning off the source of new addictions before they begin.

Who We Serve

Goldfinch Health partners with hospitals and surgery centers across the City of Mobile, helping patients of all ages who are undergoing major planned surgeries. This includes:

  • Adolescents recovering from sports-related injuries
  • Women of childbearing age (Cesarean sections)
  • Working adults balancing recovery with returning to work
  • Senior populations undergoing orthopedic procedures Enhanced Recovery Protocols have also been shown to promote health equity, particularly benefiting vulnerable groups such as Medicaid patients

Our Action Plan

  • Enhanced Recovery Protocols-based surgical care with multimodal, non-opioid pain management
  • Pre-op clear carbohydrate drink
  • Remote Nurse Navigator support
  • Prepared for Surgery Tool Kits, including at-home drug deactivation pouch
  • HIPAA-secure data on pills taken vs. prescribed; standing-order updates with 6-month fidelity audits

Measuring Success

Goldfinch measures success through tangible, hospital-level results and real patient outcomes—not estimates.
  • 58% Fewer opioid pills prescribed after surgery
  • 84% Fewer opioid refills after surgery
  • 86% Fewer readmissions after surgery
  • Improved patient satisfaction and recovery timelines
  • Sustained change in hospital pain management culture

Our Goals

  • Prevent 45,000 unnecessary opioid pills from being prescribed in Mobile each year
  • Avoid 67 new opioid addictions annually through prevention
  • Support 750 major surgeries in Mobile within the first year
  • Create lasting culture change that continues beyond funding

Community Partnerships

Goldfinch Health collaborates with hospitals, state health agencies, and national opioid abatement programs to build a sustainable prevention network.
  • Mobile Infirmary
  • Springhill Medical Center
  • Providence Hospital
  • USA Health Children’s & Women’s Hospital
  • Tennessee Opioid Abatement Council
  • South Carolina Opioid Recovery Fund Board
  • Nebraska Department of Health & Human Services
  • Iowa Hospital Systems

“We will never get ahead of this crisis unless we stem the flow of new addictions. We can and must do both—save those already struggling and prevent the next generation from ever facing it.”
Brand Newland, CEO, Goldfinch Health

“The Billion Pill Pledge is the catalyst that changes how hospitals treat pain. Once better outcomes are witnessed, the new methods become the new normal.”
Billion Pill Pledge Team

Life buoy on a pole by the water's edge, overcast sky, coastal landscape in the background.
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Mind-Body Recovery

While it may seem new, incorporating mindfulness and yoga practices into recovery has been on the rise since these ancient practices were brought to the West from India during ‘60s and ‘70s. Even the 12-step, faith-based program Alcoholics Anonymous began including spiritual reflection and contemplative practices in recovery around that time. Cut to the present day, and you’ll find a range of faith- and nondenominational-based addiction treatment and services available to individuals seeking recovery, including those that incorporate holistic care such as yoga and meditation. Additionally, there is compelling evidence to support that mind-body interventions like yoga and meditation can be powerful complements to conventional care for various substance use disorders, including opioid misuse.

According to a clinical trial published in January of this year on the National Institute of Health’s National Library of Medicine’s PubMed site, a treatment center in Bengaluru, India, found that people withdrawing from opioids recovered from acute symptoms nearly twice as fast when traditional medication was paired with structured yoga practice. Participants practicing yoga on top of standard treatment with buprenorphine (a medication used to treat opioid use disorder and pain) stabilized within five days, compared with nine days among those receiving medication alone. The yoga group also reported markedly reduced anxiety, improved sleep quality, and better autonomic regulation (a physiological marker of stress resilience).

Beyond Detox

The Journal of the American Medical Association notes that opioid use disorder is not simply a matter of physical dependence; rather, it’s a multi-system dysregulation affecting brain reward pathways, stress systems, emotional processing and behavioral habits. Standard care often combines medication-assisted treatment with counseling and support groups, an approach that has saved countless lives. But relapse rates and treatment drop-outs remain high, leaving clinicians searching for additional tools to improve long-term success. This is where yoga and meditation enter, not as alternative treatments that replace evidence-based care, but as complements to reinforce physiological balance and emotional resilience.

Yoga engages breathing, posture and awareness, elements that tap into the autonomic nervous system, which governs stress responses. The Bengaluru trial’s findings that yoga enhanced heart-rate variability (a measure of parasympathetic “rest and digest” activity) suggest that these practices may ease the intensity of withdrawal and emotional agitation. Beyond withdrawal, research suggests that yoga and similar mind-body practices can improve outcomes across substance use disorders.

A systematic review published in the Journal of the American Board of Family Medicine found that among randomized controlled trials (some involving opioid users) yoga was associated with improvements in anxiety, pain and craving when used alongside traditional therapies.

Meditation practices, whether focused attention, breath awareness or guided imagery, are increasingly studied as tools to rewire reward circuitry disrupted by addiction. These practices bolster emotional regulation and reduce stress sensitivity, which are factors that often trigger relapse long after detoxification ends. Studies show that people receiving group mindfulness sessions (including remote or virtual varieties) alongside medication treatment reported significantly lower opioid craving compared with those receiving only standard care.

Whole-Person Healing

For people emerging from the acute phase of opioid withdrawal, long-term recovery hinges not just on avoiding substances but on rebuilding life with purpose, resilience and balance. Yoga and meditation do not replace medication-assisted therapies, counseling or peer support, but evidence increasingly suggests they can enhance those pillars by addressing underlying physiological stress responses and emotional triggers. As research continues to grow, clinics, therapists and recovery communities alike are watching closely: bridging neuroscience with ancient practices may offer a new frontier in healing from one of the most challenging public health crises of our time.

Local Resources and Integrative Options

In Mobile County, Alabama, there is a broad range of treatment options, many of which are listed on the Project Persevere website’s Treatment Programs page. Below, find the list of a few that incorporate holistic practices with traditional therapies. Remember, recovery is not one-size-fits-all, and not every center explicitly lists yoga or meditation on its roster of services. Still, many coordinate with community partners or wellness professionals to help clients explore these practices as part of holistic aftercare or ongoing relapse prevention.

  • Vets Recover – Mental health therapy and support for substance abuse to veterans, first responders and their families.
  • AltaPointe Health – Outpatient substance use disorder treatment prioritizing pregnant women with intravenous substance use disorders, women with dependent children, individuals with intravenous substance use disorders, individuals who are HIV positive and all others with substance use disorders.
  • Bradford Health Services – Inpatient and outpatient recovery programs for substance use disorders, incorporating a variety of evidence-based approaches.
Explore Our Programs

Discover how Project Persevere’s initiatives are creating real impact across treatment, prevention, recovery, and community support. Explore our programs below to see how each one contributes to lasting change in the fight against opioid addiction.

Man sitting outdoors at sunset, reflecting on opioid recovery and hope.

Wellborn Strategies + CiviConnections

Team Wellborn Strategies + CiviConnections develops and executes a multi-platform communications and paid media campaign that reduces stigma, raises awareness of treatment options, and strives to prevent new cases of opioid use disorder. The program includes polling and audience research, creative production, strategic media placement across digital and traditional channels, public relations, grantee coordination, and real-time campaign optimization.

Waterfront Rescue Mission

Waterfront Rescue Mission’s Recovery Readiness, the first of three phases in its LifeBuilder Recovery Program, addresses opioid issues in Mobile through a holistic, faith-based approach. By addressing the physical, emotional, and spiritual aspects of addiction, they help individuals build a strong foundation for long-term recovery and sustainable life change.

Volunteer Opportunities

  • Hospitals and surgery centers: join the program to reduce opioid prescribing
  • Healthcare professionals: access Enhanced Recovery Protocols education and implementation support
  • Community advocates: share awareness about safe pain management and opioid disposal
Contact : brand.newland@goldfinchhealth.com
2301 W. Anderson Lane, Suite 200, Austin, TX 78757