The Takeoff
The Takeoff Podcast
Eric Gastfriend (CEO and Co-Founder at DynamiCare Health)
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Eric Gastfriend (CEO and Co-Founder at DynamiCare Health)

Hi everyone,

I hope you enjoyed Michael’s most recent piece on B2B payments as a multi-trillion opportunity as well as his article on WashU’s recent influence in the tech world. I second this notion and encourage students who are thinking about it to learn by doing and jump into their passion.

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Today, we’re learning about addiction care and Eric Gastfriend, who after graduating from Brown, working in startups and gaming, and attending Harvard for his MBA, founded DynamiCare with his father John Gastfriend. DynamiCare provides addiction treatment based on evidence-based practice, where patients are held accountable through breathalyzers, saliva swabs, and peer-to-peer coach who has recovered from addiction themselves. Among other topics we discuss:

  • The founding story of DynamiCare

  • How DynamiCare measures outcomes

  • How peer to peer coaches help patients

  • The different channels of Dyanmicare

  • Lessons learned about the US healthcare system


In a new feature to the newsletter, I’m adding a short blog post on a topic that was brought to my attention on Twitter. Providing care across state borders has always been a barrier to providing quality care, and PSYPACT is looking to remove that barrier.

  • PSYPACT is an interstate compact that facilitates the practice of psychology using telepsychology and/or temporary in-person psychological practice.

    • The therapist must be giving therapy from a state that has enacted PSYPACT to a patient that is in a state that has enacted PSYPACT.

  • Psychologists can practice via two methods

    • Telepsychology: Psychologists obtain an Authority to Practice Interjurisdictional Telepsychology from the PSYPACT Commission, which requires an active ASPPB E.Passport, which costs $440 upfront and has an annual renewal fee of $100. 

    • Temporary Practice: Psychologists obtain a Temporary Authorization to Practice from the PSYPACT Commission, which requires an active ASPPB IPC, which costs $240 upfront and an annual renewal fee of $50. 

  • Participating states

    • Enacted: Arizona, Colorado, Delaware, Georgia, Illinois, Nebraska, Missouri, New Hampshire, Nevada, Oklahoma, Pennsylvania, Texas, Utah Virginia, North Carolina

    • Enacted, not yet effective: Kanas (effective January 1, 2022), Maine (effective October 18, 2021)

    • Enacted, under further review: Arkansas (effective March 1, 2022), West Virginia (effective July 6, 2021)

Sources: Fact Sheet about PSYPACT, What’s New with PSYPACT


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The Takeoff
The Takeoff Podcast
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