Four steps
From opportunity to a program built to last.
Start with the opportunity assessment today. For founding partners, the planned path continues through launch preparation, early operations, and growth once the platform becomes available.
Assess
The Opportunity Audit
We start with your own twelve months of discharge data, not a national average. It shows how many of your patients may have qualified for care at home, what those admissions cost you, and a modeled contribution under stated assumptions. If you already run a program, the same audit points at what's leaking instead — the eligible patients being admitted upstairs, and where your census is stalling. You get the business case in the format your board already reads, and if the numbers don't work for your hospital we tell you that instead of selling you something.
- Your eligible volume by service line, DRG, and payer
- Estimated break-even range and key sensitivities
- For live programs: the eligible volume you're currently missing
- A written business case your CFO can take to the board
2–3 weeks
Launch
Targeting approximately ninety days
For founding partners, we will support preparation of the waiver application and the hospital's response process. In parallel, we will configure operating workflows, coordinate the initial vendor bench, and prepare staff to use the command-center platform. Nothing here is designed to require a build-out. The beds already exist — they're in your patients' houses.
- Hospital waiver submission supported through the response process
- Initial vendor bench coordinated: monitoring, DME, meals, transport, labs
- Workflows, escalation policies, and staff training designed with the hospital
Target: ~90 days
Operate
Our team alongside yours
First patients are the ones that decide whether a program survives. Our planned founding-partner engagement includes hands-on implementation support during the early patient cohort — reviewing workflow performance, refining hospital-approved alert logic, and fixing the problems that only appear with real patients in real houses. As the hospital team takes over, we step back on its schedule, not ours.
- Daily huddle support through the first cohort
- Hospital-approved alert logic reviewed against your population
- Escalation and transfer-back rehearsed before you need them
Ongoing
Grow
Past break-even
A program at four patients a day is a pilot. A program at twelve is infrastructure. As programs mature, we plan to support referral-pathway development, payer-readiness analysis, and participation in shared network programs as those capabilities become available.
- Referral pathway development by service line
- MA and commercial contracting support
- Shared network programs as those capabilities come online
Months 4–18
Questions we get asked first
Is the platform available today?
The platform is in active development and goes live with our first partner hospitals by 2027. What we're doing now is selecting those hospitals and running Opportunity Audits with them, so the program design and business case are defined before the software arrives. Starting that work now means implementation can begin from a defined plan when the platform is ready.
Is this reimbursed?
Medicare permits approved hospitals to furnish qualifying inpatient services in patients' homes under the Acute Hospital Care at Home initiative, which Congress has extended through September 30, 2030. Medicare Advantage and commercial coverage varies by plan and contract, so payer strategy must be evaluated market by market.
We already have a program. What do you actually do for us?
For existing programs, the planned platform focuses on three areas: surfacing potential candidates from connected hospital data, organizing daily alerts and operational work, and reporting comparable census, quality, and financial measures. First partner deployments will test which of these creates measurable value fastest.
What if we're not approved yet?
That's the common case, and it's fine. We plan to support hospitals in preparing and tracking the waiver application as part of the founding-partner launch process. The hospital remains the applicant and retains responsibility for the submission and program. If your hospital already holds approval and has never enrolled a patient, you can move directly to workflow and census planning.
Do you employ the nurses?
No. Every clinician caring for your patients is your clinician, credentialed by your hospital and practicing under your medical staff bylaws. We are building the software, program design, and shared infrastructure around it. We plan to help founding partners size the staffing model.
How does the AI decide who's eligible?
It won't decide. The planned platform is designed to analyze the same data a nurse screener would — diagnosis, acuity, vitals trend, distance, support at home — and put potential candidates in front of your clinicians with the evidence visible. A licensed clinician at your hospital will accept or decline every case.
How long to launch?
Our target is approximately ninety days from readiness and signed agreement to first patient, but timing depends on waiver approval, hospital governance, contracting, staffing, integration, and vendor readiness. For an approved operating program, a narrower initial implementation may be faster.
What does it cost?
Pricing scales with program size, so a hospital running four patients a day isn't paying what a hospital running twenty pays. It is designed to be paid out of new program revenue rather than a capital request. The Opportunity Audit will tell you what the program contributes before you commit to anything — talk to us and we'll walk through the structure.
Start with your own numbers.
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