From first conversation to first patient at home.

Not yet, and we'd rather you hear that here than on a call. 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 the business case are finished before the software arrives rather than after. If that timeline works for you, the conversation is worth having now — the audit is the long pole, not the code.

Yes. Medicare pays hospital-at-home care at the inpatient DRG rate under the Acute Hospital Care at Home waiver, and a growing number of Medicare Advantage and commercial plans now contract for it directly. Reimbursement is not the open question it was in 2020 — the operational lift is.

Three things, in order of how fast you'll feel them. We turn on AI screening against your live ED and inpatient census, which almost always surfaces eligible patients you're currently discharging to a bed upstairs. We take the daily alert and visit triage off your team, which is usually where a small program's staff is drowning. And we put your numbers on the same footing as every other member of the network, so you can see whether your escalation rate and length of stay are actually good. None of that requires re-applying or re-launching anything.

That's the common case, and it's fine. We prepare and submit the waiver application as part of Launch, and we've built the program design around what CMS actually asks for. If your hospital already holds approval and has never enrolled a patient, you're in the majority of approved hospitals, and you can skip straight to workflow and census.

No. Every clinician caring for your patients is your clinician, credentialed by your hospital and practicing under your medical staff bylaws. We provide the software, the program design, and the shared infrastructure around it. We do help you size the staffing model.

Epic, Oracle Health, MEDITECH, and Athena today, over standard HL7v2 and FHIR interfaces. We read admissions, results, and orders, and we write back notes and status. If you're on something else, tell us what it is — the integration work is usually measured in weeks, not quarters.

It doesn't decide. It reads the same data a nurse screener would — diagnosis, acuity, vitals trend, distance, support at home — applies published eligibility criteria, and puts the candidates in front of your clinicians with the evidence for each one visible. A licensed clinician at your hospital accepts or declines every single case, and those declines are what tune the criteria to your hospital rather than to an average one.

About ninety days from signed agreement to first patient, assuming the waiver application runs on a normal timeline. The Opportunity Audit that precedes it takes two to three weeks. If you're already approved and running, connecting to an existing program is considerably faster than that.

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.