About
Smarter recovery, guided by AI and grounded in care.
Recovery Insights exists to transform recovery from a reactive, fragmented experience into a proactive, personalized, and supported journey.
Why we built this
Recovery shouldn't be a black box.
A surgeon once described the 14-day window between discharge and the first follow-up visit as "flying blind." Patients go home with a paper packet and a phone number. Most never call — until something is seriously wrong.
We built Recovery Insights to close that window. Not with another app, another portal, or another device — but with a simple text message that meets patients exactly where they are.
The problems we set out to solve:
- ⚠️15–20% of surgical patients experience a preventable complication within 30 days of discharge.
- 📞Care coordinators spend 45+ hours a month chasing patients who mostly don't answer.
- 🔥Nurses are burning out on administrative tasks while patients who need attention go undetected.
We saw an opportunity to fix all three problems with a single platform.
Mission
Eliminate preventable post-surgical complications through continuous, AI-guided patient engagement — starting the moment a patient leaves the OR.
Vision
A healthcare system where no patient navigates recovery alone and every clinician has the tools to provide the follow-up care their patients deserve — without burning out.
Values
Human-centered AI. Clinician authority always. Radical simplicity for patients. Outcomes over features — always.
The problem
Approximately 15-20% of surgical patients experience preventable complications within 30 days of discharge. Post-surgical readmissions cost U.S. hospitals an average of $15,000-$25,000 per event, and CMS penalizes hospitals with excess readmission rates through the Hospital Readmissions Reduction Program (HRRP).
Despite this, the majority of post-discharge follow-up remains fragmented — consisting of a single follow-up phone call, a paper discharge packet, and a scheduled office visit 2-4 weeks later. 62% of post-op follow-up never happens at all.
Recovery Insights bridges the gap between surgery and full recovery with continuous, AI-guided engagement that adapts to each patient — delivered by text, controlled by the surgeon, and integrated with the EHR.
What we believe
Personalized Recovery
Recovery shouldn't be one-size-fits-all. Every plan is generated from the actual discharge note — tailored to the procedure, the medications, the restrictions, and the patient.
Proactive, Not Reactive
The best complications are the ones that never happen. Continuous monitoring catches problems before they escalate to an ER visit.
Human-Centered AI
Advanced intelligence with a human touch. The AI handles routine — the surgeon handles decisions. No unsupervised AI in the clinical relationship.
Outcome-Driven
Better outcomes aren't accidental — they're designed. Everything we build is measured against readmission reduction, patient satisfaction, and clinical efficiency.
Who we are
Built by operators who understand surgery, AI, and healthcare economics.
Sierra Westfall
MBA, MS, PhD.C
Founding Partner, Strategy
Healthcare M&A strategist who has led strategic initiatives across multi-hospital networks representing $500M+ in managed surgical revenue. Deep expertise in post-acute care optimization, payor-provider alignment, and value-based care contract structuring. Builds scalable go-to-market strategies that translate clinical innovation into enterprise adoption — with a track record of navigating hospital procurement cycles and C-suite decision-making.
Ryan Nolan
MBA
SVP Operations
15 years in health system C-suites overseeing surgical service lines spanning 450+ physicians, 12 OR suites, and $180M+ in annual surgical program revenue across multiple facility types. Deep expertise in perioperative operations, bundled payment implementation (including BPCI-A), and CMS quality program compliance. Understands hospital buying cycles, committee structures, and the operational realities of deploying new technology in clinical settings.
Clinical Advisory BoardTo be announced
Plastic Surgery
To be announced
Orthopedic Surgery
To be announced
Surgical Quality / Outcomes
To be announced
Why now
The post-surgical follow-up gap is widening at the same time that regulatory pressure, readmission penalties, and clinician burnout are accelerating. AI can now close that gap — not by replacing clinicians, but by giving them better tools.
Readmission penalties are rising
Over 2,200 hospitals are penalized annually under CMS HRRP. Bundled payment models like CMS TEAM place direct financial stakes on post-discharge outcomes.
Care coordination is fragmented
62% of post-op follow-up never happens. Patients leave with paper packets and unanswered questions. Complications develop silently between discharge and the first office visit.
AI can assist without overstepping
AI is mature enough to handle routine monitoring and communication — but only when the surgeon stays in the loop. Recovery Insights is designed around clinician authority, not autonomy.
Market opportunity
A convergence of regulatory mandates, reimbursement shifts, and AI maturity creates a once-in-a-generation opportunity in post-surgical care.
$624M+
Total Addressable Market
52M+ surgical procedures/year in the U.S. at $12/episode
2,200+
Hospitals Penalized Annually
Under CMS Hospital Readmissions Reduction Program (HRRP)
$15K–$25K
Cost Per Readmission
Average cost hospitals absorb for each preventable readmission
Regulatory tailwinds
- ✓CMS TEAM model — Mandatory bundled payments for surgical episodes starting 2026, covering 750+ hospitals. Post-discharge outcomes directly impact reimbursement.
- ✓HRRP expansion — Readmission penalties increasing in scope and severity, creating urgent demand for post-discharge monitoring.
- ✓New CPT codes — Remote monitoring and digital health CPT codes create direct reimbursement pathways for AI-guided follow-up.
- ✓CMMI innovation priorities — Federal emphasis on health equity and digital health innovation aligns with SMS-based, no-app delivery.
Competitive positioning
- ✓No patient app required — SMS-native delivery eliminates adoption friction. 98% of text messages are read within 3 minutes.
- ✓Discharge-note-driven — Plans are auto-generated from the actual clinical note, not generic templates. Every plan is procedure- and patient-specific.
- ✓AI-native architecture — Built on large language models from day one, not retrofitted rules engines. Enables natural-language patient interactions.
- ✓Land-and-expand model — Start with a single surgeon or department ($200K ACV), expand hospital-wide ($1M+ ACV) as outcomes data accumulates.
How Recovery Insights is different
Most post-surgical platforms rely on static content libraries and rules-based logic. Recovery Insights is fundamentally different.
| Capability | Recovery Insights | Rules-Based Platforms |
|---|---|---|
| Architecture | AI-native (LLM-powered) | Rules-based / decision trees |
| Plan generation | From actual discharge note | Generic content libraries |
| Patient interaction | Natural-language SMS | Scripted messages / app |
| Patient app required | No — SMS only | Yes (download required) |
| Clinician role | Surgeon-in-the-loop | Automated / opt-out |
| Escalation | AI-detected, clinician-routed | Threshold-based alerts |
| Personalization | Procedure + patient specific | Procedure category only |
Comparisons based on publicly available information about platforms such as Twistle (by Health Catalyst), CareSignal, and GetWell.
Clinical guardrails
No medication dosing recommendations
The agent never suggests dosages — only references what the clinician prescribed in the discharge note.
No diagnostic statements
The agent never tells a patient they do or don't have a complication. Concerns are escalated to the clinician.
Escalation thresholds
Any response indicating a potential red-flag symptom triggers immediate clinician notification.
Clinician-reviewed templates
All prompt templates are reviewed by the clinical advisory board before deployment.
Full audit trail
Every generated message is logged with the prompt, model output, and guardrail evaluation result.
Surgeon approval required
No patient-facing communication activates without explicit clinician sign-off. This is invariant.
Automation with authority
28
Fully automated touchpoints
12
Manual clinician touchpoints
65%
Touchpoints automated
The system automates routine communications while preserving clinician authority over every clinical decision.
Transparent pricing
Straightforward pricing. No capital expenditure. No long-term contracts.
Solo Practice
$12/episode
Ideal for individual surgeons or small groups
- ✓Automated recovery plans
- ✓SMS delivery
- ✓Clinician dashboard
- ✓Wound photo capture
- ✓PROMs collection
- ✓PDF export
ASC / Multi-Specialty
$12/episode
For ambulatory surgery centers and multi-department groups
Everything in Solo, plus:
- ✓Multi-specialty pathways
- ✓Aggregate reporting
- ✓Accreditation support
- ✓CSV/API data export
Health System / Enterprise
Custom
For hospitals, health systems, and payor networks
Everything in ASC, plus:
- ✓EHR integration (Epic, Cerner)
- ✓CPT billing documentation
- ✓NSQIP data flow
- ✓Dedicated implementation team
- ✓BAA + compliance support
Every engagement starts with a 90-day free pilot. No cost. No commitment. See results with your own patients before you decide.
Request a Free PilotGet in touch
Whether you're a surgeon interested in a pilot, a health system evaluating post-surgical engagement, or an investor exploring the space — we'd like to hear from you.