Case Studies

Real outcomes. Real practices.

These are early design partner results — from orthopedic groups, regional health systems, and multi-specialty ASCs — across the first 90-day pilot programs. Numbers are documented from clinical dashboards and payor claims data where available.

94%

Avg patient response rate

3.2%

Lowest pilot readmission rate

$2.2M+

Avoided costs documented

58

Early complications caught before ER

Orthopedic Surgery Group

From 62% follow-up miss rate to 94% patient response — in 90 days.

Multi-site orthopedic group · 18 surgeons · 3 ASC locations · ~210 knee/hip replacements/month

The Challenge

The care coordination team at this orthopedic group was spending over 50 hours a month on post-discharge follow-up calls — most of which went unanswered. Their 30-day readmission rate for joint replacement hovered at 7.8%, well above the CMS benchmark, and they faced increasing HRRP exposure. The group's three ASC locations each had their own protocol — or no protocol at all.

How It Was Deployed

  • 1Deployed Recovery Insights across all three ASC locations simultaneously during a 30-day onboarding period.
  • 2AI-generated a procedure-specific 30-day follow-up pathway for each total knee and total hip patient from the actual discharge note.
  • 3Wound photo collection replaced in-person early check-ins for the majority of uncomplicated cases.
  • 4Clinical escalation alerts routed to the on-call coordinator, with full symptom history, pain trend, and wound photo comparison.

Results at 90 Days

94%

Patient response rate (up from 38%)

3.2%

30-day readmission rate (down from 7.8%)

48 hrs/mo

Coordinator time reclaimed

$430K

Estimated readmission costs avoided in 6 months

"I review my 22 recovering patients in under two minutes every morning. The platform handles everything else. We caught a wound infection on Day 6 that would have been an ER visit — and probably a lawsuit."

Dr. Sarah Chen

Orthopedic Surgery — Joint Reconstruction

Notable Outcome

14 early complications caught and resolved before escalating to ER or readmission in the first 90-day pilot period.

Regional Health System

34% reduction in surgical readmissions. $680K in avoided CMS penalties in year one.

320-bed regional hospital · General, cardiac & bariatric surgery · CMS TEAM mandate · ~450 surgical cases/month

The Challenge

This regional health system was one of 741 hospitals subject to the CMS TEAM bundled payment mandate starting January 2026. Their baseline 30-day readmission rate for major surgical episodes was 9.1%, generating an estimated $2.1M in annual HRRP penalties. Their nursing team was stretched — two FTE care coordinators for over 450 monthly surgical cases — and burnout was driving turnover.

How It Was Deployed

  • 1Integrated Recovery Insights with the hospital's Epic EHR using the FHIR R4 API — discharge notes flowed in automatically at signoff.
  • 2Deployed across general surgery and cardiac service lines in month one, added bariatrics in month two.
  • 3Adaptive check-in frequency: stable patients received 3 contacts/week; patients flagging elevated pain or red-flag symptoms were checked daily.
  • 4MIPS-compliant documentation auto-generated for every episode. CPT 99457/99458 billing documentation assembled automatically.

Results at 90 Days

34%

Reduction in 30-day surgical readmissions

$680K

Avoided HRRP penalty exposure in year one

+19 pts

HCAHPS care transition domain improvement

0

Additional FTEs hired to achieve this

"We went from two coordinators drowning in follow-up calls to a team that actually has time to focus on patients who need human support. The platform is now part of our standard surgical workflow."

Director of Surgical Quality

Regional Medical Center — 320 beds

Notable Outcome

$1.2M in new RPM CPT code revenue documented in year one — turning a cost center into a net revenue generator.

Multi-Specialty ASC

91% patient engagement rate. 22 early complications caught in the first pilot quarter.

Multi-specialty ASC · 8 surgical specialty groups · ~400 cases/month · Same-day discharge emphasis

The Challenge

This high-volume multi-specialty ASC had no structured post-discharge follow-up program. Surgeons relied on patients calling in if something went wrong — which most didn't, until it was too late. The center's accreditation review flagged post-discharge monitoring as a compliance gap. The center had evaluated two app-based platforms but found patient adoption under 20% — patients simply didn't download the apps.

How It Was Deployed

  • 1Deployed SMS-native Recovery Insights with no app requirement — patients received a magic link by text at discharge.
  • 2Configured procedure-specific pathways for 6 specialty groups (orthopedics, general, plastics, GI, ENT, urology) in the first 30 days.
  • 3Wound photos enabled across all eligible procedure types — collected via guided mobile camera without any download.
  • 4Escalation alerts routed to the specialty group's designated coordinator during business hours; on-call surgeon after hours.

Results at 90 Days

91%

Patient response rate (vs. <20% with prior app platform)

22

Early complications caught and resolved in first 90 days

$1.1M

Estimated ER/readmission costs avoided

2 weeks

Time from contract to first patient enrolled

"Patients love that there's no app to download. We went from hearing about problems when patients showed up in the ER to catching them on Day 4 with a text message. The ROI was obvious by week six."

Dr. Rebecca Okafor

Orthopedic Surgery — ASC Medical Director

Notable Outcome

Accreditation committee cited the post-discharge monitoring program as a best-practice example at the annual review.

Case study results represent outcomes from early design partner programs. Individual results will vary based on patient population, procedure mix, case volume, and care team engagement. Financial impact figures are estimates derived from clinical dashboards, avoided readmission cost benchmarks (CMS data), and RPM CPT billing documentation. Not all outcomes have been independently audited.

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