For Health Systems
Better recovery outcomes. Lower total cost of care.
Stop losing nurses to burnout. Automate the 45+ hours/month your care coordinators spend on post-op phone calls — while improving outcomes and CMS compliance.
Schedule an Enterprise ConversationFor C-Suite Executives
The Bottom Line
Recovery Insights converts post-surgical follow-up from an unfunded liability into a documented revenue stream — while directly addressing the workforce crisis draining your clinical teams.
$600K–$1.2M
new CPT-billable revenue / year at 500 surgeries/mo
25–40%
reduction in readmission penalties
30+ hrs/mo
reclaimed per care coordinator
With 741 hospitals subject to CMS TEAM, bundled episode accountability makes post-discharge monitoring a financial imperative — not an optional add-on.
CMS TEAM Exposure
741
hospitals mandated into bundled surgical episode reimbursement — every excess readmission erodes your episode margin
Revenue Opportunity
$100–200+
per patient/month via RPM CPT codes (99453–99458) and emerging 2026 post-surgical monitoring codes
Implementation Cost
$0
capital expenditure — operational expense pricing at $12/episode, no hardware, no app downloads
Competitive Moat for Your System
Health systems that deploy AI-native post-surgical monitoring first will establish defensible advantages:
- →Surgeon recruitment leverage — "We give you your nights back" is a compelling differentiator in a competitive hiring market
- →Payor contract positioning — demonstrate lower total cost of care with verifiable outcomes data
- →CMS Star Rating improvement — higher patient satisfaction and lower complication rates compound over time
- →Bundled payment readiness — systems already capturing outcome data have a structural advantage under TEAM and future CMS models
The workforce math
45+ hrs/mo
Staff time spent per coordinator on post-op calls
46%
Nursing burnout rate — top driver: administrative tasks
30+ hrs
Monthly time reclaimed per coordinator with Recovery Insights
Recovery Insights doesn't replace your care coordinators — it gives them their time back. Automated follow-up handles routine check-ins so your team can focus on patients who need human attention.
Implementation Timeline
90-day pilot. 2-week technical setup. No capital expenditure. Operational expense pricing.
Week 1–2
Technical Setup
EHR integration, discharge note ingestion configured, Twilio SMS provisioned, staff accounts created.
Week 3–4
First Patients Live
First service line activated. Patients begin receiving AI-generated recovery plans via SMS within 24 hours of discharge.
Month 2–3
Optimize & Measure
Engagement rates tracked, escalation workflows refined, CPT billing documentation validated, readmission data collected.
Month 3+
Expand & Scale
Add service lines, additional surgeons, and sites. Outcomes data supports board presentation and payor negotiations.
The regulatory landscape is shifting.
CMS TEAM Mandate
741
hospitals
Must participate in bundled surgical episode reimbursement. Financial stakes are now directly tied to post-discharge follow-up quality.
HRRP Penalties
~2,273
hospitals penalized
Hospitals with excess readmission rates face CMS payment reductions. Readmissions cost you twice — the direct cost plus the penalty.
New CPT Codes (2026)
$100-200+
per patient/month
RPM codes (99453-99458) and emerging 2026 post-surgical codes enable reimbursement for digital engagement — turning follow-up into revenue.
Integrates with your EHR
No rip-and-replace. Recovery Insights connects to your existing EHR infrastructure — discharge notes in, outcomes data back.
Epic
HL7 FHIR R4
Discharge notes ingested via Epic's FHIR API. Outcomes data and care plan notes write back to the patient chart. MyChart integration available for pilot programs.
Oracle Cerner
HL7 FHIR R4 / CCD
Cerner FHIR and CCD-based discharge summary ingestion. Patient-reported data flows into the Cerner clinical dashboard for care team review.
Other EHRs
Secure PDF / API
For health systems on Meditech, Allscripts, or other platforms, secure PDF upload or direct API integration provides equivalent functionality with a 2–4 week setup.
HCAHPS Impact
Patient experience scores improve when patients feel supported between visits.
+15–20%
Care Transition Scores
Patients who receive structured post-discharge communication report significantly higher satisfaction with their care transition
+12–18%
Communication Scores
Proactive check-ins and responsive escalation improve "communication with doctors" and "responsiveness of staff" domains
+10–15%
Discharge Information
AI-generated recovery plans reinforce discharge instructions, improving scores on "information given at discharge" domain
Figures represent projected ranges based on published literature on structured post-discharge communication programs, not Recovery Insights outcomes data. Individual results will vary.
Board-Ready Executive Brief
Download a PDF summary with ROI projections, regulatory context, implementation timeline, and competitive positioning — ready for your next board meeting or executive review.
For Quality & Patient Safety Officers
Close the loop on post-surgical quality
Move from reactive chart review to proactive complication detection with structured outcome data.
NSQIP Integration
Patient-reported outcomes and complication data feed directly into your NSQIP workflow. 30-day post-op data collection happens automatically via SMS — no manual chart abstraction required.
Complication Detection Timelines
AI monitors patient responses for early warning signals: rising pain trends, wound appearance changes, fever, medication non-adherence. Complications are flagged 2–5 days earlier than traditional follow-up detects them.
Quality Improvement Framework (PDSA)
Each recovery pathway functions as a structured PDSA cycle. Plan the pathway from discharge notes, Do the automated follow-up, Study the engagement and outcome data, Act on insights to refine protocols. Continuous improvement built into the system.
Benchmark Comparisons
Compare your complication rates, engagement metrics, and recovery timelines against aggregate benchmarks across procedure types. Identify outlier surgeons, service lines, or patient populations for targeted intervention.
CMS Star Ratings
Lower readmission rates and higher patient satisfaction scores directly improve your CMS Star Ratings. Recovery Insights addresses multiple Star Rating domains simultaneously — readmissions, patient experience, and timely follow-up care.
Quality Dashboard
A dedicated quality view surfaces complication rates by procedure, surgeon, and time period. Track SSI rates, unplanned readmissions, ER utilization, and PROMs completion — all in one place with exportable reports for quality committee review.
Workforce Burnout & Patient Safety
Reduced nursing burnout directly correlates with lower error rates and better patient safety outcomes. By automating routine follow-up tasks, Recovery Insights lowers the administrative burden that drives burnout — helping your team stay focused, engaged, and less prone to the fatigue-related errors that compromise patient safety.
For Care Coordinators & Nurse Navigators
Get 30 hours back every month
Stop spending your day on routine check-in calls. Focus on the patients who actually need you.
46 hrs/mo
Average time spent on routine post-op follow-up calls per coordinator
30 hrs back
Recovered when 65% of touchpoints are automated via SMS-based monitoring
3× more
Patients manageable per coordinator with AI handling routine interactions
What changes for your coordinators
- →45+ hours/month reclaimed from follow-up phone calls
- →Automated wound photo collection replaces manual documentation
- →Escalations arrive with full clinical context — no more detective work
- →Staff retention improves when administrative burden drops
Escalation Workflow
AI triages every patient response into green (on track), yellow (needs attention), or red (urgent). Coordinators receive real-time alerts only for yellow and red patients — with full context including symptom history, pain trends, and the AI's reasoning for the escalation.
Wound Photo Review
Patients submit wound photos via secure magic link. Photos are queued for clinical review with AI-assisted annotations highlighting areas of concern. Review and document in seconds instead of scheduling an in-person visit.
Reduced Documentation Burden
Every patient interaction is automatically documented — messages sent, responses received, escalations triggered, and outcomes recorded. No manual charting for routine follow-up. Episode summaries auto-generate for the medical record.
Daily Digest
Start each day with a prioritized list of patients needing attention. The digest shows who responded overnight, who missed check-ins, who reported new symptoms, and who is progressing well — all at a glance.
Enterprise capabilities
Built for the operational reality of health systems.
EHR Integration
Discharge notes ingested automatically via API. Patient-reported data written back as structured resources. Plan approvals documented in the EHR.
Automated CPT Documentation
Every qualifying interaction is documented for RPM billing codes (99453-99458) and emerging 2026 post-surgical monitoring codes. Revenue capture without manual assembly.
PROMs Collection & NSQIP Flow
Validated outcome instruments (KOOS-JR, BREAST-Q, etc.) delivered at milestone intervals. Data flows to the EHR for quality reporting and NSQIP submission.
Multi-Specialty Pathways
AI generates procedure-specific plans from the discharge note. No manual pathway authoring. Start with one service line and expand as you see results.
Clinician Dashboard
Surgeons see only their patients. Daily digests, wound photo review queues, risk alerts, and episode summaries — surfaced clearly and efficiently.
Adaptive Intelligence
Message timing, frequency, and content adapt to individual patient responses. Pain spikes trigger increased monitoring. Literacy and language automatically adjust.
Medicare & CMS Alignment
Built for where CMS is heading
Recovery Insights aligns with every major CMS innovation priority — from bundled payments to health equity.
CMMI Innovation Priorities
The CMS Innovation Center prioritizes technology-enabled care models that reduce total cost while improving outcomes. Recovery Insights directly addresses CMMI's focus areas: post-acute care transitions, surgical episode management, and patient-reported outcome measurement.
Health Equity via SMS
SMS reaches patients that app-based solutions miss. No smartphone required, no app download, no patient portal login. This is critical for underserved populations, rural patients, elderly patients, and Medicaid beneficiaries — the populations CMS most wants to reach.
Dual-Eligible Populations
Dual-eligible (Medicare + Medicaid) patients have the highest readmission rates and the most to gain from structured follow-up. SMS-based monitoring eliminates the digital divide that prevents these patients from engaging with traditional telehealth platforms.
Federal Compliance Frameworks
HIPAA-compliant architecture with zero PHI in SMS, BAA coverage across all vendors, AES-256 encryption, and comprehensive audit trails. Designed to meet federal compliance requirements from day one — not retrofitted after launch.
For Device & Implant Partners
Real-world evidence from every episode
Partner with Recovery Insights to capture implant-specific outcome data at scale.
Co-Marketing Opportunities
Bundle Recovery Insights with your implant or device as part of a "complete surgical episode solution." Offer recovery monitoring as a value-add to surgeons and health systems choosing your products — differentiate beyond the device itself.
Implant-Specific Outcome Tracking
Track recovery milestones, complication rates, and patient-reported outcomes for specific implant models and device types. Generate real-world evidence that supports your clinical claims and strengthens your regulatory submissions.
Post-Market Surveillance
Meet FDA post-market surveillance requirements with automated patient follow-up. Capture adverse events, patient complaints, and long-term outcome data without relying on surgeon reporting alone. Continuous monitoring at a fraction of the cost of manual surveillance.
Registry Data Feeds
Structured outcome data can feed into national registries (AJRR, STS, NSQIP) and your internal product registries. Automate data collection that today requires manual chart review — increasing both completeness and accuracy of registry submissions.
Designed for outcomes
Reduce readmissions
Continuous monitoring catches complications before they escalate to an ER visit
Improve HCAHPS scores
Patient satisfaction increases when they feel supported between visits
Generate RPM revenue
Automated CPT documentation turns follow-up from a cost center into a revenue stream
Reduce staff burden
65% of touchpoints automated — clinicians handle exceptions, not routine
Security & compliance
HIPAA Compliant
Zero PHI in SMS. All clinical content behind authenticated sessions. AES-256 encryption at rest, TLS 1.3 in transit.
BAA Coverage
Business Associate Agreements with all vendors handling PHI: AWS, Twilio, Anthropic (Claude API).
SOC 2 Type IIRoadmap
On our compliance roadmap. Targeting certification to remove the #1 enterprise procurement blocker.
HITRUST CSFRoadmap
On our compliance roadmap. HITRUST certification planned for post-MVP to meet enterprise procurement requirements.
Audit Trail
Every access event, communication, patient response, and clinician action is logged with timestamp, actor, and action.
Magic Link Security
Cryptographically random 256-bit tokens. Single-use, 30-minute expiry, patient-bound. No PHI exposed in any SMS.
Readmission reduction metrics, HCAHPS impact data, and RPM billing revenue examples will be published here as pilot results become available.
Start with one service line. Expand as you see results.
We'll configure a pilot for your highest-volume surgical specialty and demonstrate measurable impact.
Schedule a Conversation