Reduce heart-failure readmissions without adding headcount

Heather calls every heart-failure patient after discharge, checks symptoms, weight, and meds against your protocol, and escalates red flags to your team in time to intervene.

Every prevented readmission helps you avoid a $15,618 hit in care costs, before CMS penalties.6

Co-designed with clinicians at a top-5 academic health system. Pilot results headed for peer review.

Built with clinicians. Backed by

NSF I-Corps
Cornell Tech
C10 Labs
NSF I-Corps
Cornell Tech
C10 Labs
NSF I-Corps
Cornell Tech
C10 Labs

Readmissions don't start in the hospital. They start at home.

Missed meds. Silent symptoms. By the time a patient calls, they're already in the ED.

1 in 4

Medicare heart-failure patients are readmitted within 30 days.1

$15,618

mean cost of a 30-day HF readmission episode, before penalties.6

$320M

in Medicare penalties hit 2,273 hospitals in FY2023 alone.3

The status quo waits for the crisis. Heather catches it earlier.

From discharge to day 30.

Heather, MedComm's voice AI, owns the 30-day episode, front-loaded to the first week when risk peaks.

01

Enrollment at discharge

Day 1: an ADT feed or roster upload. That’s it.

02

30 days of check-ins

Symptoms, weight, and meds by phone and text. English and Spanish. No app.

03

Escalation when it matters

Red flags reach your clinician as a prioritized summary, not a raw transcript.

04

Proof for leadership

Enrollment, escalations, and outcomes, reported the way quality committees read.

Built for one condition. On purpose.

An HF-specific protocol, co-authored with academic clinicians, with cadence modeled on STRONG-HF.4

Built with your HF team. Not instead of them.

Heather does the dialing so your nurses can do the nursing. A clinician stays in the loop 24/7.

Proactive calls beat passive monitoring.

Passive telemonitoring didn't reduce HF readmissions.5 Protocol-driven calls did.4 No app, just a phone that rings.

Measured against the metrics you already report.

Every program is accountable to the outcomes your quality team tracks.

Reduced

30-day readmissions & ED revisits

Deterioration escalated before it becomes a return visit.

Reduced

Time to first follow-up

Every patient contacted within 24–48 hours of discharge.

Improved

Medication adherence

Missed doses surfaced to your team the same day.

Improved

Appointment adherence

PCP and cardiology visits reminded, confirmed, rescheduled.

Improved

Patient understanding

92% of patients report better understanding.

Improved

Patient satisfaction (HCAHPS)

90.2/100 usability in our IRB-approved study.

Publication-backed, from day one.

400+ discovery interviews. Four clinical pilots. Real workflows. Peer review, not press releases.

Our first academic pilot measures feasibility, safety, and acceptability, with results headed for peer review. We'd rather show you a study than a stat we can't defend.

50%

Our medical director's heart-failure program at a top-5 academic health system cut rehospitalizations from 1 in 4 to 1 in 8. Heather scales that program to every patient.

Source: internal program data.

Peer-reviewed publications in JAMIA, with more in the pipeline.

IRB-approved study

90.2/100

patient usability

92%

better understanding

95%

clinician endorsement

Safety, measured

Adversarially tested across 2,000+ scripted conversations.

2,000+ test conversations

100%

harm avoidance

100%

hallucination-free

98%

safety score

Safety isn't a feature. It's the architecture.

Heather is protocol-bounded by design: built with clinicians, reviewed by clinicians, escalating to clinicians.

Escalation-first
A red-flag listener on every turn. Three priority levels, down to page-the-on-call.
Protocol-bounded
Heather never diagnoses or prescribes. Emergencies get one instruction: call 911.
Human in the loop
A clinician reachable 24/7. Every call logged and reviewable.
Stress-tested
2,000+ adversarial conversations before any patient hears her voice.
Enterprise-grade
HIPAA with a signed BAA. SSO and audit logs from the first login.

Not another “AI for everything.”

Heather does one job. Here's how that's different.

Generalist voice agents

One agent, a thousand use cases. Heather has one: HF transitions.

Text-first outreach

Texts get skimmed. Phones get answered.

Device-based monitoring

Nothing to ship, nothing to return. Live in weeks, alongside any RPM program.

Human coaching programs

The same vigilance, at a call frequency no roster can match.

Front-desk & scheduling AI

They book the visit. Heather owns what happens after discharge.

Payer care-management AI

Built for your HRRP economics, not a claims file.

Already running one of these? Most pair well with Heather. Ask us how.

The follow-up gap, in your words.

From 400+ discovery interviews with health-system leaders. Roles shown; names withheld at their request.

We have twelve nurses calling discharged patients, and we still only reach about half of them. The volume exceeds what we can do by phone; we had to cut our attempts from three to two.
Transitions-of-Care Nurse Lead
Almost one in four heart-failure patients is back within 30 days. They fall through the cracks in the 5–14 days between discharge and seeing their PCP.
Emergency Physician & Population-Health Faculty

Run your own numbers.

See what a 25–35% reduction is worth to your system.

1,000+
Expected 30-day readmissions / mo

63

Readmissions prevented / mo

16

Annual cost avoided*

$2,998,656

Savings only. New TCM, CCM & RPM Medicare billing comes on top.

* Assumes the national 24.8% Medicare HF readmission rate1 and a $15,618 mean total cost per 30-day readmission episode.6 Estimates, not a guarantee.

Fits into how your hospital already works.

No new system. No new headcount. One conversation with your compliance team.

Integration
Day 1: an ADT feed or roster upload. When IT is ready: HL7/FHIR write-back.
Oversight
A clinician stays in the loop 24/7. Every call and text is logged and reviewable.
Security
HIPAA with a signed BAA. SSO and audit logs from the first login.
Timeline
Most pilots start within weeks.

HIPAA · Signed BAA · SSO (SAML/OIDC) · Audit logs · HL7/FHIR

Questions clinical buyers ask.

Is Heather a replacement for our nurses?

No, and she was never designed to be. Heather was co-built with HF nurses and physicians; she handles the calling, documentation, and triage so your clinicians spend their time on the patients who need them. A clinician stays in the loop 24/7.

Does Heather give medical advice?

No. Heather is protocol-bounded: she reinforces your care plan and checks symptoms and meds. She never diagnoses or prescribes, and she directs emergencies to 911.

What happens when a patient reports a red flag?

A risk listener runs on every patient turn. Red flags are triaged into three priority levels, from page-the-on-call to routine follow-up, and your clinician receives a concise, prioritized summary, not a raw transcript.

What languages does Heather speak?

English and Spanish today. We add languages only after clinical validation; a language isn’t “supported” until it’s safe.

What does the evidence say?

Our first academic pilot measures feasibility, safety, and acceptability, with results being prepared for peer review. The protocol is modeled on the follow-up intensity that reduced death or HF readmission by a third in the STRONG-HF trial.4 We'll always tell you what's proven and what's forthcoming.

What do we need to install?

Nothing on day 1 beyond an ADT feed or a roster upload; escalations arrive in a secure task inbox. HL7/FHIR write-back comes when your IT team is ready. Patients need nothing but a phone: no app, no portal, no device.

How long until we’re live?

Most pilots start within weeks. In practice the pace is set by your review process, not ours.

How is patient data protected?

HIPAA with a signed BAA, SSO (SAML/OIDC), audit logs from the first login, and every interaction logged and reviewable.

If you own readmissions, we should talk.

We'll walk through your baseline and scope a pilot that's simple to evaluate.

Grab 20 minutes, right now

Pick a slot that works. No back-and-forth.

Open full calendar ↗

Prefer email? Send a request

We'll come back with times and a short agenda.

No new headcount Live in weeks We publish data, not claims

Sources

  1. Dharmarajan K, et al. JAMA, 2013: 24.8% of Medicare heart-failure patients readmitted within 30 days.
  2. Mayr FB, et al. JAMA: mean cost per HF readmission $9,051 (2013 Nationwide Readmissions Database).
  3. KFF Health News analysis of CMS HRRP, FY2023: 2,273 hospitals penalized; up to 3% of each Medicare payment; $320M total.
  4. Mebazaa A, et al. STRONG-HF, The Lancet, 2022: high-intensity post-discharge follow-up + GDMT up-titration reduced 180-day death or HF readmission (15.2% vs 23.3%).
  5. Chaudhry SI, et al. Tele-HF, NEJM, 2010; Ong MK, et al. BEAT-HF, JAMA Internal Medicine, 2016: passive telemonitoring did not reduce HF readmissions.
  6. Kwok CS, et al. International Journal of Cardiology, 2020: mean total 30-day cost for HF patients with a readmission, $15,618 (NRD 2010–2014).