Stop losing revenue to preventable readmissions
The only platform combining AI risk stratification, multilingual patient assessments, and Social Determinants of Health screening to help hospitals reduce 30-day readmissions—a $52B national problem—and protect CMS reimbursements.
Your hospital is already paying
for readmissions it could prevent.
Under the Hospital Readmissions Reduction Program, CMS penalizes hospitals with excess 30-day readmission rates—up to 3% of total Medicare payments. At Baptist Health South Florida, readmissions climbed from a 19.7% target to 28% in Q2 2025—42% above goal. The most affected: lower-income households, Medicaid enrollees, and communities of color.
One platform. Three ways we close the gap.
Most readmissions aren’t clinical failures—they’re missed social needs. We surface what EHRs can’t and route patients to the right support before discharge.
Risk-aware screening
Our assessment captures the social and behavioral factors that clinical data alone misses—housing stability, food access, medication understanding, and caregiver support—so care teams can identify who’s most likely to return within 30 days.
Multilingual, patient-facing assessments
Available in English, Spanish, and Haitian Creole, our tool meets patients in their language. Plain-language questions (grade 5–8 reading level) surface barriers that discharge paperwork and EHR flags routinely overlook.
Actionable discharge guidance
Results route patients to insurance-specific resources and next steps—not a generic checklist. Designed to reduce the coordination burden on social workers and care managers, not add to it.
We identified the gap, validated our approach, and built a working prototype.
Identified the Gap
Post-discharge care gap costing up to $52B nationally. Baptist Health readmissions hit 28%—42% above the 19.7% target.
Validated Our Approach
Interviewed social workers on real patient barriers. Consulted healthcare and technology experts to confirm our direction.
Built a Working Prototype
Personalized, accessible post-discharge guidance—live at app.vulnerablepatients.com—without adding provider burden.
Ready to Test & Scale
Now positioned to test with target users and health system stakeholders.
Two-layer infrastructure built for scale.
The marketing & investor site is hosted on Cloudflare for speed, security, and global edge delivery. The clinical assessment application runs on Lovable for rapid iteration and HIPAA-ready infrastructure.
Cloudflare
Investor landing page, brand site, and static content. Global CDN, DDoS protection, and SSL out of the box.
Lovable
Multilingual clinical tool, risk scoring engine, and patient-facing assessments. Rapid prototyping with production-grade hosting.
A market defined by federal mandate
The Hospital Readmissions Reduction Program creates permanent, federally-mandated demand. Every acute care hospital in the U.S. is a potential customer.
From admission to follow-up, covered.
Identify
Screen patients at admission or during stay using our Social Determinants of Health assessment to surface hidden risk factors.
Assess
Patients complete a plain-language questionnaire in English, Spanish, or Haitian Creole—capturing barriers EHRs miss.
Guide
Results route to insurance-specific resources and actionable next steps, reducing coordination work for care teams.
Track
Risk scores and screening data give care managers a clear picture of who needs follow-up within the 30-day window.
Why this is defensible
Multiple reinforcing moats compound over time, making the platform more valuable with each hospital added.
SDOH-first screening at the bedside
Most readmission tools focus on clinical risk alone. We start with the social and behavioral barriers that actually drive preventable returns.
Multilingual from day one
English, Spanish, and Haitian Creole at launch—meeting patients in their language, at a 5th–8th grade reading level.
Insurance-aware routing
Results adapt to the patient’s coverage type, connecting them to relevant resources and next steps—not generic advice.
Built to integrate
Designed for future EHR integration (Epic, Cerner, MEDITECH). As hospital partners join, the platform’s data and resource network grow stronger.
The people behind the platform
A multidisciplinary team with deep roots in healthcare delivery, clinical practice, and technology.
Riyaad Seecharan
Serial entrepreneur. Founded Tesser Health (acquired). ELMCRx CTO. FIU Computer Science.
Jody A. Murray
Healthcare innovation leader improving access and efficiency across diverse populations.
Tools, research, and next steps
Everything you need to understand our platform, try the assessment, and explore the evidence behind SDOH-driven readmission reduction.
Live Assessment Tool
Try the multilingual patient screening tool now — available in English, Spanish, and Haitian Creole. Nine plain-language questions, under 60 seconds, with insurance-aware resource routing.
The Readmission Problem
Hospital readmissions cost the U.S. healthcare system $52 billion annually. CMS penalizes over 3,000 hospitals each year under the Hospital Readmissions Reduction Program. Our platform addresses the social and behavioral root causes that clinical tools miss.
View market dataBaptist Health Case Study
At Baptist Health South Florida, 30-day readmissions climbed from a 19.7% target to 28% in Q2 2025 — 42% above goal. Lower-income households, Medicaid enrollees, and communities of color are disproportionately affected.
See our approachRequest Our Pitch Deck
Get the full investor presentation with financial projections, competitive analysis, and our go-to-market strategy for 50 hospital systems.
Request deckLet’s talk about the opportunity.
We’re raising our seed round to scale to 50 hospital systems. Request our pitch deck or schedule a live demo of the platform.