The Hour That Changes
the Metric.
Most preventable readmissions and ED bouncebacks happen in the first 72 hours after a patient walks out your door. Conci is the in-home and in-facility visit your system can dispatch in that window — fast, physician-led, documented, and structured so the patient is not the one paying the bill.
The Metrics You Already Watch
We did not invent these problems — you live them every quarter. We built Conci to slot into the gap where they actually originate: the hours after a patient leaves a hospital bed or an ED bay and is back home, alone, wondering whether what they are feeling is normal.
Readmission Pressure
CMS readmission penalties are real, and the discharge-to-home gap is where most preventable bouncebacks happen. The patient gets home, something feels off at hour 36, and the only door open at 9 PM is the ED.
ED Bouncebacks
Patients who feel uncertain after a discharge or after an initial ED visit too often return — not because they need an ED, but because no one came to look at them in the place they actually live.
The Post-Discharge Gap
PCP follow-up is often days or weeks out. Home health intake takes time. Family caregivers are overwhelmed. The window where a single home visit would change the outcome is short, and most systems have nothing that fits in it.
Patient Satisfaction Stakes
A patient who feels handed off and forgotten reports it on every survey that touches your scores. A patient who has a clinician show up at their kitchen table tells a very different story.
How a Conci Health-System Partnership Works
Built to be clean, transparent, and easy for your compliance, finance, and care-management teams to evaluate together.
A Service Agreement, Not a Patient Bill
Your system contracts with Conci for a defined set of post-discharge or diversion visits. Pricing is transparent and at fair market value. Under the sponsored model, the patient is not billed — the visit is covered by the service agreement so removal of cost-of-care friction supports the transition.
Fast Dispatch, Local Clinicians
Your discharge planner, ED case manager, or care coordinator places the order through a secure channel we set up together. We dispatch a Conci clinician to the patient's home, SNF, ALF, or hotel — often within an hour, depending on demand and geography.
Notes Back to Your Care Team
Encounter documentation, vitals, findings, and any escalation recommendations come back to your team in the format we agree on. The care team stays in the loop. The chart stays in your system. Continuity is preserved.
Clear Escalation, Always
When a Conci visit reveals something that genuinely needs an ED or a higher level of care, we escalate immediately and coordinate transport. We are designed to support appropriate care, never to delay it.
What a Conci System Visit Actually Looks Like
Four real workflows we run for partner systems. We will build the version that fits your patient population and your transitions team.
Post-Discharge Home Touch
A Conci clinician visits the patient at home in the first 24–72 hours after discharge. We confirm they understand the medication list, look at the wound or incision, check vitals, ask the questions the discharge instructions assumed they would remember, and flag anything that needs your team's attention before it becomes a 2 AM bounceback.
ED Diversion for the Right Patient
A patient calls the ED triage line — or your nurse line — with a concern that does not actually need an ED but does need a clinician to put hands on them. Instead of telling them to come in, you offer a Conci home visit. Often within an hour. The right patients get cared for without occupying a bed your team needs for the patient who actually does.
Facility-Based Transitions Support
When the patient is in a SNF, assisted living, or rehab facility, a Conci clinician can come to that facility for the same kind of visit. Useful for systems that want eyes on a complicated patient before a facility-to-ED handoff happens.
Targeted Cohort Programs
Some systems want a defined program — for example, post-CHF, post-COPD, or post-procedure cohorts — where Conci runs scheduled home check-ins on day 3, day 7, and day 14. We build the protocol with your transitions team and report against the metrics you care about.
The Honest Math
We will not promise you a percentage point on a CMS scorecard — anyone who does is selling you something. What we will do is be transparent about what a Conci visit costs and what it is designed to support.
Visit-Level Pricing
Sponsored Conci system visits start around $350 per visit. Final pricing depends on visit type, complexity, geography, and the volume your program runs. We price at fair market value under a transparent service agreement — no per-referral fees, no kickbacks, no opaque math.
Compared against the cost of a single avoidable readmission or ED bounceback, the math typically works in the system's favor — but we will model your specific numbers with you, honestly, before you sign anything.
Three Stakeholders, Three Wins
A health-system partnership only works when the hospital, the patient, and the care team all come out ahead. Here is how we think about each one.
What the Hospital Gets
A defined transitions-of-care service designed to support readmission and bounceback metrics, delivered at fair market value under a transparent service agreement. Reporting on visit volume, dispositions, and escalations. A partner you can hand the discharge sheet to and trust to actually show up.
What the Patient Gets
A clinician at their kitchen table within hours — not a phone call, not a portal message, not a voicemail. Under the sponsored model, no bill. The chance to recover at home with someone who has actually looked at them since discharge.
What the Care Team Gets
A note back, a vitals snapshot, and a clear escalation if something needs them. Their patient stays their patient. Their workflow stays their workflow. They get a set of eyes on the patient in the window where eyes matter most.
Built for Your Compliance Team
We expect — and welcome — the full compliance, legal, and finance review your system runs on any new partner. Here is what they will find when they look.
Structured for the Rules
Service agreements priced at fair market value and commercially reasonable for the work performed. No volume- or value-of-referral compensation. BAA in place. PHI handled inside HIPAA-compliant infrastructure. Every visit documented and auditable.
Designed for Continuity
We are not a primary care practice and we never position as one. We do not steer patients away from clinically appropriate emergency care. We document, we escalate when needed, and we send everything back to the care team that owns the patient.
What We Will — And Will Not — Promise
We will
Show up fast. Document carefully. Coordinate with your team. Escalate when it's the right call. Build a program around the cohort and metrics you care about. Report honestly on what we did and what we found. Stand up in your geography under a clean service agreement.
We will not
Promise a specific reduction in your readmission rate. Substitute for clinically appropriate emergency care. Bill your patients when the visit is sponsored under your service agreement. Pretend to be your primary care, your home health, or your hospitalist team. Do anything that would put your compliance team in a difficult position.
Let's Pilot a Transitions Program
Tell us which cohort, which metric, and which geography matter most to your system. We will design a small, measurable pilot — honest pricing, clean contract, real reporting — so you can evaluate the work on the numbers that actually matter to you.
Start a System ConversationOr call us at (847) 483-3563