Catch high-cost carebefore the ICU.

We turn patients' care preferences into a predictive cost-risk signal, so organizations at risk for total cost of care can act early, in line with what patients want.

01How it works

From a conversation to a forecast, and back.

Capture

Patients record their treatment wishes using Directive, with support one tap away. You see who has started, stalled or finished. Answers populate an attorney-reviewed directive for their state.

Plain languageAttorney-reviewedLive progress

Predict

Each documented choice becomes structured data. A regression-style score, weighted by published and historical evidence, estimates cost risk for each patient.

Regression-styleExplainable

Act

A ranked queue of patients informs prioritized outreach and goals-of-care conversations before a crisis. Signed directives are distributed to relevant parties and delivered to the EHR.

Ranked queueOutreach trackingEHR delivery
02The model

A score that supports triage.

Weights start from a broad base of published evidence, then fine-tune on your historical data.

The score prompts the next conversation.

Cost-risk indexIllustrative
Based on 2 of 4 parameters
67/ 100
High cost risk
03560Patients
03The map

Two signals, one source.

Directive generates two signals based on patient data. Your team stops guessing who to call. The patients likeliest to face intensive, high-cost care, and furthest from a signed directive are prioritized.

ResolvedMonitorRoutinePriority outreachDirective progress →
Cost risk →
Priority outreach10
Monitor7
Cohort64