Catch problems before they reach the ED.
Automated post-discharge outreach, high-risk identification, and real-time escalation that prevent avoidable 30-day readmissions and protect value-based care performance.
Intermountain Healthcare — post-discharge follow-up results
drop in 30-day readmissions
Health systems cut their 30-day readmission rate from 14.2% to 8.36% using CipherHealth's post-discharge outreach program.
saved from post-discharge follow-up
"Preventing patient readmissions is what's important to us, and we had just under $15M in savings with doing these post-discharge follow-up calls." — Ben Becker, DNP, RN, NEA-BC, Director, Enterprise Care Management
less likely to readmit with automated follow-up
Patients who received automated post-discharge follow-up were significantly less likely to be readmitted within 30 days.
A complete toolkit to prevent avoidable readmissions
Post-Discharge Outreach
Automated voice and text check-ins within 48 hours of discharge surface concerns before they escalate into emergency visits.
High-Risk Identification
AI-powered models identify patients at highest risk of readmission so care teams can target interventions where they matter most.
Medication Adherence
Automated check-ins confirm patients are taking prescribed medications and can access refills — one of the most common drivers of avoidable readmission.
Care Transitions
Structured follow-up verifies patients understand their discharge plan, have scheduled follow-up appointments, and know which symptoms to watch for.
Real-Time Escalation
Concerning patient responses trigger instant alerts to care coordinators, enabling same-day intervention before a readmission occurs.
Readmission Analytics
Track readmission rates by diagnosis, unit, and payer alongside outreach engagement data to continuously refine your prevention strategy.
Prioritize readmission risk with real post-discharge context
CipherHealth AI draws from structured follow-up responses, engagement history, care-transition workflows, and resolved issue patterns to help teams see which patients need attention before a concern becomes a return visit.
Explore the platformData advantage
Proven patient context behind CipherHealth AI.
1B+
Encounters
200M+
Interactions
17M+
Issues Resolved
Encounters, interactions, and resolved issues help AI summarize, prioritize, and route action inside governed workflows.
Reach Every Patient Within 48 Hours
Automated, multilingual outreach contacts patients shortly after discharge to check on symptoms, medication compliance, and care plan understanding. Issues are escalated to care teams in real time.
Read the Intermountain case study
Focus Resources Where They Matter Most
CipherHealth's risk models combine clinical data, social determinants, and engagement history to identify patients at highest risk. Targeted interventions drive down readmission rates without overwhelming staff.
See how it works
Bridge the Gap Between Hospital and Home
Structured transitional care workflows verify that patients attend follow-up appointments, fill prescriptions, and recognize red-flag symptoms — closing the gaps that lead to avoidable readmissions.
Explore care transitions
“Preventing patient readmissions is what's important to us, and we had just under $15M in savings with doing these post-discharge follow-up calls. We're not spending near that amount to provide these services, and they are making a huge difference. It results in greater patient satisfaction, lower readmission rates, and a significant financial impact in our healthcare organization.”
Reduce readmissions, improve outcomes.
Schedule a personalized demo and discover how CipherHealth helps health systems prevent avoidable readmissions and succeed in value-based care.
