Post-discharge care coordination

The riskiest part of a hospital stay
starts at the front door.

WhaleLaunch is the care coordination platform connecting hospitals, home care agencies, senior living facilities, and families to close the gaps that leave elder care fragmented. It is built on care-transition methods that reduced thirty-day readmissions by about 30 percent in randomized trials and by 18 percent on average across 42 trials.

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The Problem

17 percent of Medicare patients are readmitted within thirty days

Every hospital discharge triggers a chain of handoffs between discharge planners, home health agencies, rehab facilities, pharmacies, and family caregivers. Today, these handoffs happen over fax, phone, and paper. The result: missed follow-ups, medication errors, and patients falling through the cracks.

17%of Medicare patients are readmitted within thirty daysAHRQ, 2020 data
$563Min Medicare readmission penalties, fiscal year 2020Between 75 and 83 percent of evaluated hospitals are penalized each year (KFF Health News), with payment reductions of up to 3% of Medicare inpatient reimbursement
63Munpaid family caregivers coordinating across providersAARP and National Alliance for Caregiving, 2025. No shared tools, visibility, or communication channel
0interoperable systems connecting hospitals to home care agencies and facilitiesReferrals still move by fax and phone

Where the System Fails

For Hospitals

  • Discharge planners manually search for available post-acute providers, calling agencies one by one
  • No visibility into whether care plans are followed after the patient leaves
  • Readmission penalties accumulate with zero data to intervene earlier

For Home Care Agencies

  • Referrals missing critical information: medications, allergies, recent labs, care history
  • No standardized channel to report outcomes back to the discharging hospital
  • Caregiver scheduling disconnected from patient acuity and risk level
3.2 hrsaverage time to reconcile a single patient's records from multiple sources

For Families

Avg. 27 hours per week of caregiving
  • Handed a paper discharge packet and expected to coordinate everything themselves
  • No single place to see the care plan, medications, or upcoming appointments
  • Can't reach the care team without calling multiple offices during business hours
11%of family caregivers receive any training for help with daily activities (AARP and National Alliance for Caregiving, 2025)
The Solution

Every stakeholder on one platform, every handoff closed

WhaleLaunch is the coordination layer that sits between hospitals, agencies, facilities, and families, replacing fax machines, phone trees, and paper packets with a single shared system of record for post-acute care.

WhaleLaunch AI

Built on care-transition methods that reduced thirty-day readmissions by about 30 percent in randomized trials and by 18 percent on average across 42 trials.

One system of record for every discharge, every handoff, every stakeholder.

Hospitals

AI risk scoring at discharge, automated care plan generation, and a referral marketplace to place patients in minutes, not hours.

Today: zero post-discharge visibility

Home Care Agencies

Real-time referral notifications with complete patient data, AI caregiver-to-patient matching, and built-in outcome reporting back to the hospital.

Today: 3.2 hrs to reconcile records

Senior Living Facilities

Bed availability broadcasting, transition management workflows, continuous health monitoring, and direct family engagement tools.

Today: manual bed tracking, families left out of the loop

Family Caregivers

One app for the full care plan, medication reminders, appointment scheduling, and a single messaging thread with every provider involved.

Today: 27 hours per week of caregiving, only 11 percent receive any training for help with daily activities
How It Works

Four portals, one shared record of every discharge

Each stakeholder gets a purpose-built portal with AI capabilities tailored to their role in the care coordination chain.

For Hospitals

Discharge Planner Portal

  • Patient risk scoring at discharge
  • Automated care plan generation
  • Post-acute provider referral marketplace
  • Real-time readmission analytics dashboard
For Agencies

Home Care Agency Portal

  • Real-time patient referral notifications
  • AI caregiver-to-patient matching
  • Clinical outcome reporting tools
  • Scheduling and workforce management
For Facilities

Senior Living Facility Portal

  • Bed availability and transition management
  • Family engagement and communication tools
  • Continuous health monitoring integration
  • Compliance and quality reporting
For Families

Family Caregiver App

  • Full care plan visibility and updates
  • Medication reminders and tracking
  • Multi-provider messaging hub
  • Appointment scheduling and transportation
Why Now

A Convergence of Tailwinds

Four forces are converging to create a once-in-a-decade window for senior care coordination. Hospitals, payers, and families are asking for this now.

Value-Based Care Shift

Regulatory

CMS is aggressively moving from fee-for-service to value-based reimbursement. Hospitals that reduce readmissions get paid more, and those that don't get penalized. Care coordination just became a revenue line item.

CMS Penalty Escalation

Financial

Under the Hospital Readmissions Reduction Program, between 75 and 83 percent of evaluated hospitals are penalized each year (KFF Health News), with payment reductions of up to 3% of Medicare inpatient payments. That's millions per facility per year, and the penalties are increasing. Doing nothing is no longer an option.

Aging Population Surge

Demographic

10,000 Americans turn 65 every single day. By 2030, every Baby Boomer will be 65 or older. The senior care system is already strained, and without technology it will break under the weight of demand.

AI Maturity in Healthcare

Technology

Large language models and ML risk scoring have crossed the accuracy threshold for clinical decision support. What was science fiction three years ago, automated discharge planning and predictive readmission scoring, is now deployable today.

Projected Impact by 2030

What full deployment is designed to deliver

When the post-acute care ecosystem is finally connected, the downstream effects compound across patients, providers, and the healthcare system.

Avoided Readmission Costs~$1.27M per hospital / year

Medicare readmissions cost about 36 billion dollars a year (AHRQ, 2020), and more than 17 billion dollars of readmission spending has been estimated as preventable (Robert Wood Johnson Foundation). Approximately 1.27 million dollars in avoided readmission costs per participating hospital per year, based on national AHRQ data and an 18 percent reduction, the average across 42 randomized trials.

Facilities Connected (2030 target)500

Hospitals, home care agencies, and senior living facilities sharing real-time patient data through a single platform, replacing fragmented fax-and-phone workflows.

Caregivers Supported (2030 target)10,000

Family caregivers and professional home health aides equipped with care plan visibility, medication tracking, and direct provider communication for the first time.

Jobs Created20–25

20 to 25 full-time positions in Washington State by 2030: engineering, clinical operations, sales, and support roles building the team that runs the coordination layer for senior care.

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Pilot Pricing

Priced per discharge, not per promise

$300–500per high-risk discharge

Pay only for the discharges we coordinate during your pilot. No platform fee, no seat licenses, no integration charge.

$2K–5K / monthsite subscription at scale

When your pilot wraps, transition to a flat site subscription covering every discharge, every portal, and every stakeholder, with no per-discharge accounting.

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Pilot terms are published and a limited cohort of hospitals is invited to participate

Pilot hospitals get white-glove onboarding, direct access to the founding team, and pricing locked for the full pilot term.

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Our Team

Who's Building This

WhaleLaunch is founded by a husband-and-wife team combining deep technical expertise with design-driven product thinking.

Portrait of Maksym Mosiura, co-founder and CEO

Maksym Mosiura

Co-Founder, CEO

Software engineer building enterprise systems at scale. Deep expertise in healthcare data pipelines, AI/ML infrastructure, and HIPAA-compliant architecture. Leading product development and technical strategy at WhaleLaunch.

Product & EngineeringAI/MLHealthcare Tech
Portrait of Tamila Mosiura, co-founder and Head of Design & Marketing

Tamila Mosiura

Co-Founder, Head of Design & Marketing

Design and marketing leader with a track record in user experience for complex products. Driving brand strategy, product design, and go-to-market execution so that WhaleLaunch is as intuitive as it is powerful.

UX & DesignBrand StrategyGo-to-Market
Early Access

Not ready yet? Get early access updates.

If a live walkthrough isn't your next step, join the waitlist and we'll reach out as pilot slots open for hospitals, agencies, and care teams.

No spam. We'll only reach out when early access opens.