Post-discharge care coordination

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

WhaleLaunch is the AI-powered platform connecting hospitals, home care agencies, senior living facilities, and families — designed to achieve a 30–40% reduction in 30-day readmissions by closing the gaps that leave elder care fragmented.

The Problem

One in five discharges comes back within 30 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.

20%of Medicare patients are readmitted within 30 daysThe majority due to poor care transitions, not clinical relapse
$500M+in annual HRRP penalties80% of hospitals are penalized, losing up to 3% of total Medicare reimbursement
63Munpaid family caregivers coordinating across providersNo 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

Avg. 45 min spent per referral call
  • 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
72%of discharge care plans are never opened by the receiving provider

For Home Care Agencies

38% of referrals arrive incomplete
  • Referrals missing critical info — 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. 24 hrs/week on care coordination
  • 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
53%of family caregivers report receiving no training before taking on post-discharge care
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 AI-powered system of record for post-acute care.

WhaleLaunch AI

Designed to achieve a 30–40% reduction in 30-day readmissions.

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: 45 min per referral call, 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: 38% of referrals arrive incomplete, 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: 24 hrs/week coordinating by phone, 53% receive zero training
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

  • AI-powered 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. The market isn't just ready — it's demanding a solution.

Value-Based Care Shift

Regulatory

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

CMS Penalty Escalation

Financial

The Hospital Readmissions Reduction Program now penalizes 80%+ of hospitals — up to 3% of total Medicare 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+. The senior care system is already strained — 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 3 years ago — automated discharge planning, 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.

Medicare Savings$50M+

Preventable readmissions cost Medicare $26B annually. Even a modest dent through coordinated discharges translates to tens of millions in avoided penalties and reduced hospital spend.

Facilities Connected500+

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

Caregivers Supported10K+

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

Jobs Created150+

Engineering, clinical operations, sales, and support roles across the U.S. — building the team that runs the coordination layer for senior care.

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 — no per-discharge accounting.

We are onboarding a limited pilot cohort

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

Try the live demo
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 — ensuring 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 — 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.