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10X your Medicare outpatient monitoring 

AI-powered post-discharge followups and ongoing monitoring for Medicare patients

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outpatient care for seniors

Let AI handle outpatient monitoring for you

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Phone Check-ins

Ambi, our AI agent, proactively reaches out to patients via phone or SMS with personalized questionnaires.

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Triaging

Our voice agent executes custom or standard best-in-practice triage protocols such as Schmitt Thompson—designed by in-house experts.

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Remote Patient Monitoring

We integrate with both manual and IoT RPM devices (which we can supply if needed, e.g., blood pressure monitors). Abnormal vitals trigger automatic check-ins for immediate intervention, and our calls significantly boost CPT code capture for additional revenue.

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Care Compliance

We boost compliance with personalized reminders, patient education, and friendly nudges for meds, diet, taking vitals, exercise, and care plans.

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Companionship 

For those open to it, our AI offers personalized conversations and daily engagement to ease loneliness and keep minds active.

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Example Check-in 1
Example Check-in 2

An Enterprise Platform for

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Patient management

Manage your patient population from one clean dashboard either as a standalone product or completely EHR-integrated, with both high-level and patient-level views.

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Set schedules & questionaires

Create custom outreach in minutes—set calls, build questionnaires, and launch programs with no tech skills needed.

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Transcribes patient interactions

Calls are transcribed, summarized, and flagged automatically—notes sync to your system, saving time and capturing key insights.

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EMR and CRM integration

We plug into your EMR and CRM to eliminate double work and surface insights—seamlessly fitting into your existing workflow. We can also operate as a standalone product to ease early pilot projects or reduce integration burden.

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Predictive analytics

Our AI flags risk and predicts decline by analyzing multimodal patient data including RPM readings, patient responses, and vocal biomarkers.

All-in-one Admin Platform 

Simple Workflow Customizations

Patient Outreach and Engagement is Crucial for

Preventive health care and monitoring

Outreach enables early detection of symptoms and issues that would otherwise go unnoticed. Studies show regular check-ins can reduce ER visits by 23–75% (based on program fidelity), driving better health outcomes and cost savings.

Care compliance and disease management

Outreach improves compliance to care plans such as staying on top of medications, taking vitals, and exercise. Studies show decreased readmissions by up to 90% from diligent 30 day post discharge phone call followups for certain patient populations.

Triaging and scheduling appointments 

Consistent outreach ensures patients get the care they need at the right time. Triaging patients to the appropriate care team and booking preventive appointments (e.g. 14 day post-discharge followups) lead to cost savings and better outcomes.

But Challenging

Manual

Outreach is often handled by overburdened nurses, MAs, or large call centers—leading to burnout, inconsistency, and limited scalability.

Time-consuming

Phone-based outreach can take hundreds of hours each month, even for small practices—leaving the majority of patients untouched and unseen.

Expensive

Hiring staff or outsourcing to call centers is costly. Frontline workers should be focused on care, not cold-calling.

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Our commitment to
improving healthcare for older adults

Our mission at Kaigo Health is to give hospitals and value-based providers unlimited capacity to care for and monitor patients at home. We design accessible, senior-first technology to allow unlimited engagement with Medicare patients in high-fidelity, high-bandwidth ways, delivering and supercharging preventive and proactive healthcare at scale. Our hope is that one day, every older adult has a friendly voice advocating for their health and well-being at all times, ultimately helping our aging population live with more health and independence.

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Our benefits at a glance

Reduce Hospitalizations & Readmissions

Automated check-ins help catch issues early, preventing avoidable hospital visits. Some studies show reductions of 23–75%—saving lives and millions in downstream costs.

Capture more Morbidities (HCCs) and CPT codes

Our system improves HCC capture rates and ensuring accurate risk scoring—leading to higher quality ratings and increased revenue. We also improve RPM user compliance and data aggregation enabling usage of sensors at scale, potentially unlocking a major new revenue stream.

Reduce Staff Burden

We take repetitive outreach off your team’s plate, freeing up time for hands-on care, not hours of follow-up calls.

Serve more patients

With Kaigo, outreach scales instantly. Reach every patient weekly, monthly, or daily—whatever your population needs, without increasing staff.

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Advisors

Advisors

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Sonia Wong

  • Ex CPO MyFitnessPal

  • Stanford Venture Studios Advisor, Angel Investor

  • Ex PM Director, Google, Ebay

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Hanna Kiani, MHA

  • Stanford Healthcare PM

  • Johns Hopkins Researcher

  • USC Gerontology, JHU MHA

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Joan Slagle, DNP, RN, CNL

  • Stanford Healthcare

  • Quality and Telehealth

  • Sutter Health RN, Quality Assurance

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Christian Laurence-Diaz

  • HHS Senior Analyst

  • DrPH Johns Hopkins University

  • MPA NYU

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senior care

Team

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Peter Chien

CEO

  • BS Mechanical Engineering, UIUC

  • Ex Neuralink, Varda

  • Hardware, Robotics, Sensing, IoT, Signal Processing

  • Founded 3 nonprofits and businesses

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Lukas Klaiber

COO

  • BS, MS Computer Science, TUM/Stanford

  • Ex SAP, Accenture

  • Full-stack software

  • Co-founded Stanford Founders

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Kazuki Shin

CTO

  • BS, MS Computer Engineering, UIUC

  • Ex NVIDIA, Amazon, Playstation

  • Applied AI/ML

  • 12 publications on HRI for homecare

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Imran Mohiuddin, MD

CMO

  • Stanford Medicine, Clinical Informatics Fellow

  • BA, MD University of South Alabama

  • UMiami and VA Internal Medicine Physician

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Peter, Lukas, Kazuki are seasoned leaders with a track record of founding and leading organizations. With full-stack expertise across software, AI, and hardware, they’re deeply committed to serving the aging population. Together, they’ve spent over 600 hours volunteering across 10+ senior communities and healthcare institutions, building deep user and market expertise and empathy with our older population. Imran is a seasoned physician and healthcare professional with extensive experience managing outpatient care and implementing technologies into clinical workflows.

value-based care

Contact us

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