SolvingHealth · Health System Deployment

AI-NATIVE HEALTHCARE INFRASTRUCTURE.
TWO ON-RAMPS. YOU PICK.

This infrastructure is being built in Boulder right now — starting at the community level and flowing up into health systems. BCH can adopt early and be the reference system, or buy it retrofit in three years from whoever wins.

It costs less than one FTE either way. Both tracks use existing CMS codes. No EMR rip-and-replace. No 12-month integration project.

Request a deployment review →See both tracks →

Shared via warm introduction · Not a sales pitch

11

AI agents in the SurgeonValue practice OS — always-on, physician-attested

$147K

Illustrative annual underbilling per orthopedic surgeon, recoverable at deployment

<1 FTE

Total cost of both tracks combined — ortho revenue recovery + discharge-to-home

0

EMR integrations required to start — NPI-only setup, live in 10 seconds

The infrastructure stance

THIS IS NOT A VENDOR PITCH. IT’S AN INFRASTRUCTURE DECISION.

Amazon built AWS to run its own retail operation, then licensed the stack. We built CareOS to run our own care company — then the same stack deploys inside your health system. You get the proof from our own P&L, not a vendor case study.

The community is already asking for this. Our Boulder petition has real signatures. Saying no to deployment doesn’t make the demand go away — it just means another system becomes the reference site.

The two on-ramps

Pick the track that fits your priority.
Or deploy both.

Track A is revenue recovery for your employed ortho group. Track B is discharge-to-home overflow capacity with a physician of record. Both use existing CMS codes. Both can start without IT.

Track A

SurgeonValue

Orthopedic Revenue Recovery

Eleven AI agents deployed into your employed orthopedic surgery group. Wonder Bill identifies documented-but-unbilled CPT codes in 47 seconds per note — 2026 Medicare allowables, citation-backed, ready for your biller. Prior Auth Agent generates peer-to-peer letters in 60 seconds. AJRR Abstraction turns 90-minute registry submissions into 90-second attestations.

What deploys

Wonder Bill
Prior Auth Agent
AJRR Abstraction
Panel Intelligence
Call Coach
Referral Finder
PROM Tracker
Pocket PWA
CMS Revalidation

$147K

median annual recovery / surgeon

$199/mo

Core plan · no integration

Right for: VP Medical Affairs, employed ortho group leadership, CMO. NPI-only setup — live in 10 seconds, no Epic project.

Try Wonder Bill now — no signup →
Track B

co-op.care

Discharge-to-Home Aging Care

co-op.care becomes BCH’s overflow network for aging patients post-discharge. Families go from hospital door to a trained caregiver pool with a 50-state licensed physician of record for clinical oversight. CMS billing codes are already in place. HSA/FSA-eligible family pay via ComfortCard rails handles the cost-share.

CMS codes in deployment

G0019Community Health Integration — 30 min
99495/96Transitional Care Management (TCM)
99490Chronic Care Management (CCM)
LMNLetter of Medical Necessity → HSA/FSA unlock

77%

industry caregiver turnover → 15% cooperative-model target

$0

upfront BCH cost · referral-based model

Right for:VP Community Health, Case Management, Social Work leadership. Co-op.care is <1 mile from BCH. Our medical director is physician of record (50-state licensed).

See the co-op.care BCH briefing →

Why here · why now

The reference site advantage.

01

Boulder is the test bed

CMS ACCESS/ELEVATE applications are built around Boulder's demographics — aging population, high caregiver demand, proximity to a health system already asking these questions.

02

CJR-X creates the urgency

Mandatory joint replacement bundling (CJR-X) hits 2,500 hospitals. Documentation quality is now audit defense. The ortho revenue stack deploys directly into that pressure.

03

Cooperative model = workforce solution

77% caregiver turnover is a supply chain problem. Worker-owned cooperatives empirically cut turnover to 15%. BCH's community health mission and the co-op structure are the same thesis.

04

Three moats, not one

Technology (CareOS + 11 agents) + Operations (we employ caregivers, serve families) + Ownership (cooperative equity = built-in retention). Health AI vendors have only the first moat.

The deployment review

ONE 45-MINUTE CALL. NO COMMITTEE.
BOTH TRACKS SCOPED IN THE ROOM.

Before the call

Share your NPI. We run your orthopedic group through Wonder Bill and return a panel analysis — real codes, real dollar amounts, from your existing documentation.

On the call

Walk through the Track A revenue analysis. Assess Track B fit against your current discharge-to-home gap. Scope what a 90-day pilot looks like for each track.

After the call

Both tracks can start without IT. Track A: NPI setup, agents live in 10 seconds. Track B: referral protocol and care coordination handoff defined in one meeting.

“A lot of really cool solutions will come out of those who are working with the FQHCs of the world or working with non-major academic medical centers — those who aren’t fully and inevitably committed to whoever their EHR is.”

Dr. Joseph Sanford, Chief Clinical Informatics Officer

University of Arkansas for Medical Sciences · Second Opinion, April 2026

Next step

Request a deployment review.
One conversation. Both tracks scoped.

Share this page with a colleague in orthopedic surgery or community health. We’ll run your NPI before the call and come back with real numbers from your panel.

surgeonvalue.com/health-systems

Request a deployment review →Try Wonder Bill first →

Track A (SurgeonValue) · Track B (co-op.care) · Both use existing CMS codes