Hospital Readmission Reduction Program

Preventing Hospital Readmissions and Empowering Patients

Our program is designed to alleviate the burden on healthcare providers, reduce costs, and improve outcomes for high-risk patients.

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MedBridge and CollaborateHealth have joined forces to empower patients and healthcare providers with personalized support for successful recovery and sustained wellness.

At MedBridge Healthcare, we understand the challenges and complexities surrounding hospital readmissions.

We’ve partnered with CollaborateHealth to develop a comprehensive Hospital Readmission Reduction Program designed to empower patients and healthcare providers. Our program goes beyond traditional transitional care by offering personalized support and resources to ensure a successful recovery and long-term health.

About the Readmission Reduction Program

Reduce costs, improve outcomes, and increase quality of life for high-risk CHF, COPD, and other patients through our Readmission Reduction Program.

Components of this program include:

Patient Education

Enhance timely engagement with bed-side enrollment.

Telehealth & Real-Time Collaboration

Improve patient satisfaction while reducing patient anxiety.

Evidence-Based Clinical Protocols

Identify the most at-risk patients and address common readmission drivers with remote monitoring.

Monitoring & Check-Ins

Simplify the complexities of remote patient care.
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Understanding that hospitals were seeing patients with untreated severe sleep apnea readmitted 10x more often, it became evident that we find a partner to help us provide a more comprehensive approach to address this costly issue.

Partnering with collaboratehealth© extends our service offering to 6 high-risk DRG populations also at risk for readmissions.

— John Mathias, Chief Development Officer at MedBridge Healthcare

We Take a Patient-Centric Approach

Our Readmission Reduction Program is a personal resource for patients, offering daily monitoring and check-ins, medication reconciliation, and comprehensive patient education. Pharmacists and nurses can check in daily, provide symptom checkers, and offer ongoing support after discharge.

A Platform Customized to Your Hospital's Needs

We understand that every hospital and healthcare system is unique, so our program is fully customizable to fit your needs. Whether you require an inpatient navigator, pre-discharge loaner equipment, or bedside consultations by board-certified sleep physicians, we work closely with you to tailor the program accordingly.

Our Platform is HIPPA Compliant

Our program leverages the power of remote patient monitoring to keep track of patients' health and well-being. We integrate device APIs from popular platforms to achieve this. This integration allows us to collect and analyze various health metrics such as heart rate, blood pressure, and sleep patterns.

How Our Program Works


Initial Assessment

Patients are encouraged to enroll at beside by the designated Patient Navigator. Upon admission to the program, patients undergo a thorough assessment to identify their needs and goals.

Personalized Care Plan

We develop a customized care plan tailored to each patient’s unique requirements and preferences based on the assessment. This care plan could include scheduling, transportation, and medication reconciliation.

Daily Support & Monitoring

Our team provides daily check-ins, medication management, and symptom monitoring to ensure patients progress smoothly.

Ongoing Support

Once the patient has downloaded the app and upon discharge, our team remains actively involved, offering continued support and guidance to promote a successful home-care transition.

Average cost per CHF readmission


1 in 5 Medicare beneficiaries is readmitted within 30 days of discharge.


Average cost per COPD readmission


A quarter of readmissions were determined to be preventable and medication-related.

1 - Urbich M, Globe G, Pantiri K, et al. A Systematic Review of Medical Costs Associated with Heart Failure in the USA (2014-2020). Pharmacoeconomics. 2020;38(11):1219-1236. doi:10.1007/s40273-020-00952-0
2 - Scalzitti NJ, O’Connor PD, Nielsen SW, et al. Obstructive Sleep Apnea is an Independent Risk Factor for Hospital Readmission. J Clin Sleep Med.2018;14(5):753-758. Published 2018 May 15. doi:10.5664/jcsm.7098
3 - Portillo EC, Wilcox A, Seckel E, Margolis A, Montgomery J, Balasubramanian P, Abshire G, Lewis J, Hildebrand C, Mathur S, Bridges A, Kakumanu S. Reducing COPD Readmission Rates: Using a COPDCare Service During Care Transitions. Fed Pract. 2018 Nov;35(11):30-36.PMID: 30766329; PMCID: PMC6366592.
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Schedule a Demo Today

Are you ready to transform your transitional care approach and reduce hospital readmissions?

Schedule a demo of our program today! With no financial risk for hospitals to utilize the program, there’s no better time to take action and improve patient outcomes while lowering costs. Contact us now to get started.

Transform your transitional care for high-risk patients with respiratory therapy needs. Explore the eBook.