Small Signals.
Big Outcomes
.

Human-sensing respiratory care that spots trouble early and keeps your members in school, at work, and out of the ER.

The Future of Care is Quiet, Personal, and Everywhere.

  • Our technology listens for subtle changes and turns them into timely, simple actions—at home, at work, and on the go.

  • Listen: Subtle signals captured continuously.

  • AI translates invisible patterns into clear next steps.

  • Earlier action → fewer crises, better sleep, more control.

When someone can’t breathe, nothing else matters

“I can keep up with my grandkids again!”

  • “ Before HCO, I never realized how much my asthma was holding me back. Simple things like walking up the stairs or playing outside with my grandkids would leave me winded and frustrated. The constant flare-ups made me feel older than I was. With HCO, I finally have the right monitoring and support to stay ahead of my symptoms. Now, I can keep up with my grandkids again—I feel 20 years younger. “

Has Maria’s Reliability Been Slipping?

  • Maria works second shift at Just Born. She’s a single mom, and her 9-year-old son Luis has moderate-to-severe asthma. On paper, Maria is a reliable worker—but her supervisor knows she’s often flustered when she arrives. The reason? Luis has had four ER visits in the last 12 months for asthma attacks.
    Each episode starts the same way—sleepless nights, school absences, a scramble to arrange child care. Maria loses 2–3 workdays per episode, unpaid. She’s afraid to bring it up too often in HR meetings. They know she’s a good worker—but the system isn’t designed to support what’s happening behind the scenes.
    What if Luis had access to Nightingale?

    • Remote symptom tracking

    • Alerts before asthma gets out of control

    • Tele-coaching for Maria to manage home triggers

    This isn’t just about Luis’s health. It’s about Maria’s ability to keep working, stay financially stable, and remain a committed member of Just Born’s team.

Without Intervention: Family instability, financial strain, turnover risk
 With Nightingale: Pediatric care plan, early detection, home environment support

Are Emily’s Students Falling Behind?

  • Small Employer: Bethlehem Christian School
    Industry: K-12 Education | Size: <100 employees
    Story: “Emily, the First-Grade Teacher”
    Emily is a passionate first-grade teacher. Her students love her, and parents request her every year. But behind her warm smile, Emily carries the anxiety of severe, uncontrolled asthma. The school’s old HVAC system circulates dust and mold spores, which make her symptoms flare constantly.
    Every fall, Emily catches colds that linger for weeks, triggering bronchospasms and missed workdays. She’s used up her sick leave by November most years. Substitutes can’t replicate her curriculum flow, and student outcomes suffer. She’s been to the ER twice in the last year.
    The school doesn’t offer a specialized asthma care benefit. Her doctor is 40 minutes away, and appointments are hard to book around class hours.
    If Emily had Nightingale:

    • Wearable monitoring could detect symptom patterns

    • Access to virtual respiratory therapy on weekends

    • Environmental coaching to help the school identify indoor triggers

    Helping Emily isn’t just compassionate—it’s smart HR policy. Teacher retention, student performance, and total cost of care would all benefit.

Without Intervention: Burnout, chronic absences, student disruption
 With Nightingale: Remote care, therapy on weekends, coaching for school facilities

Noticing John Use His Inhaler More Often?

  • Large Employer: East Penn Manufacturing Co., Inc.
    Industry: Battery Manufacturing | Size: 10,000+ employees
     Story: “John, the Line Supervisor”
    John has worked at East Penn for 17 years. He’s a line supervisor—reliable, skilled, and respected by his team. But over the last few years, his attendance has quietly slipped. He uses more sick days. He struggles during long shifts. And what no one sees is that every night, John goes home wheezing.
    John was diagnosed with COPD at 52. Years of exposure to fine particulate matter in industrial environments likely contributed to his declining lung function—but there were no immediate symptoms, so he kept pushing through. Now, just walking from the parking lot leaves him breathless.
    Despite trying to mask it, his productivity has dipped. His fear of losing his job makes him avoid discussing his condition. He misses leadership meetings when he has a flare-up. He passed up a promotion because it would require more speaking and travel.
    Hidden cost to East Penn?

    • Unreported absenteeism (using PTO for illness)

    • Declining productivity

    • Avoidable progression of chronic illness due to unmanaged care

    Imagine if John had access to proactive virtual respiratory care through Nightingale: real-time monitoring, early intervention, and care that fits around a shift schedule. John wouldn’t just breathe better—he’d lead better.

Without Intervention: Risk of early retirement, high claims
With HCO: Remote symptom tracking, personalized therapy, proactive care


Respiratory is the hidden cost multiplier.

When asthma/COPD is present, spend rises across diabetes, hypertension, anxiety, and obesity. We bend that curve earlier.

Respiratory Risk Lifts Everything Else

When a member has asthma or COPD, prevalence of costly comorbidities jumps. Toggle to see the lift across your highest-spend cohorts.

Avoidable Spend—Where Respiratory Hits Your Budget

Members with respiratory disease + these conditions drive outsized cost. Toggle to view incremental annual spend (per member) you can influence with proactive care.

Source: MarketScan 2022, ages 7–65 (excludes Medicare/Medicaid). Values shown are incremental vs. non-respiratory peers.

Impact at a Glance

Respiratory disease quietly drives the numbers employers and health plans care about most.

spent each year in the U.S. on asthma & COPD care.
missed work days annually for employees with respiratory disease.
lost annually from employee absenteeism tied to asthma & COPD.
higher 30-day hospital readmission rates for respiratory patients.

Sources: CDC, ATS, employer productivity studies (details available on request).

When You Improve Outcomes, Lower Costs Follow

Validated results from Nightingale members over time—fewer attacks, better sleep, and high engagement.

77%
Zero Attacks
Asthma/COPD members report zero attacks after 6 months.
90%
Improved Sleep
Report better sleep after 6 months.
100%
Reduced Wheezing
Report reduced wheeze after 6 months.
65%
Ongoing Engagement
Remain engaged at 1 year.

That’s why Nightingale’s platform delivers real health outcome improvements.

In a survey of 118 clinicians treating COPD, 80% did not integrate wearable-derived patient data into routine care due to low confidence in their effectiveness—highlighting a critical gap in current management tools that HCO’s integrated wearable-app–virtual therapy platform aims to fill.
— JMIR Formative Research
I now have access to the resources and data I need to avoid attacks and flareups, exercise, sleep through the night, and live with confidence. I feel like a normal human being again.
— Cherie., a patient from Chicago

Dive Into Content

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For Employers & Health Plans

Explore the Costs Tied to Chronic Respiratory Disease

Nightingale reduces avoidable utilization in respiratory populations by combining passive sensing + human coaching. Fewer exacerbations → fewer ED visits and admissions → lower total cost of care—without adding friction for members.

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Inpatient

Inpatient Hospital Care

We intervene upstream of exacerbations to reduce admissions and length of stay. Members de-escalate earlier with coach-led action plans.

Outpatient

Outpatient Facility Services

Early detection and self-management reduce urgent care and repeat diagnostics tied to poorly controlled asthma/COPD.

Pharmacy

Prescription Drugs

Improved controller adherence and fewer steroid bursts; slower progression to costly biologics where appropriate.

ED

Emergency Department

Core impact: passive signal + rapid coach outreach prevents avoidable ED utilization for respiratory events.

Behavioral

Behavioral Health

Coaching addresses anxiety and confidence, reducing fear-driven ED/urgent visits and improving adherence.

Maternity

Maternity & Newborn

For pregnant members with asthma, tighter control reduces exacerbations that complicate pregnancies and drive NICU risk.

Chronic

Chronic Condition Management

Stabilizing respiratory disease improves multi-morbidity control and avoids cross-condition cascades.

Admin

Admin & Care Management

Sensor-informed, high-frequency coaching outperforms low-engagement DM programs—and scales more efficiently.

Cost Category

Inpatient Care

Admissions for COPD/asthma exacerbations are among the highest-cost events. Nightingale reduces admissions by intervening earlier—members receive passive alerts and coach outreach that de-escalate before a floor/ICU stay is needed.

The Impact

Passive signal → early action plan → fewer severe exacerbations → fewer admissions and shorter LOS where admissions do occur.

Why

Real-world outcomes show reduced ED visits and readmissions with our wraparound support model.

Cost Category

Outpatient Facility Services

Uncontrolled respiratory symptoms drive urgent care visits, imaging, and repeat testing. Nightingale’s early detection and self-management guidance eliminate many of these “just-in-case” visits.

How we lower it

Members self-correct earlier; coaches triage to tele/office instead of facility; fewer repeat diagnostics from uncontrolled symptoms.

Buyer proof

Population-level drops in avoidable utilization when continuous signals + coaching are present.

Request a demo

Cost Category

Physician & Professional Services

Frequent visits often reflect poor control and anxiety. With digital-first coaching, common issues resolve between visits while clinicians see the right patients at the right time.

How we lower it

Symptom clarity + nudges reduce unnecessary appointments; escalations are data-informed and timely.

Buyer proof

Better adherence and self-efficacy correlate with fewer low-value encounters.

Request a demo

Cost Category

Prescription Drugs

Specialty inhalers and biologics are rising fast. Nightingale improves controller adherence and reduces steroid bursts, slowing costly therapy escalation where appropriate.

How we lower it

Daily guidance, reminders, and coaching adherence checks stabilize symptoms; fewer acute bursts and escalations.

Buyer proof

Members report improved control and fewer exacerbations when coached on proper technique and triggers.

Request a demo

Cost Category

Emergency Department

ED is the most visible, avoidable spend for respiratory disease. Nightingale’s passive monitoring + rapid coach outreach stops the slide into panic visits.

How we lower it

Signals detect deterioration early; members act sooner; coaches reinforce action plans to keep care out of the ED.

Buyer proof

Documented reductions in ED utilization and readmissions with Nightingale’s model.

Request a demo

Cost Category

Behavioral Health

Anxiety and uncertainty amplify symptoms and utilization. Coaching builds confidence and reduces fear-driven ED/urgent care usage.

How we lower it

Human support, clear signals, and simple steps reduce stress and improve adherence.

Buyer proof

Members report better control and fewer anxiety-triggered escalations.

Request a demo

Cost Category

Maternity & Newborn

For pregnant members with asthma, poor control raises maternal and neonatal risk. Nightingale tightens control to reduce exacerbations that drive complications and NICU costs.

How we lower it

Proactive detection, technique coaching, and trigger management stabilize symptoms during pregnancy.

Buyer proof

Improved adherence and fewer attacks translate to safer pregnancies.

Request a demo

Cost Category

Chronic Condition Management

Respiratory disease compounds other conditions. Stabilizing asthma/COPD improves comorbidity control and prevents cross-condition cascades.

How we lower it

Better breathing → better sleep, activity, and adherence—downstream benefits for diabetes, hypertension, CHF.

Buyer proof

Employers and plans see fewer multi-condition spikes after respiratory stabilization.

Request a demo

Cost Category

Post-Acute & Long-Term Care

Severe respiratory events often spill into SNF/rehab. Reducing severe events upstream shrinks the funnel into post-acute episodes.

How we lower it

Fewer admissions and shorter LOS mean fewer discharges to post-acute settings.

Buyer proof

Sustained control reduces transitions to SNF/rehab for respiratory members.

Request a demo

Cost Category

Administrative & Care Management

Traditional disease management struggles with engagement. Nightingale’s sensor-informed, coach-led model targets outreach when it matters—improving ROI on care management spend.

How we lower it

High-frequency, low-friction engagement that scales; fewer manual, low-yield touches.

Buyer proof

Coalition/employer selections and outcomes evidence validate this approach.

Request a demo

Buying Guide

ROI & Contracting

Select PMPM/PEPM or performance-tied models. Below: how Nightingale reduces each major cost bucket for respiratory populations.

Cost CategoryHow Nightingale Lowers It
Inpatient Hospital CareUpstream intervention avoids admissions; shorter LOS through earlier de-escalation. ↓ avoidable admissions
Outpatient Facility ServicesEarly detection + self-management reduce urgent visits and repeat diagnostics. ↓ urgent care
Physician & Professional ServicesDigital-first coaching resolves issues between visits; escalations are appropriate and timely. ↓ low-value visits
Prescription DrugsBetter controller adherence, fewer steroid bursts; slower escalation to biologics when appropriate. ↑ adherence, ↓ bursts
Emergency DepartmentPassive signal + coach outreach prevents panic-driven ED utilization. ↓ ED visits
Behavioral HealthCoaching reduces anxiety and improves confidence; fewer fear-driven escalations. ↓ anxiety-driven utilization
Maternity & NewbornTighter asthma control during pregnancy; fewer exacerbations and complications. ↓ complications/NICU risk
Chronic Condition ManagementRespiratory stabilization improves sleep, activity, adherence across co-morbidities. ↓ multi-condition cascades
Post-Acute & LTCFewer severe events → fewer discharges to SNF/rehab. ↓ post-acute episodes
Admin & Care ManagementHigher engagement per outreach; sensor-informed workflows reduce low-yield touches. ↑ care mgmt ROI

Want a finance-ready model? Request our ROI calculator.

Buying Guide

ROI & Contracting

Select PMPM/PEPM or performance-tied models. Below: how Nightingale reduces each major cost bucket for respiratory populations.

Cost CategoryHow Nightingale Lowers It
Inpatient Hospital CareUpstream intervention avoids admissions; shorter LOS through earlier de-escalation. ↓ avoidable admissions
Outpatient Facility ServicesEarly detection + self-management reduce urgent visits and repeat diagnostics. ↓ urgent care
Physician & Professional ServicesDigital-first coaching resolves issues between visits; escalations are appropriate and timely. ↓ low-value visits
Prescription DrugsBetter controller adherence, fewer steroid bursts; slower escalation to biologics when appropriate. ↑ adherence, ↓ bursts
Emergency DepartmentPassive signal + coach outreach prevents panic-driven ED utilization. ↓ ED visits
Behavioral HealthCoaching reduces anxiety and improves confidence; fewer fear-driven escalations. ↓ anxiety-driven utilization
Maternity & NewbornTighter asthma control during pregnancy; fewer exacerbations and complications. ↓ complications/NICU risk
Chronic Condition ManagementRespiratory stabilization improves sleep, activity, adherence across co-morbidities. ↓ multi-condition cascades
Post-Acute & LTCFewer severe events → fewer discharges to SNF/rehab. ↓ post-acute episodes
Admin & Care ManagementHigher engagement per outreach; sensor-informed workflows reduce low-yield touches. ↑ care mgmt ROI

Want a finance-ready model? Request our ROI calculator.

For Individuals & Families

Breathe better. Live with confidence.

Nightingale pairs a comfortable wearable with a human coach and an easy app—so you get early warnings, practical steps, and real progress day to day. Share insights with your loved ones or clinician whenever you want.

Check eligibility
What you get

Passive monitoring + real coaching

Get ahead of flare-ups with gentle alerts and coach outreach. You’ll know what to do next—without guessing.

Daily support

Reminders, tracking & tips

  • Medication reminders & technique reinforcement
  • Trigger tracking, symptom journaling, and trends
  • Share data with caregivers or your clinician
Simple setup

Fast start, real results

Unbox, pair, and you’re set. Your coach helps you personalize goals, routines, and action plans that fit real life.

Covered through an employer or health plan? See how Nightingale helps organizations.

Employers

A respiratory benefit that improves outcomes and lowers avoidable spend

Nightingale combines continuous, passive signals with human coaching and simple steps members actually follow. The result: fewer exacerbations, fewer ED visits and admissions, and better quality of life—at scale.

Turnkey

Identify → Equip → Engage → Improve

We find eligible members, ship devices, and coach them into better control—while your dashboards track adoption, engagement, and impact.

Population impact

Less disruption, more control

Members catch issues early and act sooner. HR sees fewer respiratory-related leave events and productivity losses.

Easy to buy

Flexible contracting

PMPM/PEPM or performance-tied options with standard integrations (claims, HRIS/SSO) and BAAs.

A combination of virtual & asynchronous care pathways

Asthma & COPD Symptom Outcomes: Reductions

Measured using the gold-standard SGRQ methodology and validated by an independent third-party guarantee.

Replace the example values in the small script below with your validated SGRQ reductions (Symptoms, Activity, Impacts, Total).

Ready to put this to work in your population? Request a demo

Employers

A respiratory benefit that improves outcomes and lowers avoidable spend

Nightingale combines continuous, passive signals with human coaching and simple steps members actually follow. The result: fewer exacerbations, fewer ED visits and admissions, and better quality of life—at scale.

Turnkey

Identify → Equip → Engage → Improve

We find eligible members, ship devices, and coach them into better control—while your dashboards track adoption, engagement, and impact.

Population impact

Less disruption, more control

Members catch issues early and act sooner. HR sees fewer respiratory-related leave events and productivity losses.

Easy to buy

Flexible contracting

PMPM/PEPM or performance-tied options with standard integrations (claims, HRIS/SSO) and BAAs.

A combination of virtual & asynchronous care pathways

Asthma & COPD Symptom Outcomes: Reductions

Measured using the gold-standard SGRQ methodology and validated by an independent third-party guarantee.

Replace the example values in the small script below with your validated SGRQ reductions (Symptoms, Activity, Impacts, Total).

Ready to put this to work in your population? Request a demo

Channel Partners

Win your RFPs with a respiratory benefit that performs

Nightingale packages passive sensing, human coaching, and claims-aligned reporting into a turnkey respiratory solution. It’s easy to launch, simple to explain, and built to show savings.

Why it wins

Outcomes your clients can feel—and finance can verify

  • ED & inpatient reduction narratives aligned to claims reporting
  • Member stories + SGRQ quality-of-life improvements
  • Clear ROI and performance-tied options
Launch-ready

Broker toolkit

  • Sales one-pager, outcomes brief, and slide library
  • OE & in-year comms templates (email/SMS/benefits site)
  • Eligibility & integration playbooks (TPA/HRIS)
Frictionless

Fast procurement

PMPM/PEPM or performance-based structures, with BAAs and standard data feeds. Easy add to point-solution marketplaces.

Get broker materials

Pediatrics

Children’s Asthma—Support that fits school, sports, and sleep

When asthma isn’t controlled, families live on edge. Nightingale gives parents and kids earlier warnings, step-by-step plans, and coach check-ins—so flare-ups are rarer, shorter, and less scary.

For parents

Confidence, not constant worry

  • Real-time alerts and practical actions you can take now
  • Medication reminders and technique coaching
  • Share updates with your pediatrician or school nurse
For kids

Friendly, wearable support

Comfortable monitoring and simple nudges help kids learn their patterns and speak up earlier when something’s off.

School & activity-ready

Fits the day, not the other way around

Flexible connectivity and coach coordination help keep routines on track—even during class, practice, and sleepovers.

See if your child qualifies

Have Asthma or COPD? Try Nightingale.

 

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