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.
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Our technology listens for subtle changes and turns them into timely, simple actions—at home, at work, and on the go.
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Listen: Subtle signals captured continuously.
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AI translates invisible patterns into clear next steps.
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Earlier action → fewer crises, better sleep, more control.
When someone can’t breathe, nothing else matters

“I can keep up with my grandkids again!”
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“ 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?
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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?
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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?
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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.
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.
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.”
“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.”

Dive Into Content
Request a Walk-through
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.
Request a walk-throughInpatient Hospital Care
We intervene upstream of exacerbations to reduce admissions and length of stay. Members de-escalate earlier with coach-led action plans.
Outpatient Facility Services
Early detection and self-management reduce urgent care and repeat diagnostics tied to poorly controlled asthma/COPD.
Physician & Professional Services
Digital-first coaching resolves common issues between visits, reserving in-person care for true escalations.
Prescription Drugs
Improved controller adherence and fewer steroid bursts; slower progression to costly biologics where appropriate.
Emergency Department
Core impact: passive signal + rapid coach outreach prevents avoidable ED utilization for respiratory events.
Behavioral Health
Coaching addresses anxiety and confidence, reducing fear-driven ED/urgent visits and improving adherence.
Maternity & Newborn
For pregnant members with asthma, tighter control reduces exacerbations that complicate pregnancies and drive NICU risk.
Chronic Condition Management
Stabilizing respiratory disease improves multi-morbidity control and avoids cross-condition cascades.
Post-Acute & Long-Term Care
Prevent severe events and admissions; fewer members flow into costly SNF/rehab episodes.
Admin & Care Management
Sensor-informed, high-frequency coaching outperforms low-engagement DM programs—and scales more efficiently.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
ROI & Contracting
Select PMPM/PEPM or performance-tied models. Below: how Nightingale reduces each major cost bucket for respiratory populations.
Cost Category | How Nightingale Lowers It |
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Inpatient Hospital Care | Upstream intervention avoids admissions; shorter LOS through earlier de-escalation. ↓ avoidable admissions |
Outpatient Facility Services | Early detection + self-management reduce urgent visits and repeat diagnostics. ↓ urgent care |
Physician & Professional Services | Digital-first coaching resolves issues between visits; escalations are appropriate and timely. ↓ low-value visits |
Prescription Drugs | Better controller adherence, fewer steroid bursts; slower escalation to biologics when appropriate. ↑ adherence, ↓ bursts |
Emergency Department | Passive signal + coach outreach prevents panic-driven ED utilization. ↓ ED visits |
Behavioral Health | Coaching reduces anxiety and improves confidence; fewer fear-driven escalations. ↓ anxiety-driven utilization |
Maternity & Newborn | Tighter asthma control during pregnancy; fewer exacerbations and complications. ↓ complications/NICU risk |
Chronic Condition Management | Respiratory stabilization improves sleep, activity, adherence across co-morbidities. ↓ multi-condition cascades |
Post-Acute & LTC | Fewer severe events → fewer discharges to SNF/rehab. ↓ post-acute episodes |
Admin & Care Management | Higher engagement per outreach; sensor-informed workflows reduce low-yield touches. ↑ care mgmt ROI |
Want a finance-ready model? Request our ROI calculator.
ROI & Contracting
Select PMPM/PEPM or performance-tied models. Below: how Nightingale reduces each major cost bucket for respiratory populations.
Cost Category | How Nightingale Lowers It |
---|---|
Inpatient Hospital Care | Upstream intervention avoids admissions; shorter LOS through earlier de-escalation. ↓ avoidable admissions |
Outpatient Facility Services | Early detection + self-management reduce urgent visits and repeat diagnostics. ↓ urgent care |
Physician & Professional Services | Digital-first coaching resolves issues between visits; escalations are appropriate and timely. ↓ low-value visits |
Prescription Drugs | Better controller adherence, fewer steroid bursts; slower escalation to biologics when appropriate. ↑ adherence, ↓ bursts |
Emergency Department | Passive signal + coach outreach prevents panic-driven ED utilization. ↓ ED visits |
Behavioral Health | Coaching reduces anxiety and improves confidence; fewer fear-driven escalations. ↓ anxiety-driven utilization |
Maternity & Newborn | Tighter asthma control during pregnancy; fewer exacerbations and complications. ↓ complications/NICU risk |
Chronic Condition Management | Respiratory stabilization improves sleep, activity, adherence across co-morbidities. ↓ multi-condition cascades |
Post-Acute & LTC | Fewer severe events → fewer discharges to SNF/rehab. ↓ post-acute episodes |
Admin & Care Management | Higher engagement per outreach; sensor-informed workflows reduce low-yield touches. ↑ care mgmt ROI |
Want a finance-ready model? Request our ROI calculator.
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 eligibilityPassive monitoring + real coaching
Get ahead of flare-ups with gentle alerts and coach outreach. You’ll know what to do next—without guessing.
Reminders, tracking & tips
- Medication reminders & technique reinforcement
- Trigger tracking, symptom journaling, and trends
- Share data with caregivers or your clinician
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.
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.
Identify → Equip → Engage → Improve
We find eligible members, ship devices, and coach them into better control—while your dashboards track adoption, engagement, and impact.
Less disruption, more control
Members catch issues early and act sooner. HR sees fewer respiratory-related leave events and productivity losses.
Flexible contracting
PMPM/PEPM or performance-tied options with standard integrations (claims, HRIS/SSO) and BAAs.
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
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.
Identify → Equip → Engage → Improve
We find eligible members, ship devices, and coach them into better control—while your dashboards track adoption, engagement, and impact.
Less disruption, more control
Members catch issues early and act sooner. HR sees fewer respiratory-related leave events and productivity losses.
Flexible contracting
PMPM/PEPM or performance-tied options with standard integrations (claims, HRIS/SSO) and BAAs.
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
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.
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
Broker toolkit
- Sales one-pager, outcomes brief, and slide library
- OE & in-year comms templates (email/SMS/benefits site)
- Eligibility & integration playbooks (TPA/HRIS)
Fast procurement
PMPM/PEPM or performance-based structures, with BAAs and standard data feeds. Easy add to point-solution marketplaces.
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.
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
Friendly, wearable support
Comfortable monitoring and simple nudges help kids learn their patterns and speak up earlier when something’s off.
Fits the day, not the other way around
Flexible connectivity and coach coordination help keep routines on track—even during class, practice, and sleepovers.