Clinically Validated Results That Help Members Breathe Easier
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.
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).
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.
When You Improve Outcomes, Lower Costs Follow
Validated results from Nightingale members over time—fewer attacks, better sleep, and high engagement.
A Scalable and Effective Approach Proven to Improve Outcomes & Reduce Avoidable ER Visits
Asthma & COPD Symptom Outcomes: Reductions. Measured Using the Gold-Standard SGRQ Methodology & Validated by Independent Third Party Guarantee
Average Symptom Score
Members experience significantly fewer sleep disturbances due to respiratory symptoms at 6 and 12 months.
Average Activity Score
Members experience significantly fewer respiratory symptoms during physical activity at 6 and 12 months.
Average Health‑Related Quality of Life Score
Members experience significantly fewer Asthma attacks and COPD flare‑ups at 6 and 12 months, with 77% reporting no attacks.
Graph 1: St. George’s Respiratory Questionnaire: Health-Related Quality of Life, Symptom and Activity Score Averages
The Hidden Cost of COPD at a Large Manufacturer
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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
The Hidden Cost of Recurrent ER Admissions
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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
The Hidden Cost of Asthma at a Small School
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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
These Stories Matter for Employers
Nightingale is designed for exactly these use cases—to reach the people falling through the cracks in traditional care models and help employers protect their most valuable asset: their people.
Asthma and COPD aren’t just personal health issues—they’re workforce performance issues
They’re linked to invisible costs: absenteeism, presenteeism, lost talent, healthcare claims
Many root causes are preventable or manageable with the right tools