We are transforming the way respiratory disease is treated

Asthma & COPD quietly drive absenteeism, overtime backfill, fatigue, and turnover. Nightingale reverses that trend with earlier action and measurable impact.

  • Continuous, human-sensing monitoring

    Capturing subtle respiratory changes & personal trends in markers such as cough intensity, our proprietary wearable generates an unprecedented picture of member risk before costly exacerbations occur. This transforms unpredictable ER or medication changes into predictable, preventable events. For plans, it means fewer acute claims & more controllable trend lines.

  • Proactive, scalable interventions

    When risk rises, members receive timely coaching & respiratory therapy support that fits daily life. These low + high-touch interventions keep members engaged without overburdening provider networks. The result is higher adherence, lower utilization, & improved STAR/HEDIS performance.

  • Proven outcomes with financial alignment

    Our outcomes are independently validated, demonstrating improved symptom control & sustained member engagement. We back this with hard performance guarantees, so your investment is de-risked. Plans gain confidence that dollars spent translate directly into lower costs & better member health.

Respiratory Care to Support Every Employee

HCO pairs a powerful program with access to licensed respiratory therapists, giving health plans a cost-effective extension of their care management teams. With ADAMM®, health plans gain scalable clinical support that improves outcomes and drives measurable cost savings.

    • Targeted Guidance – Therapists review member data and adjust care plans, helping intervene before conditions escalate.

    • Reduced Utilization – Proactive monitoring lowers avoidable ER visits and hospital admissions.

    • Lower Costs, Higher Value – Data shows members supported by therapists experience fewer flare-ups and better adherence, reducing overall cost of care.

    • Stronger Quality Metrics – Consistent progress translates into improved outcomes and higher STAR ratings.

  • Employees and their families get timely support through HCO’s virtual and asynchronous respiratory care pathways — reducing flare-ups, avoiding unnecessary ER visits, and keeping more people at work.

  • HCO prevents avoidable hospitalizations and improves asthma and COPD control. As a result, employers see lower healthcare spend and higher productivity with outcomes that can be tracked and validated through the HCO web portal.

  • HCO integrates easily with existing benefits and health plans. Employers can choose customizable options with minimal operational burden while still delivering measurable impact.

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).

We’re transforming the way respiratory disease is treated

77%
Zero Attacks

of members with Asthma or COPD report zero attacks after 6 months.

65%
Ongoing Engagement

of members are still engaged with the program at 1 year.

Lower Scores, Fewer Symptoms

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.

Baseline (n=74)
Six Months (n=60)
12 Months (n=50)

Graph 1: St. George’s Respiratory Questionnaire: Health-Related Quality of Life, Symptom and Activity Score Averages.
Asthma & COPD Symptom Outcomes: Reductions. Measured Using the Gold-Standard SGRQ Methodology & Validated by Independent Third Party Guarantee.

"As a mom with asthma, I used to miss out on so much—playing outside with my kids, keeping up at the park, even running errands . I finally feel like I have my life back. The constant fear of an attack is gone, and I can focus on being present with my family."

-HCO Patient, Breathing Better

The Path to a Healthier Workforce

1

Wear It

Employees use ADAMM®, a discreet, skin-adhered wearable that tracks breathing, cough, heart rate, activity, and temperature—without disrupting work or daily life.

2

 Track & Learn

Data syncs seamlessly with a secure app and web portal, giving new insights into symptoms, care plan efficacy, and health engagement.

3

 Personalized Insights

Advanced algorithms, combined with clinical expertise, deliver clear, actionable insights. Employers gain peace of mind knowing potential health issues are flagged early—before they lead to costly flare-ups or missed work.

4

Expert Support

Licensed respiratory therapists review patient data, provide guidance, and recommend lifestyle adjustments—helping your workforce manage chronic conditions more effectively.

5

 Long-Term Results

With ongoing monitoring and expert support, employees experience fewer health disruptions, better sleep, and improved productivity—leading to lower absenteeism and reduced healthcare costs for your organization.