A nationwide claims analysis reveals what many health plans have missed — chronic respiratory disease is quietly driving costs higher than diabetes. Discover where your population risk truly lies and how early intervention can reverse the trend.
Respiratory Diseases Asthma & COPD Impact More Than You Think
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, ages 7–65 (excludes Medicare/Medicaid). Values shown are incremental vs. non-respiratory peers.
Learn how smarter respiratory care reduces costs & improves lives.
“It’s clear: The program provides plans with a better way to help people get relief from Asthma and COPD.”
I’ve had asthma since childhood and used to average two ER visits a year. Since joining the Nightingale program, I can see trends in my breathing and catch flare-ups early. My doctor adjusted my meds based on the reports, and I haven’t needed urgent care once this year.
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The program gave me insight into my triggers and how to avoid them. I used to feel anxious every time I left the house. Now I’m confident because I can monitor myself and take action before things spiral. It’s reduced my attacks by half.
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My pulmonologist adjusted my therapy and my breathing scores have gone up steadily for three months. I feel more in control of my condition than ever.
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What surprised me most is how much calmer I feel. COPD made me live in fear of flare-ups. With Nightingale, I’ve had fewer sudden attacks, more stable days, and the confidence to enjoy time with my grandkids without constantly worrying about my breathing.
I’ve had asthma since childhood and used to average two ER visits a year. Since joining the Nightingale program, I can see trends in my breathing and catch flare-ups early. My doctor adjusted my meds based on the reports, and I haven’t needed urgent care once this year. 〰️ The program gave me insight into my triggers and how to avoid them. I used to feel anxious every time I left the house. Now I’m confident because I can monitor myself and take action before things spiral. It’s reduced my attacks by half. 〰️ My pulmonologist adjusted my therapy and my breathing scores have gone up steadily for three months. I feel more in control of my condition than ever. 〰️ What surprised me most is how much calmer I feel. COPD made me live in fear of flare-ups. With Nightingale, I’ve had fewer sudden attacks, more stable days, and the confidence to enjoy time with my grandkids without constantly worrying about my breathing.
From Inpatient to Pharmacy: How Respiratory Disease Drives Cost Across the Continuum.
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.
Our respiratory care platform delivers a comprehensive, evidence-backed program with outcomes guarantees.
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The Power of Continuous Tracking — Beyond Glucose.
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.
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Proactive, Clinician-Guided Intervention.
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.
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Proven Outcomes & 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 that never misses a breath
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Wraparound Asthma & COPD Support
Members access personalized respiratory care via nationwide virtual clinician access as well as asynchronous pathways.
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Advanced Wearable Technology
Members get a proprietary wearable device which tracks respiratory changes in real-time, providing baseline trending & personalizing their virtual clinician’s guidance.
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A Dedicated Respiratory Clinician
Members access the first nationwide network of respiratory therapists, pulmonologists, wellness coaches, & behavioral health specialists.
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Proven Cost Savings
Proven to reduce avoidable hospitalizations & lower overall healthcare costs: Effective asthma & COPD management impacts everything from prescription drug spend (biologics), to in & out-patient services & maternity care.
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Turnkey Solution for Employers
Easy integration with existing benefits, health plan support, & with customizable options & minimal operational burden.
For Individuals
Struggling with Asthma or COPD?
Get access to a personalized program & dedicated care team to prevent attacks & breathe easier.
Check your coverage
Get StartedWhen your employer or health plan sponsors Nightingale, your price is $0.
Personalized support • Easy to wear • Private & secure
I’ve had asthma since childhood and used to average two ER visits a year. Since joining the Nightingale program, I can see trends in my breathing and catch flare-ups early. My doctor adjusted my meds based on the reports, and I haven’t needed urgent care once this year.
〰️
The program gave me insight into my triggers and how to avoid them. I used to feel anxious every time I left the house. Now I’m confident because I can monitor myself and take action before things spiral. It’s reduced my attacks by half.
〰️
My pulmonologist adjusted my therapy and my breathing scores have gone up steadily for three months. I feel more in control of my condition than ever.
〰️
What surprised me most is how much calmer I feel. COPD made me live in fear of flare-ups. With Nightingale, I’ve had fewer sudden attacks, more stable days, and the confidence to enjoy time with my grandkids without constantly worrying about my breathing.
I’ve had asthma since childhood and used to average two ER visits a year. Since joining the Nightingale program, I can see trends in my breathing and catch flare-ups early. My doctor adjusted my meds based on the reports, and I haven’t needed urgent care once this year. 〰️ The program gave me insight into my triggers and how to avoid them. I used to feel anxious every time I left the house. Now I’m confident because I can monitor myself and take action before things spiral. It’s reduced my attacks by half. 〰️ My pulmonologist adjusted my therapy and my breathing scores have gone up steadily for three months. I feel more in control of my condition than ever. 〰️ What surprised me most is how much calmer I feel. COPD made me live in fear of flare-ups. With Nightingale, I’ve had fewer sudden attacks, more stable days, and the confidence to enjoy time with my grandkids without constantly worrying about my breathing.
“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 . Since starting, 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.””
