Telehealth Intelligence/Chief Medical Officer

The signals your
patients left behind.

Every clinical conversation your patients had carries behavioral signals your EMR never captured — rising risk, service interest, care gaps. CogniSwitch structures 100% of those conversations so your activation programs act on what patients actually said.

$2M
Annual Savings [verified]
100%
Recorded Visit Coverage
99%
Expert-Aligned Accuracy
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Activation programs built on billing data miss what patients actually said.

Your EMR captures diagnoses and procedures. It doesn't capture the patient who mentioned GLP-1 interest, the one managing an unrecognized chronic condition, or the one asking about a service your network offers. Manual QA samples 2–5% of visits. The rest of that signal disappears.

Same patient. Same visit. Same 14 minutes.
EMR RECORD — MARIA T.VISIT 2026-06-01
DIAGNOSISICD-10 E11.9 — Type 2 Diabetes, uncontrolled
PROCEDURE99214 — Office visit, moderate complexity
MEDICATIONMetformin 500mg — active
ORDERSA1C test ordered
NOTESPatient presents with elevated BP and headaches. A1C overdue. Follow-up scheduled.
4 DATA POINTS CAPTURED
COGNISWITCH — MARIA T.VISIT 2026-06-01
CARE GAP

A1C not checked since last year

Schedule annual A1C screening

RISK FLAG

Blood pressure feels high, recurring headaches

Escalation review; BP reassessment

ACTIVATION OPPORTUNITY

Sometimes I forget my metformin in the mornings

Medication adherence + GLP-1 coaching track

ACTIVATION OPPORTUNITY

Feeling really anxious, not sleeping well

Mental health referral pathway

FOLLOW-UP

Revisit BP medication

Follow-up appointment in 14 days

5 SIGNALS EXTRACTED · 0 MANUAL REVIEW REQUIRED

$2M in savings at First Stop Health started with exactly this difference.

Primary Capability

Patient Activation Intelligence

Renewals and broker advocacy, built on structured patient engagement.

Every visit identifies who should hear from you next — for chronic disease management, service inquiries, or preventive outreach. CogniSwitch structures the signal; your team acts on it.

Chain of Value
VISITSIGNALENGAGEROI
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Secondary Capability

Provider Performance & Protection

Network consistency with objective audit evidence.

  • Every provider scored against your clinical guidelines — consistently, at scale.
  • Identify performance patterns and protect high performers before an incident surfaces.
  • Objective evidence for clinical governance — the story employers and brokers ask for.
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CASE STUDY • FIRST STOP HEALTH

First Stop Health

Transitioned from manual, statistically insignificant sampling to a governance model that analyzes every provider interaction — across a national network.

NETWORK SIZE1,000+ Providers [FSH-1]
ANNUAL ENCOUNTERS250K+ Visits [FSH-2]
AUDIT COVERAGE<5% → 100% [FSH-3]
ANNUALIZED SAVINGS$2.0M [FSH-4]
CLINICAL ALIGNMENT99% [FSH-5]

“We aren't projecting these numbers. This is in production today, powering our clinical governance at scale.”

REFERENCE DATA [FSH-1:5] • Q1 2026 AUDIT
[FSH-1] 1,000+ providers in the First Stop Health clinical network.
[FSH-2] 250,000+ recorded visits analyzed annually.
[FSH-3] Audit coverage expanded from <5% manual sampling to 100% automated review.
[FSH-4] Annualized reduction in QA operational costs and risk mitigation.
[FSH-5] Performance alignment measured against blind double-read by clinical directors.
Deterministic Scoring
Scored against your own clinical guidelines, visit by visit.
99% Expert Alignment
Validated against expert clinical reviewers across 250,000+ visits.
Source-Linked ROI Trail
Every activation signal traces to a specific line in the transcript.

Not an EMR query. Not a generic LLM. Every output is traceable.

Related perspectives
Next Steps

Not a demo.
A working session.

Bring your activation rubric and engagement data. We'll show you which patient signals we surface — in 45 minutes.

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CogniSwitch / Chief Medical Officer
© 2026