SurgiQuality

Medical records are sent to multiple surgeons for opinions.
Using generative AI, surgeons are scored according to outcomes past procedures performed.
The dashboard with opinions and scoring helps patients achieve the best outcomes.

Platform sold to employers and health plans. UPMC with 50 hospitals is sharing surgical case data starting August 2024. UPMC Health plan (4.5M members) will start using the platform. Potential 900k surgeries annually paying $1000 each surgery. (Potential revenue $900M)

UPMC with 50 hospitals is sharing surgical case data starting August 2024. UPMC Health plan (4.5M members) will start using the platform. Potential 900k surgeries annually paying $1000 each surgery. (Potential revenue $900M)

PriceMDS.com, a surgical bundling company brings its relationships with surgeons at 3500 facilities in 48 states to give us a national provider database.

United Healthcare expressed interest in acquiring SurgiQuality

Self-insured employers and health plans

Primary care physicians refer patients to surgeons on the basis of habit, not cost or quality.
Results,
15-30% unnecessary surgeries
Surgery performed by surgeons who do not have best skillset.
Revisions surgery, scar tissue, revision surgery vicious cycle

Market is using generalized Medicare database and claims database.

SurgiQuality uses generative AI used on individual surgical case records yielding very granular procedure specific quality measures.

Market is using generalized Medicare database and claims database.

Revenue is $1000 per surgical procedure processed.

12 months

10

Revenue model is a per surgical case processed, on average of $1000.

Self-insured employers and health plans.

SurgiQuality connects surgical patients to best outcomes surgeons. The process involves obtaining muti-specialty opinions through HIPAA-compliant medical record distribution to pre-qualified surgeons. Surgeons are also scored through generative AI analysis of EMR data. The resulting dashboard, explained by a personalized concierge, containing surgical opinions with surgeon scoring, is presented to patients so they can make well-informed decisions. The platform is sold to self-insured employers and health plans.

Inadequate capitalization

None

Pitch contest winner Pitch Force

Utility Patent filed