MayaRED by MayaMD

MayaRED: Your Discharge Experts

Safer transitions. Stronger recoveries.

MayaRED delivers all 13 steps of the evidence-based RED discharge protocol through AI-guided patient education, backed by 30 days of real clinical follow-up. It's the proven protocol, without the staffing problem.

Schedule a scoping session →See how it works
  • No fee to your health system
  • Live in 4–6 weeks
  • HIPAA compliant, BAA signed
A nurse walking alongside an older patient using a walker in a hospital corridor
43%fewer 30-day heart failure readmissions vs. a matched control group
Since 2018Founded and led by physicians
300,000+Patients supported remotely between visits
9 StatesRemote patient monitoring service
Awards
CB Insights Digital Health 150, 2022LG NOVA The Selected 20Digital Health Awards 2022Digital Health Awards 2023Digital Health Awards 2025
The discharge problem

Discharge is a moment. Recovery is a month.

Discharge is a non-standardized process. Patients leave with complex instructions, changing medications and limited support. Gaps in understanding and follow-up become readmissions.

1 in 5Medicare patients readmitted within 30 days
$220.2MEstimated annual readmission spend at a 15-hospital IDN
$44MPotential savings from a 20% reduction at that same IDN

IDN figures are an illustrative estimate for a 15-hospital integrated delivery network.

An older man at home reviewing discharge papers and medications with a family caregiver
The proven model

There's already a proven fix for this.

RED (Re-Engineered Discharge) is a structured, evidence-based discharge protocol developed with Boston University researchers: a 13-step process designed to close the exact gaps that drive readmissions. Every element is confirmed using teach-back, where patients explain the plan in their own words so understanding is verified, not assumed.

What RED delivers
  • The same 13 steps for every patient, every shift
  • Discharge instructions translated into plain language
  • A review of every medication, old and new
  • Confirmed follow-up appointments, tests and labs
  • The warning signs, and when to call for help

Adopted by the National Quality Forum as one of 30 Safe Practices.

Proven in research
30%fewer readmissions
41%increase in patient satisfaction
~$2.29Min savings per 1,000 patients

Backed by over 60 RCTs with 16,000+ patients.

The resource challenge

Manual RED runs entirely on staff time.

Every one of the 13 steps falls to case management and nursing, for every patient, every discharge, every shift. That is why a protocol this well proven is still delivered inconsistently, or not at all.

A tired nurse at a desk covered in paperwork
CHALLENGE 01

Staff time

13 steps requiring dedicated clinical hours

  • Extensive clinical hours per discharge
  • Pulls skilled nurses away from the bedside
  • Requires continuous training and oversight
A patient in a hospital bed reading a dense discharge packet
CHALLENGE 02

Patient comprehension

Low health literacy and language barriers

  • Paper packets fail to ensure understanding at home
  • Language gaps create post-discharge risk
  • Complex medication routines are hard to follow
A clinical team meeting around a conference table
CHALLENGE 03

Process consistency

Manual delivery varies across shifts and staff

  • Quality fluctuates between teams and shifts
  • High clinical load leads to rushed or omitted steps
  • Hard to standardize manually without technology
The solution

AI-guided discharge education, plus 30 days of real clinical follow-up.

MayaRED delivers all 13 elements of RED through AI-guided education, backed by 30 days of real clinical follow-up.

01 · Maya guides
Maya app start screenMaya app care plan sections

Maya guides patients through all 13 elements of RED, in plain language, at their own pace. No app download needed.

02 · Our clinicians followTwo clinicians with headsets providing remote follow-up
Clinical judgmentAccountability & escalation30 days of follow-up
03 · Your team gains

Fewer readmissions

Better patient experience

Less burden on staff

Your team makes the introduction at discharge. We carry it from there.

Scalable engagement without losing the human connection patients value.

How it works

Engaged from discharge to day 30.

Every patient receives structured, timely touch points, from discharge-day education through a full month of clinical follow-up support.

  1. DAY 0

    Discharge

    AI-guided education using the RED protocol begins at discharge.

  2. DAY 1–2

    First contact

    Patient contacted within 2 business days.

  3. DAY 7

    Clinician visit

    Follow-up clinician visit completed within 7 days.

  4. WEEK 2–3

    Ongoing support

    Check-ins, medication reminders and red-flag monitoring.

  5. DAY 30

    Complete

    Close the loop and capture the patient experience.

The patient experience

Discharge papers become a guided experience.

Patients can listen, pause, skip ahead, go back, replay a section, switch to text, or stop and return anytime.

Start with Maya screen
Start with Maya
Section-by-section navigation
Move section by section
Listening, reading and asking Maya questions
Listen, read and ask questions
Medication walkthrough screen
Every medication, old and new
The proof

MayaRED is already delivering results.

Proven in practice43%

fewer 30-day readmissions for heart failure patients vs. a matched control group at Spring Valley Hospital (UHS)

100%

of patients preferred Maya for discharge education (average age 69)

Presented at the American Heart Association 2024 conference. Partnership renewed and expanded.

"It was easier to understand than the nurses and doctors."Spring Valley Hospital patient
Clinicians walking toward a modern hospital entrance
Why MayaRED

Built with the people who created RED, and already running care at scale.

The source

Co-developed with the Boston University faculty (Dr. Brian Jack) who created RED.

The gold standard

RED is a National Quality Forum "Safe Practice" and Peter Drucker Award winner.

Proven at scale

Nephrology partnerships across nine states, covering 300,000+ patients.

Secure

Encrypted, HIPAA compliant, with a signed Business Associate Agreement.

The partnership

We do the heavy lifting. Your team makes the introduction.

No fee to your health system. MayaMD's clinicians bill insurance directly for the care they deliver.

You provide

  • One point of contact
  • Real-time discharge notification
  • EHR access for our medical assistants
  • Staff who introduce MayaRED at discharge

MayaMD provides

  • The Maya platform, no app needed
  • Medical assistants, nurse practitioners and physicians
  • Connected home monitoring devices
  • Patient outreach and consent support
  • Documentation in your EHR
  • Monthly outcome reporting
Implementation

A partnership with results we review together.

1. Set up

  • You choose where to start: one unit or one condition.
  • We align on the agreement and BAA, EHR access, discharge notifications and a short staff in-service.
  • 4–6 weeks from signed agreement to go-live.

2. Go live

  • Patients enroll at discharge.
  • Our team runs the full 30-day program.
  • You get monthly reports.

3. Review and expand

  • First results review at 90 days, then every six months.
  • Readmissions, satisfaction, enrollment and staff feedback.
  • Then we decide together where to expand.

We agree on what success looks like before we go live.

Fewer readmissions30% reduction target on the conditions CMS penalizes
Better patient experienceTargeting the HCAHPS domains discharge drives
Less burden on staffAnd zero fees to your health system
What it means for you

Something different for every leader at the table.

LeaderWhat you get
CMO / Quality / Population HealthFewer readmissions on the conditions CMS penalizes
Patient ExperiencePatients who feel informed and cared for after they leave
Case ManagementFollow-up handled by our team, with no change to your discharge process
CFOLower readmission penalty risk, with no fee to the health system
Compliance / LegalSigned BAA; our clinicians bill under their own NPIs
ITStart with basic EHR access; automated alerts can come later
Leadership

Meet the team

Dr. Amit Kapoor

Dr. Amit Kapoor, MD, MBA

CEO

Nephrology-trained, Temple University
Former CMO, Strive Health
MBA and Assoc. Professor, Drexel

Dr. Vipindas Chengat

Dr. Vipindas Chengat, MD

Founder & Chairman

Internal medicine physician, Cook County
Hospitalist and residency core faculty
Founder & CEO, MayaMD (2018–2021)

Christian Habermann

Christian Habermann

Co-Founder

20+ years in sales & marketing leadership
Cofounder, Goji.com (Inc. 500, 3 years)
Vanderbilt MBA, Honors in Marketing

FAQ

Frequently asked questions

How long does setup take?

4–6 weeks from signed agreement to go-live. No lengthy technical build is required.

Which patients do you focus on?

You choose where to start. Most partners begin with heart failure or another CMS-penalized condition, then expand.

Will this add work for my staff?

Your team introduces MayaRED at discharge. We handle consent, onboarding, clinical visits and 30 days of support.

Is patient data secure?

Yes. MayaRED is encrypted and HIPAA compliant, and we sign a Business Associate Agreement before go-live.

How is this different from AI phone-call tools?

Those tools make calls. MayaRED delivers the full RED protocol with real clinicians and home monitoring for 30 days.

What does IT integration look like?
  • Phase 1, manual handoff: your team notifies us of discharges through a simple, secure process.
  • Phase 2, EHR access: our medical assistants identify patients and document in your EHR.
  • Phase 3, automated alerts: a real-time discharge (ADT) feed notifies us automatically.
How is compliance handled?
  • Signed Business Associate Agreement before go-live
  • MayaMD clinicians bill under their own NPIs
  • Clear rules on which patients are ours, so there's no billing overlap
  • No payment tied to referral volume
  • TCM timing met: contact within 2 business days, clinician visit within 7 days
Next steps

Let's take the next step together.

  1. STEP 1Intro meeting
  2. STEP 2Scoping session
  3. STEP 3Agreement & BAA
  4. STEP 4Go-live

Start with a 20-minute Zoom call to scope a no-cost pilot.

1. Schedule the scoping session

A 20-minute Zoom call, within the next two weeks.

2. Name an executive sponsor

One point of contact to own the pilot.

3. Share readmission data

12 months, de-identified, in advance.

Schedule a scoping session →Ask a question