For hospitals and health systems

Stop readmissions where they start: at home.

After discharge, your highest-risk patients are home alone with a new plan. Cosight goes home with them for 30 days, talks them through every medication and reading, and gets every answer to your team the same day.

An older man at home with his pill organizer while Cosight shows his morning medication reminder
  • Voice-first, any language
  • FDA-cleared vitals
  • Works on cellular, no Wi-Fi needed
  • Care-team dashboard

Partners and programs

  • A&D Medical
  • NVIDIA Inception
  • Google for Startups
  • Microsoft for Startups
  • FoundersBoost

Why readmissions happen

Four moments where care breaks down at home, and what Cosight does about each one.

2.2M
Medicare 30-day readmissions a year
$16,300
average cost of one readmission
80%
of US hospitals penalized for readmissions in FY2027
716
hospitals now pay for 30-day post-discharge spend under TEAM
  1. Cosight medication reminder: Take one metoprolol 25 milligram tablet by mouth with dinner, with Taken, Remind me later, Skip and I need help

    Day 1

    The discharge plan doesn't make it home.

    Why it fails

    New medications, new times, one sheet of paper, often not in the patient's language: 8% of Medicare patients have limited English proficiency. Doses get missed, and nobody knows until the patient is back.

    What Cosight does

    At each dose, Cosight reads the instruction exactly as your team wrote it and shows the pill. The patient answers out loud, and your team sees taken, later or skipped.

  2. Day 3

    Daily readings stop.

    Why it fails

    Home devices are confusing, so readings fade within days. Yet daily home monitoring cut heart-failure admissions by 29% across 8 trials.

    What Cosight does

    Cosight reminds them, then shows exactly what to do with the oximeter, cuff or scale, one step at a time. The reading arrives over Bluetooth and sends itself.

  3. Cosight oximeter guide: Your reading arrived, 97 percent SpO2, 74 bpm, Sent to your care team

    Day 6

    Early warning signs reach no one.

    Why it fails

    One follow-up call isn't enough. In a 7,091-patient trial, a nurse call 48 hours after discharge didn't change 30-day readmissions (6.6% vs 6.7%), and only 45% of patients completed the call.

    What Cosight does

    Cosight checks in every day instead of once, and every reading and answer lands on your team's dashboard the same day, so a nurse can call while it is still a phone call.

  4. Cosight emergency screen: Getting you help, calling your care team in 18 seconds

    Any day

    A fall, and no one there.

    Why it fails

    28% of Americans aged 65 and over live alone, so a fall or chest pain can go unnoticed for hours.

    What Cosight does

    If they say “I fell” or “chest pain”, Cosight tells them to call 911, alerts your team and starts a care-team call on its own, unless they tap I'm OK.

Hear it, from both sides.

Recorded on the device software your patients get. Turn the sound on: that is the real Cosight voice. The patient's voice is a stand-in.

At 6:30 PM Cosight reads the instruction exactly as the care team wrote it: one metoprolol 25 mg tablet with dinner. The patient answers taken, remind me later, skip or I need help, out loud or with a tap.

At 6:30 PM Cosight reads the instruction exactly as the care team wrote it: one metoprolol 25 mg tablet with dinner. The patient answers taken, remind me later, skip or I need help, out loud or with a tap.

Your team sees

  • Evening medication reminder · 6:30 PM
  • The patient's answer: taken, later, skipped or needs help

Cosight does not diagnose, change medications or judge readings. Your clinicians decide what happens next.

Everything the first 30 days need, in one device.

Cosight device in its blue frame showing the home screen: Good afternoon, Sara, a Talk to Cosight button, the next care task, buttons for each vitals device, and Call care team
  1. 01

    Voice-first, in their language

    Patients talk to it like a person. No menus, no typing, no app.

  2. 02

    Automatic reminders

    Medications, readings and appointments, on the schedule your team sets.

  3. 03

    Visual medication guide

    Shows each pill and when to take it, so doses don't get mixed up.

  4. 04

    Guided vitals

    Step-by-step help with FDA-cleared blood pressure, pulse oximeter and scale from A&D Medical.

  5. 05

    Video calls in any language

    Live translation between patient, family and clinician.

  6. 06

    Works without home Wi-Fi

    Connects over cellular out of the box. A satellite option for homes with no coverage is coming soon.

  7. 07

    Your team stays in control

    Every reading, answer and reported emergency lands in the care-team dashboard. Clinical decisions stay with your clinicians.

  8. 08

    Calls for help when it matters

    If a patient says “I fell” or “chest pain”, Cosight alerts your team and starts a care-team call on its own.

Connects with vitals devices and wearables

  • A&D Medical
  • Apple Watch
  • Fitbit
  • Garmin
  • Oura Ring

Start with a 30-day pilot.

10 to 25 high-risk patients. Your staff monitor, we handle the devices. Success metrics are agreed in writing before the first device goes home.

Priced per 30-day episode, with no share of your reimbursement.

What you get

  • A configured Cosight device per patient, with blood pressure monitor, pulse oximeter and scale
  • Care-team dashboard and training for your staff
  • Setup, logistics and support for every episode
  • Devices cleaned and reused from one patient to the next

What we measure together

  • 30-day readmissions and ED visits against your baseline
  • Days each patient stayed engaged
  • Escalations surfaced to your staff
  • Staff minutes per patient
  • Patient and family satisfaction

How Cosight compares.

We sell the device and the software. Your clinicians keep the patient relationship, the clinical judgment and the billing.

CapabilityCosightTablet RPM kitsOutsourced transitional careFollow-up phone calls
In-home device, ready out of the boxVaries
FDA-cleared vitals every dayVaries
Voice-first: the patient just talksVaries
Native language and live translationVariesVariesVaries
Works without home internetVariesVaries
Your staff keep the patient and the billing
Family can keep it after day 30

Built by physicians and engineers.

  • Richard O'Halloran

    Richard O'Halloran

    Founder & CEO

    Twenty years across satellite, cellular, and broadband on four continents, with senior product and sales roles at SES, O3B and Sandvine. Founded Cosight Networks in 2025.

  • Gaurav Jain

    Founder & CTO

    Full-stack AI engineer with years building and shipping LLM, computer-vision, and generative-AI products. An early engineering leader at a fast-scaling startup, a solo SaaS founder, and a published computer-vision researcher.

  • Aviva Regev, MD, MBA

    Aviva Regev, MD, MBA

    Founder & Chief Medical Officer

    Board-certified anesthesiologist at UCLA Health, with experience spanning Level 1 trauma, pandemic ICU leadership, and rural critical-access care. A former startup CMO, she leads Cosight's clinical strategy and product requirements.

  • Kerstin May-Michelich, MD

    VP, Rural Health Solutions

    Board-certified emergency physician with over a decade of frontline care at a rural trauma hospital, where she uses telemedicine daily. A former EMS Medical Director, she brings direct insight into the access gaps Cosight targets.

  • Michael Turchiano, MD

    Michael Turchiano, MD

    Emergency Medicine Advisor

    Medical Doctor (NYU) & Emergency Medicine Physician.

  • Kevin Efros, MD

    Medical Advisor

    Board-certified anesthesiologist and Clinical Assistant Professor of Anesthesiology at the Keck School of Medicine of USC. NYU-trained, with over a decade of practice spanning Los Angeles and rural hospitals in California's Eastern Sierra.

Contact us

Tell us about your organization and the patients you would like to support.