For Health Systems & RHTP Partners

After discharge, there are 72 hours with no clinical safety net.

MamaBear closes that gap — a shovel-ready, USDA-developed pediatric telehealth platform for rural EDs, FQHCs, and Critical Access Hospitals. Deployable in 2–3 weeks. RHTP grant eligible.

Developed with support from the USDA  ·  Built for rural and Tribal communities  ·  Available on App Store & Google Play
1 in 4
parents misunderstand discharge instructions
Glick et al., J Pediatr, 2019
1 in 5
publicly insured children get any follow-up within 7 days
Ramgopal et al., Acad Emerg Med, 2023
4%
return to the ED within 72 hours
Goldman et al., PMID 21878830
83%
of returning children are discharged again — it was avoidable
Goldman et al.
Without MamaBear

Families go home into a void

  • Parents turn to Google, WebMD, or ChatGPT for clinical guidance
  • No structured way to report worsening symptoms to a clinician
  • 4% return to the ED — most never needed to
  • Below-cost, underreimbursed return encounters consume staff with no revenue
  • Early asthma risk goes undetected — no longitudinal breathing data
  • Well-visit gaps widen — no reminder, no follow-up pathway
With MamaBear

Clinicians stay connected at home

  • Structured eCheck connects families directly to your on-shift clinician
  • Parent-captured breathing video provides clinical insight without a visit
  • Avoidable returns prevented — families with a channel don’t drive back
  • Documented, billable follow-up — no manual transcription required
  • Automated alert after 4 noisy breathing episodes — asthma risk flagged early
  • Condition-specific education and well-visit reminders delivered automatically

Five steps. No new infrastructure.

MamaBear is asynchronous, store-and-forward telemedicine. No live appointments. No new portals. No IT build required.

Compatible with Epic, Cerner, and any EHR with a secure inbox. Low-bandwidth optimized — validated in LTE environments down to 1–2 Mbps. Updates pushed automatically through the app store — no action required from clinical staff.
1
Parent completes a structured eCheck
Symptoms, risk factors, and a 15-second video of the child breathing at home — captured in the moment, not recalled later.
2
Results delivered to your team
Via secure weblink — forwardable to any clinician, specialist, or community health worker through EHR inbox or secure email. No credentialing required.
2–3 min clinician review
3
Clinician reviews and responds
A written clinical instruction the parent can re-read at 3am. No phone tag. Documented and billable.
4
Breathing tracked automatically
After 4 noisy breathing episodes, your team receives an automated provider alert — a validated asthma risk indicator.
Asthma risk detection
5
Education and reminders delivered
Condition-specific parent education and well-visit reminders sent automatically — closing the preventive care gap without staff effort.

What your team gains

👁

Clinical visibility at home

See the child against the ED baseline — 15-second breathing video tells more than any discharge conversation.

🔗

Care continuum activated

One secure weblink travels from ED → PCP → Specialist. No information lost in translation.

📊

Quality metric support

Structured, reportable follow-up data supports positive quality metric reporting and value-based care performance.

🫁

Early asthma identification

Longitudinal noisy breathing tracking with automated alert after 4 episodes — Modified Asthma Predictive Index data collection built in.

📱

Zero IT lift

No EHR integration required. Works via secure email without any EHR infrastructure. HIPAA-compliant from day one.

😊

Parent satisfaction

Families discharged with a clinical channel come back — and recommend you. In rural markets, every patient relationship matters.

MamaBear reduces subjectivity and recall bias. It supports earlier treatment decisions and helps prevent unnecessary testing and hospitalizations.

Paolo Pianosi, MD Pediatric Pulmonologist

The break-even math is straightforward

For children under 2 with RSV on Medicaid, hospitals deliver $1,100–$1,200 in care and receive $463–$482 in reimbursement. A 72-hour return that ends in discharge generates a second below-cost encounter — unreimbursed staff time with no additional revenue.

Annual episodesLow-acuity returnsYear 1 costBreak-even
2,500~83$9,5001 in 4 returns prevented
2,500~83$4,500 (yr 2+)1 in 12 returns prevented

Billing codes available

G2010 / G2250
Store-and-forward review, physician or NP/PA. The eCheck PDF is the documentation.
99451
Interprofessional consult, specialist review.
99452
Care coordination, referring provider.

No new billing infrastructure required. No manual transcription. Over 37 state Medicaid programs reimburse for store-and-forward services.

Built for RHTP from the ground up

MamaBear aligns directly with CMS RHTP priorities across consumer technology, telehealth capability, innovative care delivery, and maternal and child health outcomes.

Consumer-facing technology

HIPAA-compliant mobile app enabling structured symptom data capture and clinician-reviewed parent education.

Telehealth capability development

Asynchronous post-discharge follow-up. No travel, no appointment, no live telehealth infrastructure required.

Innovative care delivery

Reduces ED high utilization — stable children to PCP, deteriorating children back earlier, all documented in one link.

Maternal, infant & child health

Closes the 72-hour discharge gap for publicly insured infants and toddlers in rural and Tribal communities.

$9,500

All-in year 1 — covers implementation and platform access (up to 300 eChecks). RHTP grant eligible.
$4,500/year thereafter.

Ready to close the discharge gap?

Interested state program officers, hospital systems, and FQHCs can request our full implementation plan and pricing.

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