For Boulder Community Health · Community Package Brief
We built the rails for ourselves — physician-supervised, community-owned, CMS-aligned. They work today. The community is already asking BCH to partner. You choose the on-ramp. Both cost less than one FTE in year one.
AI-native healthcare infrastructure is being built in Boulder at the community level and flowing up into the health system — not the other way around. Families are signing up to participate. Caregivers are pledging to work for equity and dignity instead of agency wages. Josh Emdur DO provides the 50-state medical oversight layer. The rails use existing CMS codes (G0019 CHI, TCM 99495/96, CCM, ACP) and HSA/FSA pre-tax dollars via ComfortCard.
BCH has two natural places to participate. Both demonstrate value inside a 90-day pilot. Neither asks BCH to rip out Epic, retrain staff, or carry risk. Both produce a weekly outcomes report your leadership can review.
Pick your on-ramp
On-ramp 1
BCH's employed orthopedic group leaves $80–140K per surgeon per year in documented-but-unbilled care. Wonder Bill, our 2026 Medicare-coded billing agent, reads an encounter note and returns a structured list of recoverable codes in under 20 seconds.
On-ramp 2
BCH's discharge planners send aging patients home to a gap. We hold them in their own homes with our community caregiver network, Josh Emdur DO as the medical director of record, and family payment routed through HSA/FSA pre-tax rails.
The vital sign most organizations aren't measuring
ARCHANGELS' national data on healthcare staff and patient-side caregiving converges on the same number our community package is built around: the family caregiver is the hinge that moves readmission rates. Documenting and supporting that person is a clinical, operational, and financial issue — not a wellness talking point.
caregivers are experiencing extreme intensity, affecting attention, sleep, and the outcomes of the patient they're caring for.
of healthcare staff — nurses, discharge planners, MAs, social workers — are also unpaid caregivers at home.
of patient outcomes are shaped by unpaid caregivers — most health systems aren't accounting for it.
Data: ARCHANGELS, Alexandra Drane (co-founder/CEO), 10th Annual Patient Experience Symposium, Boston, September 28–30, 2026.
What BCH gets — either on-ramp
No EMR integration required in year one. All data flows through a BCH-branded intake URL. PHI stays inside the agreed BAA perimeter. Reports are white-label, printable, and defensible.
Proof
Jess Dion's father moved home to Boulder, <1 mile from BCH. Live-in caregiver model. First care session already delivered. Reporter-interviewable.
50-state licensed physician. Co-founder and medical director of record. Oversight agreement drafted. Available for LMN review, incident-to billing, and regulatory defense.
Live at surgeonvalue.com/wonder-bill. 2026 Medicare codes, PHI strip, structured JSON output. Pasteable in the meeting.
The 90-day pilot
We're asking Boulder Community Health for a 30-minute review meeting. We'll walk both on-ramps, run Wonder Bill live on a BCH encounter note of your choosing, and leave you with a printable 90-day pilot spec. No commitment required to take the meeting. No EMR integration required for the pilot.
Pilot commitment (either on-ramp)
The Boulder community is already signing on.
See the community petition →Part of the SolvingHealth ecosystem
co-op.care Technologies LLC — Boulder, Colorado. Worker-owned. Physician-supervised.