Post-Discharge Transitional Care

Timely, virtual follow-up care after discharge. Ensure your patients have smooth hospital-to-home transitions.

Why Partner with Us?


Ensure every patient receives outpatient follow-up within 7 days of discharge.

Ensure care continuity, including follow-up on pending studies from hospitalization.


Guarantee thorough medication reconciliation and handoff to outpatient providers.

Streamlined handoff reduces risks of adverse drug events and readmissions.


Patients without a PCP are assigned a Simbie provider.

Make sure every patient has a PCP and is engaged to complete follow-up.

How it works

Connect your patients with Simbie for smooth transitions of care.

More Details

Step 1: Inform Simbie of discharged patients

We work with your institution to ensure the easiest patient hand-off.

Step 2: Simbie reaches out to patients within 2 days

We ensure a post-discharge virtual check-in within 14 days for navigation, education, and social needs interventions.

Step 3: See patients back at your institution

Reduce 30-day readmission rates, and see patients back at your institution for their required follow up care.



How much does the Simbie plaftorm cost?

It's free! Insurance is billed directly for improving transitions of care & quality at reduced cost, so your institution doesn't need to worry about payment.

What are the contractual obligations?

Simbie enters into a partnership with your institution under a Business Associates Agreement (BAA) to comply with all HIPAA laws. The exact nature of the partnership is agreed upon both parties prior to program implementation.