ThE most expensive thing in health care is the space between everyone in it.

ARTICLE

Image

 

The U.S. healthcare system wastes $935 billion a year. A quarter of all spending. Most of it happens in the space between patients, care teams, pharmacies, and payors.

A pharmacist spends 70% of her day on admin instead of care. That's not a workflow problem. That's a margin problem.

A patient just diagnosed with RA has no idea what's happening to him. That's not a communication gap. That's therapy failure waiting to happen.

A care team doesn't see a patient declining until it's too late. That's not a clinical miss. That's avoidable cost.

Medesto Pulse replaces the silence patients have been living in with a voice that actually tells them what's happening. Medesto Bridge replaces the chaos care teams have been surviving with intelligence that tells them what to do next. Together, they give healthcare something it's never had.

The Numbers Behind the Problem

Administrative Waste

  • $760B–$935B wasted annually — nearly 25% of total U.S. healthcare spending (JAMA, 2019)
  • Administrative complexity alone accounts for $266B per year (Peter G. Peterson Foundation)
  • Admin costs now exceed 40% of total hospital expenses (AHA / Strata Decision Technology)

Specialty Pharmacy Burden

  • Only 19% of health systems have a plan to reduce specialty pharmacy admin burden (McKesson Research)
  • Prior authorizations consume 13 hours of staff time per week (AMA / Surescripts)
  • 88% of pharmacists say prior auth delays treatment (Surescripts)
  • 75% of physicians say PA issues cause patients to abandon therapy (AMA Survey)

Medication Nonadherence

  • $528B in avoidable healthcare costs annually (Annals of Pharmacotherapy)
  • 125,000 preventable deaths per year (Journal of Managed Care & Specialty Pharmacy)
  • 25% of all hospitalizations tied to poor adherence (CDC / TailorMed)
  • 50% of Americans don't take medications as directed (Patient Safety & Quality Healthcare)

Care Coordination Failures

  • $27B–$78B lost annually to coordination breakdowns (JAMA, 2019)
  • Care delivery failures cost up to $166B per year (Health Affairs)

Patient Engagement

  • 80% of patients would switch providers over a poor digital experience (NRC Health)
  • 84% want to be engaged in health decisions — most aren't (Medical Guardian / Industry Survey)
  • 77% of Americans skipped an important health screening last year, up 20% from 2023 (InteliChart)

Pharmacist Time

  • 48% of a retail pharmacist's day is spent verifying prescriptions (ScienceDirect)
  • Only 2% of time goes to clinical services (BMJ Open / SPICE Study)
  • 86% of physicians say prior auth burden is high or extremely high (AMA)

 

Medesto Health | The Space Between. | medestohealth.com

Sources

Administrative Waste

Specialty Pharmacy Burden

Medication Nonadherence

Care Coordination Failures

Patient Engagement

Pharmacist Time



Learn More

MEDESTO ENDS THE MAZE

PRESS RELEASE

Image
Image

PRESS RELEASE

February 11, 2026

New intelligent patient engagement and care coordination platform solves the four problems that have plagued the industry for decades

 

LIVONIA, Mich.—February 11, 2026—Medesto Health launched today with the first intelligent patient engagement and care coordination platform.

Patients don't just have questions. They're drowning. Every bill looks like a threat. Every document is written in a language designed to confuse them. They don't know if their medication is working or killing them. They don't know who to call. They don't know if anyone's listening. So they stop trying. They miss doses. They skip refills. They disappear. Not because they don't care, but because caring got too hard.

Care teams aren't just busy. They're fractured. Phone calls that go nowhere. Voicemails that pile up. Notes in one place, alerts in another, patient history somewhere else. Nothing connects. They're not delivering care. They're excavating for it. By the time they find what they need, they've lost hours they'll never get back. Hours that could have been spent on more patients. Better care. Actual outcomes.

Both sides want the same thing: connection. Understanding. A way through.

Medesto builds that bridge.

"We spent years watching the system fail from the inside," said Ted Mills, Co-Founder and CEO. "Patients lost in the dark. Care teams buried alive. Everyone trying. Everyone failing. We didn't start Medesto to build another tool. We started it to end the suffering on both sides of the equation."

"Everyone else optimized the mess. We burned it down," said Joe Viscomi, CTO. "We combined the latest developments in several areas of technology and clinical care modeling to completely rethink how pharmacies, providers, and other healthcare stakeholders interact with patients. We are putting the patient at the center of everything and it isn't just more efficient. It actually provides better care and improves the patient experience and their outcomes."

The Four Wounds

The industry has bled from the same four wounds for decades:

Fragmented communication. Patients and care teams can't reach each other.

Shallow engagement. One-way notifications that patients ignore because they're noise, not help.

Operational inefficiency. 60 to 70 percent of staff time consumed by admin instead of care.

Reactive care. Interventions that come after the damage, not before.

Every vendor in the market addresses a piece. A notification here. A workflow there. Another screen. Another login. Another silo.

Medesto ends the fragmentation. One platform. Every problem. No gaps.

What Medesto Does

The platform automates patient engagement and captures real-world data on patients, medications, and assessments, feeding it directly into existing health records. But Medesto doesn't just collect data. It thinks. Built-in intelligence surfaces what matters, flags what's urgent, and tells care teams where to focus next. Organizations automate outreach, trigger clinical interventions, and streamline workflows that keep patients connected and on the right therapy.

Patients get clarity. Real, simple, human clarity. They know what's happening with their care, who to reach when something feels wrong, and they get answers when they need them.

Care teams get visibility and direction. Not drowning in data but working with intelligence that works for them. They ask a question, they get an answer. No digging. No searching. No waiting. Everyone on the care team, pharmacists, providers, coordinators, sees the same picture. They do more. They help more people.

Both sides stop fighting the system and start working together.

The Market

Medesto serves specialty and retail pharmacies, providers, clinical care facilities, payors, PBMs, and pharmaceutical manufacturers. A $7.6 billion market growing 20% annually.

It's a market desperate for something that actually works. Not another point solution. Not another screen to toggle between. A platform that does what the industry has promised for years and never delivered.

Medesto delivers it.

Where Medesto Comes From

Medesto spun out of Perigon Health 360 after completing a funding round. The founding team didn't read about the problems in healthcare. They lived them. Years inside the maze. Watching patients fall through cracks. Watching care teams burn out. Learning exactly where the system breaks and what it would take to reinvent it.

Medesto is a reinvention.

Availability

Medesto Health is live. Headquartered in Livonia, Michigan. For more information, visit medestohealth.com.

Medesto is the space between patients and everyone else. The company built an intelligent patient engagement and care coordination platform that connects patients to care teams and care teams to each other. Automating engagement, capturing real-world data, and turning information into action. The maze ends here.

Medesto Health - The Space Between.

 

Press Contacts

Patrick Farris

[email protected]

Learn More