Medesto Health: Medesto Health, a healthcare technology startup based in Livonia, Michigan, has officially launched what it describes as the first intelligent patient engagement and care coordination platform designed to fundamentally transform how healthcare stakeholders interact with patients. The company positions the platform not as an incremental upgrade to existing systems, but as a structural reset aimed at addressing long-standing breakdowns in communication, workflow inefficiencies, and reactive care delivery.
Founded by industry veterans who say they experienced healthcare system failures firsthand, Medesto Health is targeting a market valued at $7.6 billion and growing at approximately 20 percent annually. The company recently spun out of Perigon Health 360 following the completion of a funding round, signaling a strategic move to focus exclusively on patient-centered technology innovation.
Addressing Four Critical Healthcare Failures
According to Medesto Health, the current healthcare ecosystem suffers from four systemic weaknesses:
1. Fragmented Communication
Patients and care teams often struggle to connect effectively. Communication is scattered across phone calls, emails, portals, and disconnected systems, leading to missed information and delayed interventions.
2. Shallow Engagement
Many patient engagement tools rely on one-way notifications that patients quickly ignore. Instead of meaningful interaction, these systems generate digital noise.
3. Operational Inefficiency
Healthcare staff spend an estimated 60 to 70 percent of their time on administrative tasks rather than delivering direct care. This imbalance contributes to burnout and reduced patient attention.
4. Reactive Care
Too often, interventions occur only after a patient’s condition has worsened. Preventive insights and proactive outreach remain limited.
Ted Mills, co-founder and CEO of Medesto Health, emphasized the emotional and operational toll of these systemic issues.
“We spent years watching the system fail from the inside. 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.”
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Platform Capabilities: Intelligence Meets Automation
At the core of Medesto’s platform is an intelligent automation engine that integrates directly with existing electronic health record (EHR) systems. Rather than replacing established infrastructure, the system enhances it by capturing and analyzing real-world patient data, medication adherence patterns, and assessment outcomes.
Features Include:
- Automated patient outreach and engagement
- Real-time data capture from patients
- Built-in clinical intelligence to prioritize urgent cases
- Workflow automation for care teams
- Centralized care team visibility
The platform collects structured and unstructured patient data and feeds it directly into health records. Its intelligence layer then identifies urgent issues, flags non-adherence risks, and recommends next steps for care teams.
By doing so, the system transitions care from reactive to proactive — identifying potential issues before they escalate into costly complications.
Redefining Care Coordination
One of the platform’s most significant differentiators is its unified view of patient information. Pharmacists, physicians, care coordinators, and other stakeholders access the same data environment, reducing miscommunication and duplicated effort.
Joe Viscomi, chief technical officer at Medesto Health, described the company’s philosophy as transformational rather than incremental.
“Everyone else optimized the mess. We burned it down. 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.”
This redesign approach centers the patient experience while simultaneously improving operational performance.

Target Market and Growth Opportunity
Medesto Health serves a broad spectrum of healthcare organizations, including:
- Specialty pharmacies
- Retail pharmacies
- Healthcare providers
- Clinical care facilities
- Payors
- Pharmacy Benefit Managers (PBMs)
- Pharmaceutical manufacturers
The company estimates its addressable market at $7.6 billion, growing at roughly 20 percent annually. This growth is fueled by increasing demand for digital health infrastructure, value-based care models, and patient-centered engagement strategies.
As healthcare reimbursement models shift toward outcome-based compensation, tools that improve adherence, streamline coordination, and reduce avoidable hospitalizations are gaining strategic importance.
Operational Impact: Efficiency and Better Outcomes
The automation capabilities of the platform aim to significantly reduce administrative burdens. By streamlining outreach, documentation, and workflow routing, care teams can redirect more time toward direct patient interaction.
The system’s built-in intelligence highlights which patients require immediate attention, enabling more targeted interventions. This shift from broad outreach to prioritized engagement can enhance clinical outcomes while reducing unnecessary workload.
According to company leadership, this dual benefit — improved efficiency and improved patient outcomes — represents the platform’s core value proposition.
From Experience to Innovation
Medesto Health’s founders emphasize that their innovation is rooted in lived healthcare experience rather than theoretical market research.
After spinning out of Perigon Health 360 and completing a funding round, the team focused on building a standalone technology platform that addresses foundational system challenges.
Their stated mission extends beyond operational optimization. They aim to reduce burnout among care teams while restoring clarity and connection in patient relationships.
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Strategic Outlook
As digital health adoption accelerates and artificial intelligence becomes more embedded in care delivery systems, platforms like Medesto’s may play a pivotal role in reshaping patient engagement models.
Healthcare systems face mounting pressure to:
- Improve adherence rates
- Reduce hospital readmissions
- Control operational costs
- Deliver personalized care at scale
An intelligent coordination platform that integrates seamlessly with existing systems and leverages real-time data could help organizations achieve these objectives.
With its official launch in Livonia, Medesto Health is positioning itself as a next-generation healthcare infrastructure company — one that blends automation, intelligence, and human-centered design.
If the company’s model delivers on its promise, it could contribute meaningfully to addressing some of healthcare’s most persistent structural challenges, turning fragmented, reactive systems into proactive, coordinated ecosystems focused on measurable patient outcomes.
