For Hospitals & Health Systems
Post-Discharge Care for Hospitals and Health Systems
Physician-Led
Transitional Care Medicine
Value-Based Care
Dimer Health extends physician-led care beyond discharge, helping hospitals reduce avoidable readmissions and unnecessary Emergency room utilization, improve continuity of care, and support patients at home without disrupting existing workflows.

Trusted by healthcare organizations dedicated to better post-discharge outcomes.
42%
Readmission Reduction
33%
Shorter Hospital Stays
4.9/5
Patient Satisfactionv
Who We Support
Built for the Teams Responsible for Post-Discharge Outcomes
Dimer Health helps hospital teams improve post-discharge outcomes while fitting seamlessly into existing clinical workflows. .
Hospital Executives
Extend Care Beyond the Facility
Extend physician-led care beyond the hospital while supporting readmission reduction, patient experience, and value-based care goals. And all without adding unnecessary operational complexity.
Population Health
Reduce Avoidable Utilization
Dimer Health supports high-risk patients after discharge with guided recovery, clinical oversight, and timely escalation to help reduce avoidable utilization and improve continuity of care
Case Management
Carry Recovery Forward After Discharge
Dimer Health extends recovery support following hospital discharge, helping patients navigate the transition home while reducing pressure on teams managing complex follow-up needs.
Quality & Readmission Leaders
For Patients & Caregivers
Strengthen performance during the highest-risk recovery period by helping patients to better understand medications, symptoms, discharge instructions, and follow-up care.
How It Works
How Dimer Health Integrates Into the Hospital Discharge Workflow
Identify the Right Patient Population
Eligible patients are identified before discharge based on your clinical goals
Align on the Discharge Handoff
Dimer Health integrates into your existing discharge workflow, for a smooth transition home.
Connect Patients to Dimer Health After Discharge
Patients connect with Dimer after discharge, with support beginning during the high-risk recovery period.
Support Recovery Through AiME and the Dimer Health Care Team
AiME provides guidance while licensed clinicians oversee recovery and intervene when required.
Monitor Engagement and Recovery Progress
Recovery process and patient engagement are monitored all throughout the recuperation process
Report Outcomes Back to the Health System
Hospitals receive visibility into patient progress and program outcomes.
Results
Results Health Systems Can Expect from Working with Dimer Health
Dimer Health helps hospitals extend physician-led care beyond discharge, reducing avoidable utilization while improving recovery visibility, care continuity, and operational efficiency.
15,000+
3X
Dimer Health helps hospitals and health systems to improve post-discharge outcomes by supporting patients throughout recovery with Transitional Care Medicine.
Reduced Avoidable Readmissions
Reduced Lengths of Stay
Fewer Unnecessary ED Visits
Better Patient Experience
Greater Post-Discharge Visibility
Improved Follow-Up Adherence
Reduced Case Management Burden
Supports Value-Based Care
Scalable for High-Risk Patients
Get Started
Start a Health System Partnership with Dimer Health
Dimer Health helps hospitals and health systems extend physician-led care beyond discharge, reduce avoidable admissions and readmissions, and support patients through the highest-risk recovery period, while fitting into existing workflows.
AI-powered guidance
Built for post-discharge recovery
Human support when needed
What Healthcare Partners Are Saying
Health systems, providers, and healthcare organizations partner with Dimer Health to extend physician-led care beyond the discharge phase, improve continuity, and support better patient outcomes.
Rated 5 out of 5
Dimer is a rare example of a healthcare solution that delivers a true win for every stakeholder: patients, providers, and payers. Very few companies can simultaneously improve patient experience and outcomes, reduce the burden on providers, and lower costs across the system, all while harnessing cutting-edge AI in a responsible and impactful way.
Rated 5 out of 5
Some of healthcare’s biggest failures happen in the days after patients leave the hospital. Dimer Health is addressing that gap with a clinically rigorous, AI-enabled model that improves outcomes when patients are most vulnerable. We invested because Dimer is building the infrastructure for post-discharge care, and the team has already validated the model through disciplined execution and measurable impact.
Rated 5 out of 5
We believe the biggest opportunities for AI in healthcare won’t come from applying AI to existing workflows, but from using it to fundamentally rethink how care is delivered. That’s what excited us about Dimer: they’re combining AI with real clinical expertise to create a more connected, accessible model of care that extends beyond the traditional healthcare setting. And the numbers on improved outcomes prove that model is working.
Rated 5 out of 5
The Dimer model has allowed us to make that connection after patients leave our hospital through their Transitionists. It’s been working so well that we’re now looking to expand the model across additional units.
Rated 5 out of 5
Dimer has significantly improved both pre- and post-operative care for our patients. Pre-operatively, patients are seeing the appropriate specialists, getting cleared, and being closely monitored, helping reduce case cancellations due to uncontrolled medical comorbidities. Post-operatively, we’re seeing fewer calls related to pain management, nausea, and constipation, while helping reduce unnecessary readmissions.
Rated 5 out of 5
Since partnering with Dimer, we've seen after-hours calls decrease by approximately 75%. At the same time, we've been able to better meet our patients' needs around the clock while reducing the burden on our physicians and improving physician satisfaction.
Rated 5 out of 5
Since partnering with Dimer Health, we've seen a 70% reduction in missed OR case opportunities and a 100% Net Promoter Score from our joint replacement patients. It's made the overall total joint replacement procedure noticeably smoother and safer.
Rated 5 out of 5
Dimer Health allows me to make sure that each and every one of my patients remains healthy after surgery. Their caring attitude goes above and beyond. Couldn't be taking care of our patients without them!
Rated 5 out of 5
Our collaboration with Dimer Health gives my patients an extra hand to hold during their recovery. This access reduces anxiety and prevents complications.
Rated 5 out of 5
Dimer is a rare example of a healthcare solution that delivers a true win for every stakeholder: patients, providers, and payers. Very few companies can simultaneously improve patient experience and outcomes, reduce the burden on providers, and lower costs across the system, all while harnessing cutting-edge AI in a responsible and impactful way.
Rated 5 out of 5
Having AiME as a resource following my hospitalization turned out to be invaluable to me. I had unexpected complications during my surgery, and the six weeks post-op were filled with diagnostic tests and medication changes. What a comfort to be able to rely on AiME for answers to very specific questions to my particular case 24/7. No days waiting for someone in an office to get back to me. No days waiting to get an appointment with my surgeon. The responses from AiME were medically comprehensive and surprisingly personal. And if I had a concern requiring more attention, I was quickly referred to a live APN or PA. This is 21st century medical care!
Rated 5 out of 5
Some of healthcare’s biggest failures happen in the days after patients leave the hospital. Dimer Health is addressing that gap with a clinically rigorous, AI-enabled model that improves outcomes when patients are most vulnerable. We invested because Dimer is building the infrastructure for post-discharge care, and the team has already validated the model through disciplined execution and measurable impact.
Rated 5 out of 5
We believe the biggest opportunities for AI in healthcare won’t come from applying AI to existing workflows, but from using it to fundamentally rethink how care is delivered. That’s what excited us about Dimer: they’re combining AI with real clinical expertise to create a more connected, accessible model of care that extends beyond the traditional healthcare setting. And the numbers on improved outcomes prove that model is working.
Rated 5 out of 5
The Dimer model has allowed us to make that connection after patients leave our hospital through their Transitionists. It’s been working so well that we’re now looking to expand the model across additional units.
Rated 5 out of 5
Dimer has significantly improved both pre- and post-operative care for our patients. Pre-operatively, patients are seeing the appropriate specialists, getting cleared, and being closely monitored, helping reduce case cancellations due to uncontrolled medical comorbidities. Post-operatively, we’re seeing fewer calls related to pain management, nausea, and constipation, while helping reduce unnecessary readmissions.
Rated 5 out of 5
Since partnering with Dimer, we've seen after-hours calls decrease by approximately 75%. At the same time, we've been able to better meet our patients' needs around the clock while reducing the burden on our physicians and improving physician satisfaction.
Rated 5 out of 5
Since partnering with Dimer Health, we've seen a 70% reduction in missed OR case opportunities and a 100% Net Promoter Score from our joint replacement patients. It's made the overall total joint replacement procedure noticeably smoother and safer.
Rated 5 out of 5
Dimer Health allows me to make sure that each and every one of my patients remains healthy after surgery. Their caring attitude goes above and beyond. Couldn't be taking care of our patients without them!
Rated 5 out of 5
Our collaboration with Dimer Health gives my patients an extra hand to hold during their recovery. This access reduces anxiety and prevents complications.
Rated 5 out of 5
It is really nice for me to have medical personnel check in on me after being sick. Doctors offices are too busy to answer a lot of questions if I have them. Families and the internet are great but there’s no better reassurance than a live nurse on the other end of the phone. I’m grateful to have you.
Rated 5 out of 5
I cannot say enough wonderful things concerning Dimer Health. They have continually been a source of competent medical advice and also provided me with a much needed sense of security during my family’s time of need. Thank you Dimer Health. Always remain true to your mission!
FAQs
Find answers to common questions about how Dimer works with hospitals and health systems to improve post-discharge outcomes and reduce avoidable readmissions.
Dimer Health extends physician-led care beyond discharge, helping patients navigate recovery during the highest-risk period before complications lead to readmission.
Dimer Health is a physician-led Transitional Care Medicine provider combines Transitionists®, Dimer Connect, and AiME to deliver clinical care after discharge.
Dimer Health is designed to fit into existing discharge processes, making it easy to extend care without disrupting hospital operations.
No. Dimer Health integrates alongside existing workflows without requiring hospitals to replace their current systems or undertake a major software implementation.
Contact our team to discuss your post-discharge goals, and we’ll work with you to design a partnership that fits your organization.