Rated 4.9/5
Connected Care Beyond Medical Discharge
Powered by intelligent technology and physician-led Transitional Care Medicine, we ensure care doesn't end at discharge - it continues through recovery with personalized guidance, continuous clinical oversight, and proactive support that improves outcomes for patients and lasting value for healthcare organizations.
For Patients
For Partners

Trusted by Health Systems. Proven Through Patient Outcomes.
67%
Reduction in Avoidable Readmissions
3X
More likely to pursue primary care follow-up
24/7
Patient Access to Clinical Care Team
Who We Serve
Connected Care Built for Better Recovery
Dimer Health powers a connected post-discharge experience for patients, the clinicians who care for them, and the healthcare organizations committed to improving outcomes.
For Patients & Caregivers
You’ve made it home, but questions about your recovery remain. Dimer Health stays by your side with expert post-discharge care, providing answers, guidance, and medical support when you need it.
For Providers & Health Systems
Care doesn't end when patients leave the hospital. Dimer Health extends your care team beyond discharge, creating a connected recovery experience that improves clinical quality, strengthens patient engagement, supports revenue capture, reduces the total cost of care, and provides a clinical safety net throughout the critical first 30 days of recovery.
For Payors & ACOs
Value-based care depends on what happens after discharge. Dimer Health combines physician-led Transitional Care Medicine with intelligent technology to help members recover safely, reduce avoidable utilization, improve quality performance, and lower the total cost of care.
The Problem
Recovery Doesn't End at Discharge. Neither Should Care.
After discharge, patients return home expected to manage new medications, follow complex discharge instructions, recognize warning signs, coordinate follow-up care, and navigate recovery, often without the clinical guidance they need when questions or concerns arise.
Without continued support, unanswered questions can become complications, avoidable emergency visits become more likely, and too many patients end up back in the hospital.
20%
of Medicare patients are readmitted within 30 days of discharge.
50%+
of hospital readmissions are preventable with appropriate post-discharge intervention.

Our Goal is Simple
Help every patient recover with confidence, avoid unnecessary complications, and stay connected to care from discharge through recovery.
How It Works
How Dimer Health Manages Post-Discharge Care
A continuous, connected care experience from discharge to full recovery.
1
Clinical Intake at Discharge
Recovery begins before you even leave the hospital. Our team receives your discharge summary, medications, and care plan, creating continuity from day zero.
Personalized Recovery Plan
Every recovery is different. Your care plan is tailored to your diagnosis, medications, medical information, and risk factors, with Dimer Health replacing static discharge paperwork with personalized, interactive guidance.
Always-On Support, Whenever You Need It
Recovery doesn't follow office hours. With AiME, Dimer Health's care companion, you have 24/7 access to personalized guidance based on your medical record and care plan. If your needs require a clinician, AiME seamlessly connects you with the appropriate member of the Dimer team.
Proactive Monitoring and Outreach
Your care team proactively checks in between appointments to monitor your recovery, identify changes in your health, and provide timely support when it's needed most.
Seamless Transition Back to Your Ongoing Care Team
Once your recovery is complete, Dimer Health shares your care summary, visit notes, and recovery progress with your primary care provider or specialist, ensuring a seamless transition and uninterrupted continuity of care.
For Patients
Start Your Recovery from Home
Get the clinical support you need after discharge, with a dedicated care team by your side throughout recovery.
For Partners
Bring Transitional Care Medicine to Your Patients
See how Dimer helps hospitals, providers, and health systems improve continuity of care beyond discharge.
Clinical Outcomes
Clinical Outcomes Across the Post-Discharge Period
Measurable improvements in recovery, patient experience, and post-discharge outcomes.
3X
Primary Care Follow-Up Adherence
3x more patients follow up with their PCP

2X
Specialist Follow-Up Adherence
2x more patients stay in-network for specialist care

4.7/5
Patient Satisfaction
Reflecting the care experience our patients deserve.

Coverage
Covered by Medicare, Medicaid, and Most Major Commercial Insurance Plans
Dimer Health bills as a medical practice, delivering Transitional Care Medicine through your existing health coverage, not as a software subscription.
For most patients, care is covered through their existing health plan, making expert post-discharge support easily accessible without the need for a separate subscription.
















Self-pay options available.
Our Clinical Team
The Medical Professionals Behind Dimer's Post-Discharge Care Model
Meet the licensed clinicians delivering expert Transitional Care Medicine throughout your recovery journey.
Patient and Partner Outcomes in Their Own Wordscal Outcomes
Trusted by the People Who Matter the Most
Hear from the patients, providers, and healthcare organizations experiencing the impact of connected post-discharge care.
Rated 5 out of 5
They were very helpful with my after surgery recovery. They responded back to you quickly. They were very knowledgeable. So much easier calling them then trying to get in touch with your doctor. Thank you so much for all your help.
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
Dimer Health were constantly part of my journey starting from pre op and post op recovery, making sure I have what I need and all my questions are answered.
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
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
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
Love the care and support, knowing that you can call if you have questions with personal care and virtual one-on-one appointments. I would definitely recommend Dimer Health to a family member or friend, A+.
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
They answered any questions I had no matter what time of day. They kept me calm which I believe helped with my recovery.
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!
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
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
They were very helpful with my after surgery recovery. They responded back to you quickly. They were very knowledgeable. So much easier calling them then trying to get in touch with your doctor. Thank you so much for all your help.
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
Dimer Health were constantly part of my journey starting from pre op and post op recovery, making sure I have what I need and all my questions are answered.
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
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
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
Love the care and support, knowing that you can call if you have questions with personal care and virtual one-on-one appointments. I would definitely recommend Dimer Health to a family member or friend, A+.
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
They answered any questions I had no matter what time of day. They kept me calm which I believe helped with my recovery.
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!
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
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.
Coverage Area
Post-Discharge Care Currently Available in Eight States
We are actively pursuing licensure in additional states with a goal of all 50.
Get Started
Recovery Deserves More Than a Stack of Papers and a Follow-Up Appointment
Leaving the hospital is packed with uncertainty. Whether you’re recovering from a serious illness, surgery, or an emergency visit, Dimer provides clinical support, guidance, and continuity of care to help you recover at home, with confidence.
For Patients
Start Recovery with Dimer Health
Book an appointment with our clinical team, and we'll guide you through the next steps in your recovery with

For Partners
Partner with Dimer Health
Learn how Transitional Care Medicine helps hospitals, providers, and health systems improve results post-discharge.


FAQs
Find quick answers to common questions about Dimer Health, Transitional Care Medicine, and post-discharge care.
Dimer Health uses appropriate safeguards to help protect your personal and health information while supporting physician-led post-discharge care.
Dimer Health is committed to protecting Protected Health Information (PHI), and the use and disclosure of PHI is governed by our Notice of Privacy Practices.
Post-discharge care provides ongoing medical support following hospital discharge, to help patients recover safely, avoid complications, and reduce the risk of readmission.
Transitional Care Medicine refers to Dimer Health's physician-led model of care that provides continuous support during the critical period between hospital discharge and full recovery.
Dimer Health is for patients recovering after hospitalisation while partnering with providers, hospitals, and health systems in order to improve continuity of care.
Dimer Health accepts Medicare, Medicaid, and most major commercial insurance place, with self-pay options available.
Patients can complete a short intake to start care, and health organizations can get in touch with the Dimer Health team in order to explore a partnership.
Post-discharge care provides ongoing clinical support after leaving the hospital, helping patients recover safely while reducing the risk of complications and readmission.
Dimer Health delivers physician-led Transitional Care Medicine while billing as a medical practice using TCM billing codes through your existing healthcare plan.
Dimer Health provides continuous physician-led care throughout the recovery, as opposed to one-off virtual appointments for individual medical concerns.
Many patients are referred by hospitals or providers, but eligibility is dependent upon your care needs and location.
Dimer Health supports recovery after surgery, hospitalization, serious illness, and many other medical events requiring ongoing clinical care.
Dimer Health supports recovery after surgery, hospitalization, ER visits, chronic condition flare-ups, and other medical events that require ongoing clinical care at home.
Dimer Health provides physician-led Transitional Care Medicine with wound monitoring, medication management, symptom tracking, and follow-up support throughout the recovery process.
Yes. Dimer Health helps patients manage chronic conditions such as heart disease, diabetes, hypertension, COPD, and asthma during the post-discharge recovery period.



