The Problem Platform Partners Scale & Impact Get in Touch
Infrastructure for specialty care, anywhere

Specialty expertise,
finally within reach

Pointwell structures the expertise health systems already employ and connects it to patients they can't otherwise reach — turning referrals into a two-way street.

See How It Works Get in Touch
+37%
revenue per 100 referrals
+67%
specialist capacity freed
~89%
faster for low-acuity cases
Live Demo
ehr.healthsystem.org · Pointwell CDS
Processing Referral
Jane Doe · Rheumatology
Pulling PCP notes
Analyzing ICD-10 codes
Evaluating clinical notes
Generating recommendations...
Click any tab to explore — auto-advances every 4s
142d
average wait for a rheumatology visit
10–30%
of hospital revenue lost to outside referrals
1 in 2
specialty referrals never reach a completed visit
$5.73B
total addressable market at $14/visit
The Problem

Three gaps push specialty patients out of the system

Access, retention, and capacity gaps show up in every specialty. Health systems lose patients to outside referrals they can't compete with — and specialists spend their time on cases that don't need them.

Learn more →
ACCESS GAP
142 days
average wait for a rheumatology visit
RETENTION GAP
10–30%
of hospital revenue lost to outside referrals on average
Our Approach

We arm health systems with their own expertise

Pointwell does the reverse of competitors. We are the specialty care infrastructure for health systems' existing and employed expertise, so they can retain demand and service that very demand faster. Instead of servicing that demand on their own, referrals become a two-way street leading to increased revenue, increased retention, and increased efficiency.

See how it works →
THE REVERSE MODEL
Competitors
Pull patients out of the health system — costing continuity, revenue, and clinical relationships.
Pointwell
Keeps patients in network, routing demand through the health system's own expertise and infrastructure.
+37%
revenue per 100 referrals
+67%
specialist capacity freed

Ready to optimize and expedite specialty care using your own specialist expertise?

Whether you supply or need specialty capacity, Pointwell connects the two.

Get in Touch
Problem

Three gaps push specialty patients out of the system

Access, retention, and capacity gaps show up in every specialty. Pointwell closes them by structuring the expertise health systems already have and connecting it to demand they can't otherwise reach.

ACCESS GAP
55%
of US adults say wait times have delayed necessary care
Rural patients drive 20–40 miles for a specialist visit that often isn't urgent — while complex cases wait in the same backlog behind them.
RETENTION GAP
$2.7M
annual revenue at risk per specialist who can't meet demand
85% of rural health executives say they cannot hire enough specialist talent locally — so patients and revenue walk out the door.
CAPACITY GAP
52%
of PCPs say they refer cases that don't require a specialist
Unnecessary referrals clog specialist schedules, delay care for patients who truly need it, and waste clinical resources at every layer.
Why alternatives fail

Today's alternatives put the patient back in the queue

Point solutions, patient-direct apps, and e-consults each break at the same step.

POINT SOLUTIONS
Point solutions and CDS tools
Pull the patient out of the system, costing continuity, clinical visibility and referral revenue. Systems can't compete with them today.
PATIENT-DIRECT
Patient-direct care
Patients struggle with follow-up and land back in the same queue. 65% hit at least one barrier during a standalone telehealth visit.
E-CONSULT
E-consult platforms
A local physician can ask a question; replies are often slow and the patient still needs the in-person visit.
Our Answer

We arm health systems with their own expertise

THE REVERSE MODEL

Pointwell does the reverse of our competitors.

We structure the expertise health systems already employ so they can retain demand and service it faster — turning every referral into a two-way street. That lets them compete with the specialty solutions targeting their patients, on an advantage no point solution can buy.

The health system's own specialist expertise, made available at scale, is the unfair advantage.

See how Pointwell solves this

Explore the Platform →
Platform

Pointwell is an EHR-integrated force multiplier for specialty referrals

Pointwell enables specialists to easily identify referral acuity and routing — covering packet assembly, triage, scheduling, results routing, and follow-up.

EHR-Native

Pointwell lives inside the EHR — not beside it

Pointwell renders directly within the EHR via iFrame, powered by SMART on FHIR — unlike competitor tools that pull clinicians out of their workflow. That depth of integration is what prevents churn and drives adoption.

Interoperable Amongst EHRs
Referral workflows connect across multiple EHRs via one unified clinical intelligence layer — enabling specialty expertise to flow between systems without custom integrations.
Zero New Workflows
Clinicians see Pointwell recommendations at the point of referral — no app-switching, no additional log-in, no training overhead.
SMART on FHIR Compliant
Built on the open health data standard — compatible with Epic, Cerner, Oracle Health, and other major EHR platforms.
ehr.healthsystem.org · Pointwell CDS
Processing Referral
Jane Doe · Rheumatology
Pulling PCP notes
Analyzing ICD-10 codes
Evaluating clinical notes
Generating recommendations...

Introducing Pointwell

The specialist stays in the loop to approve care and provides expertise while our AI model optimizes as a referral routing engine.

1

Referral Received

Health system receives a referral packet from the primary care provider.

2

AI Matching

Matches symptoms, chief complaints, and ICD-10 codes to visit type and acuity.

3

Visit Recommendation

Returns visit type, acuity, modality and workup, checked against facility capability.

4

Agentic Routing

Routed in-person with the specialist, or via telehealth / async through a demand partner.

How It Works in Practice

A patient's journey through Pointwell

From referral to resolution — all within the health system's existing infrastructure, without a specialist visit.

1
PCP Encounter

Patient presents with joint pain — referral is considered

Jane, 58, visits her primary care provider with bilateral joint pain and morning stiffness. Her PCP suspects early autoimmune disease and would normally refer to rheumatology — a 4-to-5 month wait.

2
Pointwell Activation

Provider activates Pointwell recommendation inside the EHR

Without leaving the EHR, the PCP opens the Pointwell CDS panel. Pointwell reads the clinical notes, ICD-10 codes, and lab values — and within seconds classifies the case as low-acuity with a recommended telehealth workup path.

3
Specialist Review

Rheumatologist reviews and approves the workup — asynchronously

The referral packet is sent to a rheumatologist, who reviews the recommended visit type and diagnostic workup steps in their own EHR. They approve the workup (ANA panel, RF, Anti-CCP, CBC) and the protocol is returned to the demand partner's clinical workflow.

4
Local Workup

PCP completes the specialist-defined workup with the patient

Jane returns to her PCP or a local demand-partner clinic. The provider follows the specialist-approved protocol — ordering labs, collecting findings, and completing the workup in a single visit. No wait for a specialist appointment.

5
Specialist Assessment

Specialist reviews completed results and delivers the assessment

Results surface in the rheumatologist's EHR. They review the completed labs (ANA+, RF 42 IU/mL, Anti-CCP 87 U/mL) and deliver a specialist assessment: early RA, initiate HCQ 200mg BID, follow-up in 8 weeks. The care plan goes back to the PCP and patient — without a single in-person specialist visit.

Resolution

Patient treated — specialist capacity preserved for complex cases

Jane gets a diagnosis and care plan within days, not months. The rheumatologist spent 15 minutes on the async review — freeing their in-person schedule for patients who truly need a specialist visit. Revenue stays in network. Everyone wins.

Target Specialties

Groundwork laid across four specialties

Client-tailored LLM training — every specialist override strengthens our testing set.

Rheumatology
80% APP Compatible
advanced practice provider
1,530 Gap Hospitals
addressable facilities
95% in Urban Areas
specialist concentration
65% of Visit Types Telehealth / Async
Dermatology
93% APP Compatible
advanced practice provider
1,440 Gap Hospitals
addressable facilities
55% with 3+ Month Wait
patients waiting months
69% of Visit Types Telehealth / Async
Endocrinology
73% APP Compatible
advanced practice provider
1,350 Gap Hospitals
addressable facilities
70% Counties Lack
endocrinologist access
64% of Visit Types Telehealth / Async
Cardiology ★ NEW
67% APP Compatible
advanced practice provider
1,260 Gap Hospitals
addressable facilities
50% Counties Without
cardiologist access
46% of Visit Types Telehealth / Async
Have other specialties for us to explore?
We're actively expanding our clinical intelligence library. Tell us which specialty matters most to your organization.
Get in Touch
Clinically Integrated Networks

CINs act as a force multiplier for specialty access

Pointwell turns the CIN's existing infrastructure into a specialty delivery network — without adding headcount, real estate, or new technology burdens.

THE MULTIPLIER EFFECT

Win one CIN anchor, activate hundreds of providers

Winning one CIN anchor deal catalyzes a slew of deals through the referral relationships of that network's own independent clinicians. Many CINs share access to their anchor hospital's EHR instance — integrate once, and Pointwell activates for every provider on that instance. Our sales strategy sells through CIN anchor hospitals first, letting the network do the work of distribution.

Gap Hospitals

Health systems that lack specialist coverage use Pointwell to prevent referral leakage and capture revenue upside by routing low-acuity cases to nearby CIN providers.

Academic Medical Centers

AMCs accelerate low-acuity revenue by offloading cases to CIN providers, clearing specialist capacity for the complex, high-value cases only they can handle.

CIN Providers

Independent practices and clinics gain access to specialist-authored workup protocols, letting APPs and PCPs handle a broader scope without guessing.

+67%
high-acuity specialist capacity freed (50 → 84 per 100 referrals)
+37%
revenue per 100 referrals ($14,379 → $19,654)
Partners

What's in it for each side of the marketplace

Pointwell creates real, measurable upside for both specialty supply partners and demand partners — not a zero-sum redistribution.

Supply Side
Specialty Supply Partners

Health systems and specialty groups that route low-acuity referrals through Pointwell shift their in-person case mix toward the cases that generate the most revenue and impact.

Higher revenue per specialist hour
Shifting low-acuity cases out of clinic time increases wRVUs per hour by concentrating in-person slots on complex, high-value procedures. Revenue upside of +37% per 100 referrals.
Freed specialist capacity for complex cases
Up to 84 high-acuity cases per 100 referrals — up from 50 today — when low-acuity cases route to Pointwell. Specialists spend their hours where they matter most.
Lower wait times for complex patients
Reducing the low-acuity backlog clears the schedule for patients who actually need an in-person specialist visit — improving access metrics, HCAHPS scores, and competitive positioning.
Codified clinical protocols stay in-network
Specialists author the workup and management protocols that govern how APPs handle cases — retaining clinical authority and brand equity even when the visit happens elsewhere.
+67%
high-acuity case lift
+37%
revenue per 100 referrals
Demand Side
Demand Partners

CINs, IPAs, and health plans that participate on the demand side unlock a brand-new revenue stream — serving specialty care visits they previously had to refer out entirely.

A brand-new revenue stream
Demand partners participate in specialty care low-acuity visits through Pointwell — earning a negotiated share of each visit's revenue from cases they previously sent away with nothing.
Specialist-authored protocols for APPs and PCPs
Pointwell delivers specialist-authored workup and management protocols directly into the demand partner's clinical workflow — empowering their existing workforce to handle specialty low-acuity cases safely.
Expanded scope without new FTEs
No need to hire specialist talent. Demand partners serve a broader patient population using their existing APP and PCP workforce — backed by the clinical intelligence Pointwell provides.
Serve patients you had to refer out
Retain patients in your network for specialty low-acuity follow-up — deepening relationships, improving continuity of care, and capturing downstream value that previously walked out the door.
Net-new revenue from day one
Demand partners earn 40% of each visit — a split negotiated at contract time
Measured Outcomes

What Pointwell unlocks per 100 referrals

Shifting low-acuity cases through Pointwell frees specialist time and improves revenue across the board.

Capacity Unlocked
84 high-acuity / 100
up from 50 today
+67% Lift
Revenue Upside
$19,654
per 100 referrals, up from $14,379
+37% Lift
Efficiency Upside
~89% faster on low-acuity cases
Routing low-acuity referrals via Pointwell through demand partners frees specialist time for complex, high-value cases.
Shifted low-acuity cases return specialist hours
Hours/week per specialist · 24 clinical hrs/wk, today's mix 60% low / 40% high-acuity
50% of Low-Acuity → Pointwell
High-acuity hrs/wk
Low-acuity hrs/wk
70% of Low-Acuity → Pointwell
High-acuity hrs/wk
Low-acuity hrs/wk
Assumptions: 24 clinical hrs/week per specialist · today's mix is 60% low / 40% high-acuity · 30 min/visit high, 40 min/visit low · 50–70% of low-acuity migrates to Pointwell at ≤20 min specialist time

Ready to explore a partnership?

Whether you're a specialty group, health system, CIN, or health plan — let's talk about what Pointwell can unlock for your organization.

Get in Touch
Scale & Impact

Built to scale across every specialty and every market

Growth Levers

Six levers for Pointwell growth

Structural advantages that compound as the network scales.

Land & Expand

Win one health system, activate the network

Winning one anchor health system catalyzes growth through the referral relationships of that system's own employed and affiliated providers — turning one contract into a network effect.

EHR-Native

Depth of integration prevents churn

Pointwell renders inside the EHR via iFrame, powered by SMART on FHIR — unlike competitor tools. That depth of integration with the existing clinical workflow is what drives adoption and prevents churn.

EHR Interoperability

One intelligence layer, many EHR instances

Pointwell's unified clinical intelligence layer connects referral workflows across multiple EHR systems — enabling health systems to extend specialty expertise beyond their own platform.

340B Tailwind

Regulatory headwinds become our tailwind

Regulatory headwinds make it harder for academic medical centers to capture 340B value intentionally. Pointwell pairs their specialty expertise with rural, community, or low-resourced 340B-eligible partners — treating patients locally as intended.

Rural Health Grants

$50B federal initiative through 2030

A $50B federal initiative distributed to states through 2030; many grants explicitly cover connectivity and specialty care expansion — with additional grant cycles coming April 2027.

Upsell Levers

Multiple upsell levers per account

New specialty modules, additional demand partner activations, and expanding provider adoption within an existing health system all drive revenue growth from a single anchor relationship.

Two use cases on the horizon
Payer Partnerships

Payer Partnerships (Medicaid)

Once the model has enough specialty expertise and override data, offer payers retrospective claims review against Pointwell's structured diagnostic workup steps, and a specialty referral routing hub that speeds access and drives savings.

Cross-System Exchange

Cross-System Expertise Exchange

Health systems lacking a subspecialty connect with ones that have it, delivering structured workup expertise via Pointwell — domestically, and internationally, where several clients have already asked for this.

Rural Health Transformation Grant

Unlock a Rural Health Transformation grant in your state

Federal Rural Health Transformation grants are available in most states to support specialty care expansion and care connectivity — and Pointwell qualifies as a fundable implementation. We'll help you identify and apply for an RHT grant in your state in support of your specialty care expansion goals. These grants can cover implementation, integration, and the ongoing cost of the platform.

Reach Out Now — We'll Help You Apply

Interested in working with us?

Get in Touch →
Contact

Let's talk specialty care infrastructure

Whether you're a health system looking to reduce referral leakage, an APP clinic or CIN looking to expand your specialty reach, or an investor — we'd love to connect.

info@nxtpi.com

We're building Pointwell for health systems that want to stop losing patients to outside referrals — and for CIN providers that want to offer more to their communities.

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