Pointwell partners with health system specialists to codify their visit types and diagnostic protocols — enabling PCPs and APPs to perform guided, AI-supported workups before the specialist visit. Specialists stay central, focus on what they do best, and see more patients.
We're not the doctors.
We turn specialist knowledge into infrastructure.
Pointwell is the platform that codifies how great specialists work — translating their clinical expertise into repeatable, AI-guided pathways that any PCP or APP can execute. The specialist remains the expert. Pointwell makes that expertise scalable.
Only the largest academic medical centers can economically support dozens of specialty service lines. This leaves rural, underserved, and Medicaid patients without timely access — and leaves health systems bleeding revenue through avoidable referral leakage.
Of the US population experienced a barrier accessing specialty care for themselves or their family in 2024.
Of specialty offices face challenges accepting Medicaid patients — vs. 96%+ for private insurance.
Average wait time for a physician appointment across six specialties in 15 major US metro areas — up 19% since 2022 and 48% since 2004.
Of ED doctors note that ED visits have risen because patients cannot obtain specialty care in a timely manner elsewhere.
Of rural counties in the US have zero adult rheumatologists — 95% of specialists cluster in urban areas.
Physician shortfall projected by AAMC by 2036 — while the NP workforce is expected to grow 46% by 2031.
Rural patients face severe geographic bottlenecks, with local hospital closures forcing many residents to travel 20–40 miles further for routine or specialized services. The problem compounds every year specialist supply doesn't keep up with demand.
This widespread issue not only fragments patient care — it also strains healthcare finances, often without health systems fully understanding the extent of their losses.
Specialists can drive up to $2.7M annually for health systems, compared to primary care which drives ~$1.4M. Losing that referral pathway means losing far more than the visit itself.
Annual patient leakage costs per physician, directly impacting health system profitability — often invisible on a line-item basis but compounding across every specialty gap.
The average percentage of revenue hospital systems lose on out-of-network referrals. Every patient sent out becomes downstream labs, infusions, and prescriptions that leave with them.
Of Medicare expenditures are attributed to care beyond primary care. Specialty care isn't a feature of health systems — it's the financial core. Leakage in this layer is existential.
Many health systems experience at least one of the following three gaps across different specialties — and Pointwell is designed to fit the full spectrum, from zero coverage to an overloaded practice.
"We can't afford to recruit or retain a rheumatology practice — and there's no substantive practice nearby. Patients are referred to distant providers with long wait times."
"We have a strong local dermatology partner, but wish we could retain more of this caseload — referring out only the most complex cases."
"We have an endocrinology practice, but backlog and wait times are a problem. We're vulnerable to referral leakage and need help managing demand without compromising our specialists."
Pointwell doesn't replace specialists — it extends them. By codifying specialist visit types and diagnostic protocols, Pointwell enables PCPs and APPs to complete the workup before the specialist joins, so every specialist minute goes toward expert diagnosis and treatment.
Pointwell's AI reviews PCP notes, recommends the appropriate specialty visit type, and surfaces the specialist-approved diagnostic workup — all before the specialist joins.
Specialists define visit taxonomy and workup protocols with Pointwell, embedded into existing health-system workflows.
AI analyzes PCP notes and recommends the optimal specialty visit type for every incoming referral.
Pointwell automatically identifies and connects the right credentialed specialist for review and approval.
The PCP completes the specialist's checklist; Pointwell generates an AI-powered summary before the specialist joins.
Specialist joins virtually — live or async — while the PCP stays with the patient. Fully prepared, the specialist focuses on diagnosis.
Specialist notes recorded; PCP owns prescriptions and ongoing care — entirely inside the health system.
Patients access specialty care sooner through guided PCP workups that prepare for the specialist visit.
Specialists see more patients by focusing exclusively on high-value diagnosis and treatment — not intake.
Keeps the specialty visit, downstream labs, infusions, and prescriptions inside the health system.
Increasing NP and PA productivity to meet the national median represents $1.1–$3.6M in additional annual collections per health system.
Pointwell creates aligned incentives across the care team — health systems retain patients and revenue, while APPs and PCP clinics gain scope, satisfaction, and financial upside.
Pointwell fits wherever you are on the specialty access spectrum.
Referrals arrive with completed workups, allowing specialists to focus on diagnosis and treatment rather than intake — increasing throughput without adding staff.
Redirect lower-acuity visits to PCP clinics powered by Pointwell, reducing specialist backlog while retaining patients and downstream revenue in-system.
Deploy an NP or PA to bridge specialty gaps, retain patients, and generate immediate revenue — without full specialist recruitment costs or timelines.
Attract new patient volume from PCP clinics, filling specialist schedules and preventing backlog from forming in your main specialty department.
Pointwell lets advanced practice providers do more — and earn more.
Pointwell's codified pathways are designed for high APP compatibility, enabling NPs and PAs to perform meaningful diagnostic work — increasing utilization and professional fulfillment.
Rather than sending patients out and losing the thread, Pointwell-enabled PCPs and APPs stay at the center of the care journey — coordinating workup, visit, and follow-up in one place.
Pointwell's model includes revenue participation for APP providers involved in specialty encounters — creating direct financial upside tied to the value you help generate.
Each specialty's visit types are stratified by oversight model — keeping the majority of care in-system while routing only the most complex cases to the specialist directly.
Visits handled by APP — with async or sync specialist oversight — are managed entirely by the demand partner (health system / PCP clinic), including all downstream labs, prescriptions, imaging, and follow-up care.
The most complex, high-acuity cases — requiring specialist-direct management — are routed to the specialty supply partner, delivering higher-LTV patients where specialist expertise is most needed.
Visit type distribution is illustrative. Actual stratification is defined collaboratively with each health system's specialist leadership during the codification phase.
Pointwell targets specialties with significant hospital coverage gaps, high APP (NP/PA) suitability to perform the diagnostic workup, and large underserved patient populations.
Every Pointwell encounter generates value across three distinct streams — each allocated to the party whose contribution created it. The model is built on established billing infrastructure, not novel reimbursement pathways.
Standard E/M visit reimbursement generated by the APP or PCP during the primary care encounter. All revenue flows directly to the APP/PCP location — structured identically to any primary care office visit.
Specialty encounter reimbursement follows the standard CPT code Technical Component (TC) / Professional Component (PC) split, modeled on CMS rates. The PCP location bills the TC; the specialist bills the PC — each receiving the portion attributable to their role.
Where eligible, participating health system locations may access federal drug pricing programs on qualifying prescriptions generated through the care pathway. Value is shared across the health system, APP location, and Pointwell per mutually agreed rates.
The founding team has a proven track record building and exiting a healthcare technology company — growing it from concept to 70M users and a successful acquisition by a publicly traded health company (NASDAQ: GDRX).
Backed by Austere Moose Partners — a venture studio founded by the co-founders of GoodRx, who built one of the most widely adopted consumer health platforms in the US. Their operational experience in healthcare distribution and health system partnerships is directly relevant to Pointwell's model.
Whether you're a health system closing an access gap, a specialist group looking to extend your reach, or an APP clinic ready to practice at the top of your license — we'd like to hear from you.
Tell us a bit about your organization and what you're looking to explore. Our team will follow up directly.