Ready for ASM · January 1, 2027

The operating system for value‑based pain care.

PainOS lets one pain physician care for ten patients in a single group visit, tracks every outcome between visits, and documents exactly what Medicare's Ambulatory Specialty Model scores.

  • Built for pain medicine
  • Clinician-led
  • Explainable
  • Decision support
10
patients per group visit
9%
of Part B pay at stake in 2027
4
ASM categories scored live
PainOS patient profile with body scan, risk score and trends
↓
NRS −2.1Group cohort B · 12 wks
●
Check-in receivedjust now · PT-D014

Developed with

One view. Better decisions.

Group pain care, measured

We pair clinical AI with a human group-care model, so every patient is heard between visits and every outcome counts.

Daily pain check-ins · 7-day average

Pain down 3 points since group start

AI insight

Pain interference is down 18% over four weeks. Sleep is still poor, so consider adding CBT-I to Thursday’s group.

Decision support · the clinician decides

Pain domains

Progress toward each patient’s goals, across validated measures.

↗
  • 72%Pain intensity
  • 64%Function
  • 81%Mood
  • 58%Sleep
A clinician reviewing a patient's progress on a tablet
A clearer picture of pain

Illustrative demonstration data.

A clearer clinical picture

Less hunting. More treating.

PainOS turns scattered pain data into one clear clinical picture, so physicians make safer, more confident decisions at every visit, and the visit stays on the patient instead of the chart.

◉

See the whole patient

Body map, pain trajectory, medications, opioid load, risk signals and validated scores (NRS, PHQ-9, GAD-7, PROMIS) in one clinical view.

✦

Ask PainOS

Ask about a patient or a whole cohort and get a short summary or a draft message, built from what is in the record, without leaving the visit.

✓

Treat safer by default

Opioid dose and risk, kidney and liver context, missed check-ins and follow-up gaps surface before they become misses.

Platform

Care that delivers results

Three connected surfaces, one record: what patients report, what the care team acts on, and what Medicare scores.

PHQ-9 · item 4 of 9Feeling tired or having little energy?
Not at allSeveral daysMore than half

Pain.IQ check-ins

Patients answer NRS, PHQ-9, GAD-7, PROMIS and a body map from their phone. Reminders follow each patient's group schedule, so data arrives before the visit.

See a patient profile →
  • PT-D018MME 120 + PHQ-9 17
  • PT-D011No check-in 30 days
  • PT-D004PROMIS-PI T 64

Risk console

AI groups patients into cohorts and surfaces who needs attention first: high opioid doses, worsening depression, missed check-ins. Your clinicians decide what happens next.

See patients ranked by risk →
Quality Cost IA PI

ASM readiness

Every measure the Ambulatory Specialty Model pays on, scored as you go: quality, cost drivers, improvement activities and interoperability.

View ASM scoring →

Take a look inside

One command center for the whole pain program

PainOS patient profile: Body scan, risk score, trends and the next best action for one patient.PainOS patient registry: Every patient ranked by risk, with pain, mood, opioid load and check-ins.PainOS asm program: Likely ASM episodes, projected downside and which measures are failing.PainOS asm readiness: A step-by-step launch plan with an owner for every task.

Body scan, risk score, trends and the next best action for one patient.

Every patient ranked by risk, with pain, mood, opioid load and check-ins.

Likely ASM episodes, projected downside and which measures are failing.

A step-by-step launch plan with an owner for every task.

Real PainOS screens with demonstration data.

How it works

From signal to next step.

A clinical workflow that makes complex pain easier to see, discuss and act on, for one patient or a whole group.

  1. 01

    Orient

    Start from a structured view of pain, function, mood, medications and history.

  2. 02

    Understand

    PainOS connects trends, risks and treatment response across visits.

  3. 03

    Act

    Walk into the visit or the group session with the next best conversation and a clear plan.

Technology

Advanced technology. Human care.

⧉

Group visits that scale one physician

PainOS assembles cohorts of up to ten similar patients, builds the session plan from their latest check-ins, and drafts each patient's note afterwards. Group medical visits are established, billable care.

Plan a pilot

Patients stay in the loop

Short check-ins, progress patients can see, and reminders tied to their group.

Connected to the EHR

A read-only FHIR connector pulls problems, medications and encounters, so nobody re-keys data. Running today in Epic's sandbox.

Built on the certified FHIR R4 APIs of the EHRs pain practices use

  • EpicSandbox live
  • Oracle HealthFHIR R4
  • athenahealthFHIR R4
  • eClinicalWorksFHIR R4
  • ModMedFHIR R4
  • NextGen HealthcareFHIR R4
  • MEDITECHFHIR R4
  • VeradigmFHIR R4

Safety layer

Built to slow down the risky moments.

  • Opioid dose (MME) and risk thresholds
  • Kidney and liver context from labs and diagnoses
  • PDMP checks and early-refill flags at every opioid visit
  • Validated outcomes tracked over time

Built for trust

AI that knows its role.

PainOS does not replace clinical judgment. It gives clinicians a more complete picture, shows why it flagged something, and leaves the final call with the physician.

✓ Decision support, not autonomous care.

Make every pain visit more actionable.

Bring a clearer operating system to your practice.

Request a demo →

Medicare's Ambulatory Specialty Model

ASM is mandatory. The clock is running.

Starting January 1, 2027, 3,341 named pain and other specialists are paid up or down on patient outcomes: up to ±9% of Part B in year one, rising to ±12%. PainOS is built for that date.

Check your readiness →
--days
--hours
--minutes

until the first performance year begins

Evidence

Group care works

The clinical model behind PainOS is not new. What's new is software that lets a single practice run it and prove it.

451

patients in a 2026 randomized trial of group-based chronic pain care.

84%

lower median opioid dose after group pain care in a published cohort.

$560B+

annual U.S. cost of chronic pain in care and lost productivity.

Book a demo

See PainOS with your own workflow

  • 30-minute walkthrough with a clinician
  • ASM exposure estimate for your practice
  • Pilot plan for your first group cohort