Health technology for the moment of care.
200Health, Inc. develops decision-layer technology for the moment a decision can still change the outcome. Our products are NeXtriage — a patient-facing care-channel decision layer — and AdherenceStar, which finds the medication-adherence gaps a health plan can still recover.
Closing the decision-moment gap in U.S. health care.
200Health, Inc. builds decision-layer technology on a narrow principle: neither of our products makes a prediction. Each computes, from data a health plan already holds, which options are still open — and puts that in front of the person who has to decide.
For a patient with symptoms, the open options are the in-network care channels actually available; NeXtriage presents them, coverage attached, at the moment of a choice that has, for decades, made the emergency department the default for non-emergent care. For a health plan, the options close on a schedule that is pure arithmetic: every uncovered day lowers the best adherence result a member can still reach, and AdherenceStar computes the date each member becomes mathematically unreachable. In both, the decision stays with the people accountable for it — patient and clinician, plan and care team.
Both products are early: NeXtriage is patent-pending, AdherenceStar is onboarding its first plans. We intend to be held to two measures — appropriateness-of-channel selection, and adherence recovered inside the measurement year — and to report them when they exist.
NeXtriage
Our flagship product. NeXtriage shows a patient appropriate care-channel options — emergency department, urgent care, telehealth, same-day clinic — each annotated with the patient's in-network coverage, and (when transport is a barrier) the option of a covered rideshare. The patient picks. Clinical decision-making stays with the patient and their treating clinician.
A patient-initiated symptom assessment, offered through their health plan before any transport is dispatched. For clinically appropriate low-acuity cases, NeXtriage presents in-network care channels — and, when transport is a barrier, a covered rideshare. The patient sees the recommendation in plain language and makes the final choice.
Inside the emergency department, real-time condition tracking and faster intake keep clinical teams in control — from first call to discharge.
A patient-facing care-channel decision layer for the moment of symptom-driven decision-making. Patent pending (USPTO Application No. 64/052,897). Emergency triage from first call to discharge.
AdherenceStar
Our second product. AdherenceStar computes medication-adherence performance for Medicare Advantage and Part D plans from their own claims — member by member, against the CMS specification for that measurement year. It identifies which members can still reach the 80% threshold, the date each one becomes mathematically unreachable, and what each recovery is worth in star movement. The outreach stays with the plan's own quality, pharmacy, and care-management teams.
Of the 516 Medicare Advantage plans that compete each year, 207 earn a benchmark bonus. Nationally, 30% of Medicare Advantage enrollment sits in a contract rated below four stars. What separates those groups is often a few hundred members whose prescriptions ran out early — and who can still be recovered.
Proportion of days covered, calculated member by member from the plan's own claims against the exact specification for that measurement year — then reconciled line by line against the official CMS report before anyone acts on it.
Any report can name a plan's non-adherent members. AdherenceStar computes the date each one becomes mathematically unreachable, and ranks them by what the recovery is worth in star movement.
CMS retires eleven measures by 2029 and moves every cut point annually. Each measurement year ships as a versioned rulepack — an update the plan receives, not a release it waits for.
No delegated clinical staff and no multi-month integration. Two files uploaded, results the same day. The plan keeps the members, the outreach, and the relationship.
A claims-based adherence platform for Medicare Advantage Prescription Drug and standalone Part D contracts. Three of the six Part D measures that decide the rating are triple-weighted, which makes them the largest single lever available inside a measurement year. In active development; onboarding early plans now.
Contract counts and cut points are drawn from the CMS 2026 Medicare Advantage and Part D Star Ratings Fact Sheet and the 2026 Part C & D Star Ratings Technical Notes. Measurement-year illustrations use synthetic data. AdherenceStar is an independent product, not affiliated with or endorsed by the Centers for Medicare & Medicaid Services.
Built by clinicians, operators, and technologists.
Bill Shoap
Chief Executive Officer
Bill leads the vision and strategy at NeXtriage. A technologist with twenty years across healthcare data, applied machine learning, and product, he drives the company's mission to modernize emergency department triage from first call to discharge. Based in Nashville, Bill is focused on building partnerships that bring NeXtriage's decision-layer technology to payers and hospitals nationwide.
Kendra Shoap
Chief Relationship Officer
Kendra leads partnership development and stakeholder relationships at NeXtriage. With over a decade of experience in wellness advocacy, public relations, and business networking, she builds the connections that bring NeXtriage's solutions to healthcare organizations. Her background in client engagement makes her a natural bridge between the company and the communities it serves.
Lindsey St. Cyr
Clinical Co-Founder, MSN-FNP
Lindsey is a healthcare entrepreneur and operator with experience building and scaling health tech companies. A Fellow of the American Academy of Nursing (FAAN) and Vanderbilt University graduate, she brings frontline clinical insight to NeXtriage as Clinical Co-Founder, ensuring the platform is grounded in real-world care delivery across the U.S. and Canada. She is also a founding member of the Smart Health Benefits Association and a vocal advocate for redesigning healthcare systems to prioritize early intervention and value-based care.
Miriam Davis
Chief Finance Officer
Miriam is a CPA and MBA with Big 4 experience and over 20 years of financial and analytical expertise. As founder of MMR CFO Services, she has guided businesses from startups to mid-sized companies through strategic financial planning, forecasting, and growth. Her sharp financial insight ensures NeXtriage operates with fiscal discipline while scaling its impact across the healthcare industry.
Bob Yeager
Advisor
Bob is a former healthcare executive and current healthcare investor.
A health-technology company built on patented IP.
200Health, Inc. develops NeXtriage — a patient-facing care-channel decision layer — from Nashville, Tennessee. Founded in 2026, the company is built on patent-pending intellectual property covering its core technology.
Investors, partners, and prospective customers welcome.
We are actively in conversation with health plans and investors. Direct inquiries are answered personally by the founder.