Discharge delays are a $100 billion problem. Dashboards won't fix it.

Metrias deploys remote expeditors — supported by AI task tracking — to clear the non-clinical bottlenecks that keep patients stuck in beds. We're not software. We're the bandwidth your team doesn't have.

Founded by Mene Demestihas, MD — Emergency Physician & Former Health Tech CMO

The Execution Gap

Hospital case managers are drowning. The average SNF referral acceptance rate is 37% — meaning your team sends nearly seven referrals to place one patient. Prior authorization delays add 2+ days to rehab transfers. The dashboards flag these problems. Nobody has bandwidth to fix them.

Existing solutions predict delays. Metrias resolves them. Our expeditors make the calls, chase the authorizations, and grind through rejection lists until the patient moves. We capture every barrier and intervention in structured data — building the attribution layer that proves what worked.

For Self-Insured Employers

Every extra hospital day costs you $2,500–$4,000. We get your people home faster.

When your employees are hospitalized, you pay per diem. Discharge delays aren't just a patient experience problem — they're a direct hit to your benefits spend. Metrias acts as a concierge discharge service for your covered lives, embedded in hospital workflows to accelerate safe transitions home.

Unlike telephonic navigators who call after the fact, we're inside the clinical workflow — coordinating with hospitalists, case managers, and post-acute facilities in real time.

Currently validating with mid-size health systems. ROI model built on peer-reviewed LOS data. Targeting 0.5+ day reduction per intervention — $1,250+ savings per case at conservative estimates.
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For Capacity-Constrained Systems

If your ED is boarding admits, every blocked bed costs you $15,000+ in lost DRG revenue.

At 85%+ occupancy, discharge delays aren't about saving money — they're about survival. Patients boarding in the ED cost nearly double what they'd cost on the floor. Surgical cases get cancelled. Ambulances divert.

Metrias provides dedicated expeditor bandwidth to your case management team. We take the non-clinical logistics off their plates — SNF placement calls, transport coordination, DME orders, prior auth follow-up — so your licensed staff can focus on complex clinical transitions.

Designed for 200+ bed systems at capacity. 30 mock coordination workflows validated. No EHR integration required to start — we operate via secure virtual rounding.
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The Model

Expeditors

Trained medical assistants dedicated to discharge logistics. They make the calls your case managers can't get to.

AI Task Engine

Every barrier, intervention, and resolution is captured in structured data. We build the audit trail that proves what worked.

Attribution Layer

Payer-grade documentation of LOS impact. Designed to survive actuarial scrutiny for shared savings models.

About Metrias

Metrias Medical was founded to solve a problem I saw every shift in the emergency department: patients ready to leave, stuck waiting for a fax, a callback, a bed that wouldn't open. The dashboards told us what was wrong. Nobody had time to fix it.

I built Metrias to be the execution layer — the bandwidth hospitals need but can't hire, aligned with the payers who actually benefit from efficiency.

MD

Mene Demestihas, MD

Emergency Physician · Former Health Tech CMO · Founder

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Or email directly: mene@metriasmedical.com