Last updated: 2026-09-24
Framewise Health is a FHIR-native AI patient engagement platform that converts hospital EHR discharge data into a clinician-reviewed recovery video, sent to the patient by SMS in minutes with no app or login needed. Founded in 2026 and backed by Y Combinator, it connects to 6 EHR systems including Epic and Oracle Health (Cerner) across US hospitals and specialty clinics.
About Framewise Health
Framewise Health is an AI-native patient engagement platform founded in 2026 by Tane Kim (CEO) and David Cui (CTO), who met during freshman orientation at Brown University and are backed by Y Combinator's Spring 2026 batch. The CDC's National Hospital Discharge Survey has put annual U.S. hospital discharges at roughly 34-35 million patients a year in its most recent published counts, and poor discharge education is a well-documented driver of preventable readmissions. Framewise Health was built to close that gap by turning a patient's own EHR record into a short recovery video that a clinician signs off on before the patient leaves.
Tane Kim observed more than 500 patient interactions across a dozen healthcare institutions before founding the company, after leaving Brown's BS/MD program. David Cui contributes computer vision research from Brown and engineering experience at Freya, a Y Combinator S25 voice AI startup. Framewise Health is headquartered in San Francisco at 800 Indiana Street, runs entirely through the browser with nothing for a hospital's IT team to install, and carried a two-person team as of its most recent YC listing.
The product pulls structured discharge data (diagnosis, medications, allergies, preferred language, reading level) from any FHIR R4-speaking EHR, generates a personalized video, routes it to a clinician for sign-off, then delivers the link by SMS before the patient leaves the building. The SMS side runs as its own consented program: patients or caregivers opt in with a signed form during intake or discharge planning, receive up to 14 messages over the 30 days after discharge, and can reply STOP at any time to leave the list. None of this requires a downloaded app, a portal login, or a new account.
Where it falls short: Framewise Health publishes no pricing, no self-serve signup, and no named hospital or pharma customers, so every evaluation starts as an enterprise sales conversation rather than a trial. The mandatory clinician-review step is the right safety call, but it also means the video pipeline is only as fast as whoever is available to approve output at the moment of discharge. It is also a two-person, single-batch YC company competing for attention against category-general AI video platforms like Synthesia and HeyGen, neither of which offers FHIR integration, a clinician-review workflow, or a signed HIPAA BAA, so they solve a different problem even though a buyer comparing "AI video" line items may see them side by side regardless. On the healthcare side of HokAI's own industry-focused tools, three records make a useful contrast rather than a substitute: Sohar Health automates insurance-eligibility checks on the back office, Abridge turns doctor visits into Epic notes as an ambient clinical scribe, and Mecha Health, a radiology-report drafting startup HokAI tracks in its companies directory, works on chest X-ray reads rather than discharge; none of the three is patient-facing discharge education, which is the specific gap Framewise Health is built to fill.
For buyers weighing this against the wider AI-video market, HokAI's AI video generation category also tracks general-purpose platforms like Runway, text-to-video editors like Descript and Veed. The multilingual voice layer behind a video like Framewise Health's typically leans on text-to-speech infrastructure comparable to what ElevenLabs sells standalone, though Framewise Health has not disclosed which vendor it uses. A hospital running a wider AI vendor search across categories, not just patient-facing video, can start from HokAI's Smart Match matcher or browse the full tool directory and guides for buying context.
Screenshots
Pricing
Framewise Health does not publish pricing. Every account is a custom enterprise contract negotiated directly with the hospital, specialty clinic or pharma team, with no self-serve checkout and no free trial at any level. Factor in clinician time for the mandatory video-review step when budgeting, since that cost sits outside the software fee.
com to start a quote.
Key Features
- FHIR R4 EHR Integration: Connects directly to Epic, Oracle Health (Cerner), Athenahealth, ModMed, eClinicalWorks, and NextGen using FHIR R4, requiring no custom IT development from the hospital.
- AI Video Personalization: Generates each video using the individual patient's name, diagnosis, medications, allergies, and reading level pulled automatically from EHR discharge data.
- 75+ Language Support: Automatically produces discharge videos in over 75 languages, allowing hospitals to serve multilingual patient populations without manual translation or interpreter calls.
- Consented SMS Delivery: Sends the video link by SMS under a documented opt-in program (signed consent at intake, up to 14 messages over 30 days post-discharge, reply STOP to leave), with no app, account or portal login required.
- Clinician Review Workflow: Routes each AI-generated video to a clinician for review before delivery, ensuring medical accuracy and institutional protocol compliance before the content reaches any patient.
- Patient Comprehension Tracking: Provides care teams with real-time data on which patients have watched their discharge video, identifying who may need follow-up before and after leaving the hospital.
Pros
- Authorizing a FHIR connection into an existing EHR is close to the entire integration step for hospital IT, with no bespoke API work required on either side.
- Patients leave with a video they can replay at home instead of a rushed verbal handoff or a paper sheet they lose, which discharge coordinators cite as the main reason for adopting it.
- Language coverage is unusually deep for this category, since most discharge-video competitors ship English plus one or two languages, closing a real access gap for non-English-speaking patients.
Cons
- No published pricing or self-serve tier, so smaller clinics without a formal vendor-review process have to run a full enterprise sales cycle just to see numbers.
- Every video needs a clinician's sign-off before it reaches a patient, which is the safer design but means release can stall if nobody is free to review it at the moment of discharge.
- A two-person, single-batch YC team with no publicly named hospital or pharma customers yet, so long-term support depth and roadmap maturity are unproven next to established patient-engagement vendors.
Data Handling
- Training-data policy
- Patient data is processed to generate personalized video content. HIPAA BAA in place. End-to-end encryption and audit logging on all data flows.
- Compliance
- HIPAA · SOC 2 · AWS BAA
Frequently Asked Questions
What are Framewise Health's pricing plans in 2026?
Framewise Health sells enterprise contracts negotiated directly with each hospital, specialty clinic or pharma account; there are no published tiers, self-serve checkout or free trial. Budget conversations should also account for clinician time on the mandatory video-review step, since that isn't part of the software fee. Reach the vendor at contact@framewisehealth.com to start a quote.
Does Framewise Health have a free plan?
There is no free plan. Framewise Health sells only enterprise contracts to hospitals, specialty clinics and pharma teams, and there is no trial tier or online signup at any level, so evaluating it starts with a sales conversation instead of a signup form.
What should you use instead of Framewise Health?
Telesofia Medical builds the closest like-for-like product: personalized discharge and medication-adherence videos delivered to hospital patients. Luma Health and Artera are broader patient-messaging and scheduling platforms some hospitals use instead of a dedicated video tool, and Klara focuses on two-way care-team messaging rather than automated video generation. None of these currently has a HokAI listing, so verify current pricing and integrations directly with each vendor.
Is Framewise Health better than Telesofia Medical?
Both generate personalized discharge and adherence videos from a patient's medical record, but Framewise Health builds its workflow specifically around the discharge moment, pulling live from the EHR via FHIR R4 and routing every video through a mandatory clinician review before release. Its published language coverage is broader than most discharge-video competitors, which matters for hospitals serving large non-English-speaking populations. Neither company publishes public pricing, so the real difference for a given hospital usually comes down to which platform's EHR integration and clinician workflow fit better.
What does it take to start using Framewise Health?
Starting requires a sales conversation first, since Framewise Health has no online signup path. Once the contract is signed, the hospital's IT team authorizes a FHIR R4 connection into its EHR and assigns which clinicians review each generated video before release. After that one-time integration, discharge videos generate and send automatically whenever a patient is marked ready to leave.
Top Alternatives
- Sohar Health: Pick Sohar Health if the healthcare-AI problem you're solving is automating insurance-eligibility checks on the back office, not patient-facing discharge video.
- Abridge: Pick Abridge if you need an ambient clinical scribe turning the visit itself into Epic notes, not a discharge video the patient takes home.
- Synthesia: Pick Synthesia if you need a general AI presenter video without FHIR integration, clinician review, or a signed HIPAA BAA.