Campus to Commure: University of Maryland

Care doesn’t end when the IV comes out and the telemetry monitor is silenced. Once patients leave the hospital, most of their recovery plays out at home, where daily choices and limited support determine whether care plans hold or drift. The journey spans far more than a series of visits, and the handoff between settings shapes everything that follows.

For years, the default response was to add people and stretch shifts to cover every detail of discharge. Unfortunately, that approach almost always breaks down under staffing shortages, constrained resources, and slipping engagement.

What is needed now is a smarter layer of support that helps teams guide patients through the days and weeks after they leave. With the right technology, instructions carry forward, risks surface sooner, and transitions become easier for patients and clinicians to navigate.

What are transitions of care, and what are the risks?

Transitions of care are the handoffs between settings in a patient’s journey, like discharge from the hospital, a move to rehab, or the shift to at-home care. These moments are vulnerable. One study found that nearly 20% of patients experience adverse events within three weeks of discharge.

Another large contributor to failed transitions is handoffs between providers. One study showed the likelihood of 30-day hospital readmission increases by 16 percent with just a single handoff, and one in four hospitalizations during home health care could be avoided if handoffs were eliminated.

When handoffs falter, care teams feel the strain. Workloads rise, scarce resources get stretched, and frustration grows as avoidable issues return to the front door. The result is less time for top-of-license work, weaker communication, and a higher chance that small problems escalate into patient harm.

How can transitions of care be improved?

To fix transitions, start with why they break down. Discharge information is often incomplete or hard to follow, which leads to missed medications, drift from the care plan, and preventable readmissions.

The strongest lever to combat this breakdown in care is standardized, clear communication at discharge and across settings. Studies have found that communication interventions at the point of discharge are strongly associated with fewer readmissions, as well as better treatment adherence and patient satisfaction.

However, conversation alone is not enough because patients forget more than 50 percent of what is discussed. It is important to reinforce instructions with timely reminders and anticipatory guidance delivered where patients will actually see and use them.

How can digital healthcare help with transitions of care?

Closing the gap after discharge takes more than a conversation at the bedside. An intelligent care enablement platform gives patients and clinicians continuous support as care moves from hospital to home. Here is how they can help:

1. Streamlining care coordination

A unified view of the patient’s journey helps teams act quickly and consistently. With Commure Engage, clinicians can see patient messages alongside history and prior touchpoints, then loop in the right colleagues from an EHR-integrated workspace so nothing gets lost between settings.

2. Automating care follow-up

Refills, check-ins, and reminders are essential yet time-consuming when handled manually. Automation ensures every patient gets timely outreach and symptom checks, while clinicians spend more time at the top of their license and less time chasing tasks.

3. Educating patients

Discharge education fades fast. Conversational AI keeps teaching alive after the hospital stay by answering plain-language questions, reinforcing critical steps, and guiding patients to next actions with clinically reviewed content.

4. Simplifying symptom management

New or confusing symptoms often drive unnecessary calls and readmissions. A virtual assistant can respond in real time, ask clarifying questions, and escalate to the appropriate clinician when needed, giving patients clear direction and care teams actionable context.

5. Improving remote patient monitoring

Once patients are home, visibility drops. SMS-based outreach meets people where they are, captures status through brief check-ins, and flags issues early. That reduces back-and-forth in portals, clears up miscommunication, and keeps transitions moving in the right direction.

Ready for smoother transitions of care?

Every organization has its own hurdles, but the fix begins with clear communication and a platform that keeps guidance consistent from bedside to home. Commure Engage was built to do exactly that, so patients land on their feet and care teams stay aligned.

See Commure Engage in Action

You likely had several options — why did you choose Commure?

Alvin Tsui, Software Engineer (BS Computer Science & Engineering ‘23): I chose Commure because I wanted to dive deeper into the complex healthcare technology space and work directly with customers to build software that makes a real difference. As a recent graduate, I was drawn to the fast-paced environment and the chance to make an immediate impact. Since joining, I’ve learned a tremendous amount, not just from collaborating with customers but also from working closely with engineering peers and cross-functional teams across the company. From the start, the openness of the team and the culture of continuous learning also stood out. I wanted to be part of a group that cared deeply about the mission while pushing each other to grow and achieve ambitious goals together.

Zachary Little, Strategic Partnerships (BS Computer Science & Informatics ‘19): I wanted to work alongside a group of smart & hardworking people applying AI to healthcare. My passion for applying technology to healthcare started in my Junior year at UC Irvine, and the opportunity to further that mission at Commure was extremely compelling for me. This is a group of brilliant technologists, operators, and clinicians co-developing cutting-edge technology with the nation’s leading health systems. There is an incredible amount of opportunity to contribute to making the system more efficient, and through that to directly contribute to making people’s lives better.

Aditya Kishen, Head of Product Engineering, RCM (BS Computer Science & Informatics ‘21): I chose Commure because of the people. From the moment I interviewed, I could tell the engineers here were not only incredibly smart and determined but also kind and empathetic. I was looking for a place that was fast-paced and mission-driven, and Commure offered exactly that. I wanted to build alongside people who are deeply motivated to solve real problems every day — and that’s exactly what I found. On a personal note, almost all of my family are doctors, so I’ve seen firsthand how demanding and challenging the medical profession can be. The chance to make their lives even 1% easier through technology felt like a privilege. That alignment between Commure’s mission and my personal background made me feel like I was in the right place.

How have you grown?

Alvin:  When I first joined Commure, I had little understanding of how healthcare billing worked or the lifecycle of a patient. Over time, I have gained a strong grasp of how appointments are billed to insurance and the tools providers rely on to document and track patient progress. Just as importantly, I have grown as a developer by learning better patterns and standards for building scalable applications. I made plenty of mistakes early on, but each one has shaped the way I work today and helped me become a stronger engineer.

Zach: I’ve learned so much about the real-world work of hospitals and health systems through AI implementations at Commure. Technology can be interesting in a vacuum, but being able to connect directly with healthcare providers and administrators who are using our products to automate the biggest causes of burnout in their daily lives feels incredible.

Adit: I’ve grown in my ability to stay consistent, reliable, and pragmatic — qualities that are tested every day at a startup. There have been sprints where the stakes were existential for the product, and in those moments, you learn to step up. For example, I was deeply involved in rebuilding our core payments infrastructure for managing claims and later in finalizing our invoicing system. Those experiences taught me how to keep calm under pressure, break down complex problems, and focus on what matters most to move the product forward.

What is something you are really proud of accomplishing?

Alvin: I joined Commure as one of the early engineers on the EHR team and have been focused on building the product ever since. I still remember the excitement of our first launch and the thrill of seeing real customers use what we had built. Since then, I’ve had the chance to help drive numerous product launches, applying and refining the lessons learned along the way. Being part of developing the EHR end to end, scaling it, and watching it improve practice efficiency has been an incredibly rewarding experience.

Zach: I’m really proud of joining the company as an Account Executive, achieving 329% of quota in my first quarter, and moving into a Strategy & Partnerships team where I’m able to really leverage my commercial and technical skills to enable deep integrations with EHRs and Innovation Partners.  I’m really proud of helping two hospital systems with on-site enterprise-wide Ambient AI rollouts. One of the surgeons I onboarded told me, “I was planning to retire in the next year or two, and with this tool I’m rethinking that.” Our Doctors, Nurses, and Clinicians got into healthcare to take care of people, and historically have had to spend so much of their time on data entry and administrative work. Seeing this transformation on the ground in hospitals and health systems gives me a lot of pride in the work we do here. 

Adit: I’m proud of the work I’ve done helping to build out Insights, our practice management software. One of the biggest challenges was designing for multiple personas, front desk staff, back-office teams, and administrators, each with different workflows and expectations. We had to think carefully about how to support all of them. That meant building everything from a POS system for the front desk, to worklists for the back office, to reports for admins, and layering on automations to make the whole experience seamless. Knowing that thousands of healthcare staff rely on this system every day makes all the effort worthwhile.

What’s something you love about your team that has nothing to do with work?

Alvin: One thing I really appreciate is how approachable everyone is. It feels natural to ask for help at work, but also to share music we are into or plan a dinner after hours. Those casual hangouts make it easy to connect and bring a sense of fun and lightness to the workday.

Zach: I’ve never seen an environment like this where a bunch of the smartest folks I’ve encountered are rebuilding Healthcare. It’s electric.

Adit: What I love most is that this team genuinely shows up for each other. Beyond work, I’ve had opportunities to travel around California with my teammates and try new activities together — skiing, surfing, even sailing. Those shared experiences build trust and camaraderie that carry over into how we collaborate on a day-to-day basis. It feels less like just a workplace and more like a community.

What would you tell another UC Irvine student considering Commure today?

Alvin: I would tell them Commure is a place where you grow in every way, not just as an engineer but also as a teammate and problem solver. You get real exposure to healthcare and cross-functional work, and you see the direct impact of your code on patients and providers. The problems are tough, but the mission makes it all worth it.

Zach: Reach out to me. The transition from college to career can be a big jump, and I’m a few years further down the same path. I’m happy to help be a resource for you as you transition into the next phase of your life.

Adit: I would tell them that Commure is an incredible place to start a career if you want to make a real difference. Here, there are no artificial speed bumps — if you’re performing at the level of a senior engineer, you’ll be treated as one. Your growth isn’t limited by your title or years of experience; it’s defined by the impact you make. If you’re motivated, proactive, and willing to put in the work, Commure will give you the opportunity to learn quickly and contribute meaningfully from day one.

Interested in a career building the next generation of healthcare technology powered by AI? We are always looking for talented people across our departments.

Explore Career Opportunities

MEDITECH LIVE 25 put the spotlight on making everyday clinical and administrative work simpler and more consistent. The throughline was clear: reduce steps for clinicians, use shared data to guide decisions, and track outcomes you can verify.

As a MEDITECH Alliance partner, Commure joined to showcase our Ambient AI solution, which is embedded directly within MEDITECH Expanse and Expanse Now. Leading MEDITECH-powered organizations are leveraging Commure Ambient AI to streamline clinical documentation, reduce administrative burdens, and enable clinicians to focus more fully on patient care within their daily workflows.

After three action-packed days, two key themes stood out that will shape how health systems evaluate partners and implement AI technology in the year ahead.

AI Adoption Starts in the EHR

Effective AI adoption starts with meeting clinicians where they work, in the EHR. When solutions are EHR native, share context from the patient record, and protect data quality, adoption rises and results are easier to verify. It also eases burnout by cutting context switching and the need for duplicate entries.

Inside health systems, the efforts to move past pilots to lasting adoption share a few traits: clear goals that matter to patients and staff, a small set of stable measures that everyone recognizes, ownership that spans teams and time, and learning cycles tight enough to reflect real clinical experience. In environments like that, pilots expand more reliably, training stays manageable, and improvements show up in everyday work.

Platforms Over Point Solutions

Another key takeaway from conversations at MEDITECH LIVE 25 was something Commure has been a proponent of since the beginning: point solutions are dead. Healthcare has long been plagued by technology systems that don’t talk to each other. Each point solution creates a separate place to click, a separate data feed to reconcile, and a separate set of policies to maintain.

Health systems are increasingly looking for partners that provide a platform-powered approach to reconcile data across EHRs and other IT systems. 

By centralizing login, access controls, data flows, auditing, and vendor support, a platform approach enables each new capability to build on the last. Systems can start with a high-value need, such as clinical documentation, and then layer on adjacent capabilities and workflows, like revenue cycle management, without redoing integrations or retraining staff from scratch. The data stays coherent, which makes it easier to prove impact and easier to spot where to improve next.

Platform models pair a stable core with open standards so new capabilities can be added without disrupting existing workflows. For health systems, this means more clinician time with patients, faster patient access, and tighter revenue performance due to less solution bloat and better integrations between tools. When it comes to adding new solutions, the process is predictable, risk is lower, and the total cost of ownership improves as more needs run on one foundation.

MEDITECH LIVE 25 reinforced a simple plan of action: meet clinicians where they work and build on platforms that compound value instead of distributing it.

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Want to see how we apply these principles to MEDITECH customers? Speak with a Commure product expert today.
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Take the Platform Approach

No-shows continue to be a challenge in healthcare, with missed visits draining healthcare resources and impacting patient care outcomes. An MGMA poll found 88 percent of practices reported no-show rates staying the same or increasing versus 2024, while only 13 percent saw a decrease. 

With AI and digital health development moving at warp speed, how can providers leverage recent technology to change this trend? But first, let’s explore the effects no-shows and cancellations have on healthcare organizations.

The negative impact of no-shows and cancellations
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• Financial loss for providers - Missed visits remove revenue that is rarely recovered, while fixed costs continue. Fragmented schedules reduce productivity, contributing to an estimated 150 billion dollars in annual losses in the United States.
  
  
• Wasted resources - Capacity goes underused when an appointment falls through. Clinician time and exam rooms often sit idle, which lowers throughput and raises per-visit costs across the day.
  
  
• Reduced access to care - Last-minute gaps are hard to fill, so backlogs grow. Patients already face long waits, with an average of 31 days to see a doctor, and no-shows push those delays even further.
  
  
• Negative impact on patient health - Follow-ups keep treatment plans on track and allow timely adjustments. Skipped visits interrupt monitoring and increase the chance that manageable issues become complications.
  
  
• Increased administrative burden - Staff spend additional time rescheduling, doing outreach, and fixing records. The extra work fuels burnout and pulls attention away from top-of-license care.
  
  
• Lower patient experience and trust - Repeated scheduling issues create frustration and erode confidence. Over time, engagement drops and patients are less likely to stick with care plans.

Effective strategies focus on better preparation, timely communication, and responsive support so appointments hold and care stays on track.

How AI-powered care journeys can reduce no-shows
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1. Advanced patient prep and education

Insufficient prep is a common driver of last-minute cancellations. Colonoscopy programs illustrate the risk, with studies showing about 26 percent of patients arrive with poor bowel preparation. When instructions live on paper alone, they are easier to misplace or misread as the date approaches.

Commure Engage brings preparation into the daily routine. The platform sends short SMS check-ins before a procedure and runs quick assessments. Based on each response, it delivers targeted guidance that reinforces the steps that matter most. It confirms understanding and tracks readiness, flagging issues early so staff can follow up and patients arrive prepared. The results of this speak for themselves, with Yale New Haven Health seeing a 54% reduction in no-show and cancellation rates.

2. Enhanced SDOH data collection

Social determinants of health (SDOH) are often the cause of missed visits. A national survey of congestive heart failure patients linked repeated no-shows with living alone, limited support, and unstable housing. These pressures can also appear as transportation gaps or low health literacy that make instructions hard to follow.

Most of this plays out away from the hospital, which leaves teams guessing. Commure Engage uses SMS to ask brief, plain-language questions about barriers, capture responses for the care team, and offer targeted help when a need is flagged. That can include ride options or financial assistance, along with prompts for timely follow-up. The result is a clearer view of why appointments are missed and practical ways to keep patients on track.

3. “Always On” AI-powered responsiveness

Proactive prep helps, but last-minute questions still pop up. Uncertainty about symptoms or prep steps can cause patients to hesitate and skip visits.

Many tools handle scheduling yet struggle with specific clinical questions. A patient asking what they can drink the day before a procedure needs clear, immediate guidance, not a generic script.

Commure Engage uses natural language processing to understand patient questions in plain language, then responds back in plain language through SMS, referencing clinician-curated content. It can confirm understanding, track unresolved issues, and route concerns to the care team when needed. Patients get timely answers, feel more prepared, and are less likely to cancel.

Explore how Commure Engage’s AI-powered care journeys reduce no-shows and provide a better overall care experience for patients.

See What AI Can Do

Tell us a little bit about yourself—what do you like to do outside of work?

I’m big into traveling and spending time outdoors! My most recent trips included skiing in Utah, hiking in Norway, seeing Hamilton on broadway, and diving the US Virgin Islands; it’s been a good year. When I’m not outside, you can find me spending time on the couch with my cats, dancing salsa at the studio, or singing in the local choir. 

Describe a day in the life of your role.

Everyday is different! Some days I’m in back to back meetings with prospective clients, some I’m primarily supporting my team, and others I’m on the road saying “hi” to anyone who will let me. I travel often, typically at conferences or other work trips a couple times a month.

What made you decide to join Commure?

After 10 years in clinical practice, I knew there was something more I could be doing to impact healthcare. Athelas/Commure is changing the landscape of healthcare technology, and I was excited to jump on the train. Plus, what an opportunity to challenge myself and solve new problems!

‍How would you describe the Commure company culture?

The primary word that comes to mind is collaborative. There’s a real sense that everyone is working toward the same mission, and people are quick to share knowledge, offer help, and celebrate each other’s wins! It’s an environment where teamwork is encouraged, and you feel empowered to bring ideas forward knowing others will build on them with you. The team balances high standards with genuine support, which makes it both motivating and rewarding to be part of the team. 

What advice would you give someone on their first day at Commure?

Come in curious and ready to learn. The first few weeks (even months) are a whirlwind of information, but it all comes together and you’ll have support along the way. It’s well worth the wild ride! Also, get to know your onboarding cohort. They’ll be your little family initially and having them to lean on when days are tough is game-changing. 

What has been your greatest accomplishment so far at Commure?

Whole heartedly I have to say my greatest accomplishments are seeing my team reach their goals. Being in a team lead role gives me the opportunity to mentor and support some amazing folks. I get just as excited (if not MORE excited) about their wins as my own, because at the end of the day, helping them succeed feels like the biggest win of all.

Interested in a career building the next generation of healthcare technology powered by AI? We are always looking for talented people across our departments.

Explore Career Opportunities

You likely had several options — why did you choose Commure?
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Aasish (Sai) Virjala, Forward Deployed Engineer (MS Computer Science): I chose Commure because the speed and impact here are unmatched. In big tech, projects can take months or years before making it to users, but at Commure I can write code today and see it making an immediate difference for providers and healthcare organizations. That pace of iteration, combined with working on problems that directly improve patient and provider experiences, made Commure the clear choice for me. Also, the mission to modernize healthcare infrastructure was very compelling. I was also drawn to the team’s combination of technical expertise and healthcare knowledge — it felt like a group of people passionate about solving tough problems that matter.

Edward Chang, Software Engineer (MS Computer Science): During my undergraduate education, I received internship experience at mature companies, both technical and non-technical. I learned that mature companies move slow and decided the best way to grow as a developer is to join a fast-moving company like Commure.

Aadit Trivedi, Software Engineer (BS & MS Computer Science ‘25): Commure’s mission of improving America’s healthcare experience is one that strongly resonates with me. Working on something you believe in is incredibly motivating - it makes even the hardest problems feel worth solving. I also wanted to work somewhere where I could have ownership and create impact. One of the beauties of working at Commure is I’m not just writing code - I’m collaborating closely with other engineers, helping shape various product features, and seeing how it affects healthcare providers in real-time. On top of that, it was the people at Commure. It’s been amazing working with such a passionate and hardworking crew of people that all care about solving problems as much as I do.

How have you grown?

Sai: I’ve grown a lot in terms of full-stack development and system design, but also in learning how to navigate real-world healthcare data challenges. Beyond the technical side, I’ve learned how to collaborate across product, design, and operations — which has improved my ability to think beyond just code and consider the bigger picture.

Edward: In terms of technical experience, I’ve grown a lot. The growth I’m most proud of is that I’ve become a lot more product oriented.

Aadit: One way I’ve grown is in my understanding of what it means to ship a product. The job’s not over when you’ve pushed code but rather when the customer uses that feature and gets some sort of value from it. With that in mind, I’ve learned to keep my ear to the ground and center solutions around the customer’s experience. Building features from the ground up has taught me to think holistically and take ownership of not just the code but also the outcome.

What is something you are really proud of accomplishing?

Sai: I’m especially proud of the work I did on the Scout project. It was a technically challenging effort, but more importantly, it directly aligned with Commure’s mission of empowering healthcare organizations with better tools and infrastructure. Scout helped us streamline claim processing, data ingestion, and provider workflows, reducing manual burden and making it easier for providers to focus on patient care. Seeing something I worked on so closely advance our mission and provide immediate value to healthcare partners was incredibly rewarding.

Edward: Beyond all the technical accomplishments that I’ve achieved during my time here, I’m most proud that healthcare providers who use our platform see that on average, their patients pay less out-of-pocket than before they transitioned to our platform. This helps to make healthcare more affordable to the average American.

Aadit: One of the biggest projects I’ve owned was revamping our entire user authentication system. This involved rebuilding core login flows and authorization methods with a key emphasis on security. Seeing the rollout go smoothly across our userbase was incredibly rewarding. It taught me how to lead a high-impact project end-to-end from design to deployment to monitoring adoption.

What’s something you love about your team that has nothing to do with work?

Sai: I love the sense of humor and camaraderie on the team. Whether it’s casual conversations, sharing random memes, or team lunches, there’s a genuine sense of community that makes the day-to-day enjoyable.

Edward: I love the team's choice to exclusively use pepe emojis.

Aadit: I’m a pretty big fan of our team’s obsession with boba. We place group orders every 1-2 weeks and explore different local spots each time. There’s nothing like a mid-afternoon boba to power you through the rest of the day.

What would you tell another Georgia Tech student considering Commure today?

Sai: I’d tell them Commure is the place to be if you want both technical growth and meaningful impact. You’ll get the challenges of a fast-paced tech company while working on problems that genuinely matter in healthcare.

Edward: A lot of tech companies move slower as they grow in size due to bureaucratic inefficiencies. While Commure also struggles with this, we still move much faster than other organizations of our size. You’ll definitely be able to progress in your career faster here (in actual skills, not just in name) than other organizations.

Aadit: I’d say Commure is a great place for you if you are eager to work on some meaningful problems at a high cadence and take ownership of new initiatives. It’s an environment that fosters creativity and encourages innovation at every level. You will get the opportunity to interact with our customers, understanding their needs and iterating on the best solution. At the end of the day, you won’t just be writing code - you’ll be redefining core flows within our healthcare system.

Interested in a career building the next generation of healthcare technology powered by AI? We are always looking for talented people across our departments.

Explore Career Opportunities

As artificial intelligence systems grow more capable, the question facing healthcare leaders is not whether to adopt AI, but how to deploy it responsibly. According to Commure CEO Tanay Tandon, effective AI integration in health systems depends on several critical factors: the nature of the task, the role of human oversight, the equity of outcomes, and the degree of collaboration with clinical end users.

“This is a fundamentally new way of interacting with technology,” Tandon explained. “Instead of explicitly programming rules and heuristics, you’re working with systems that have absorbed millions of documents and examples.”

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Co-Pilot and Autopilot: A Combined Model for Scalable AI

“One of the key emerging trends with AI in healthcare is that the tool functions both as a copilot and an autopilot,” according to Tandon. “One of the key emerging trends with AI in healthcare is that the tool functions both as a copilot and an autopilot,” according to Tandon. “Having both capabilities—copilot and autopilot—is, in my view, the dominant and defining trend we’ll see in healthcare over the next 24 months. It ensures humans are involved where they’re needed, and AI runs autonomously where it can."

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Commure employs a two-pronged approach to AI implementation. Some solutions function as assistants, requiring human validation, while others perform routine tasks independently, without direct intervention. 

For example, Commure Ambient AI supports providers with clinical documentation during and after clinical encounters, across more than 25 healthcare specialties. Tandon shares, “For tasks where you want a human in the loop—where bedside manner, clinical context, and interpersonal dynamics matter—you want the physician present, with AI acting as an always-on assistant, listening and pulling information in real time, as a co-pilot.”

In contrast, Commure Agents enable fully automated workflows across administrative departments, such as front call centers, patient scheduling, and even denial management. “The beauty of the autopilot model is that it can run lights out, 24/7, freeing up time, resources, and capital without human intervention,” shared Tandon.

Ethics and Equity as Operational Requirements

“One of the most important problems in deploying AI in healthcare is ensuring that it's done in a way that is ethical and representative of all communities, that it's going to be used to treat,” shared Tandon.

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Commure’s implementation methodology begins long before software goes live. Each system undergoes extensive simulated testing against historical clinical and administrative data to surface potential disparities or edge cases.

“One of the things we do at Commure is maintain a very stringent evaluation and testing framework. We virtually run, or shadow run, millions of previous appointments and claims before the technology ever touches a live patient in a health system," shared Tandon. "When done correctly, this means patients experience the positive benefits of AI from day one, instead of the chaos that often comes with other software rollouts.”

Putting the Brightest Engineering Minds on the Most Difficult Problems 

Commure’s product development model intentionally brings clinicians and software engineers into continuous collaboration in order to ensure solutions are truly fit to any healthcare environment. Rather than requiring physicians to adapt to pre-built interfaces, Commure builds tools alongside clinical end users.

As Tandon explains, “Most software today within health systems was not built by providers, for providers. It was built by an IT team somewhere, and then providers were expected to comply with it. It was seen as a compliance and administrative burden and tool, as opposed to something that empowered physicians and nurses.”

Reflecting on Commure’s founding, Tandon added: “What happens when you bring together the best software engineers in the world with the best physicians, nurses, and clinicians—and have them work together to create magic?”

Commure’s Forward Deployed Engineering model embeds experienced engineering teams on site, enabling more context-specific, user-driven deployment and adoption.

Addressing “Work Tax” to Free Clinicians to Focus on Care

Ultimately, Tandon sees administrative complexity as the core barrier to clinician satisfaction and system-wide efficiency, sharing: “There’s often a lot of bloat work, or what we call a 'work tax' at Commure, that creeps into the day-to-day life of physicians and caregivers. That problem is at the heart of the healthcare system."

The long-term vision is not to replace the human aspects of care, but to elevate them by removing the background burden. As Tandon explains, “Where AI is heading in the next 5-10 years is a full-on transformation of how we do work and the types of tasks we focus on versus the tasks LLMs can take on on their own. An example of this, humans are best in class at: Empathy, caregiving, and the physical attributes of care, which is being there for a patient, understanding their conditions, making a diagnosis, and sticking through with it. Where AI is great is all of the work happening in the background.”

AI in both co-pilot and autopilot modes offers a powerful opportunity to reduce the unsustainable administrative waste in U.S. healthcare, freeing resources to drive innovation that makes care simpler, more seamless, and more affordable.

“Healthcare is a $4 trillion industry. At least $1 trillion of that is administrative waste. If we eliminated that and redirected a trillion dollars back into the U.S. economy, that’s non-inflationary stimulus every single year.”

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Tell us a little bit about yourself—what do you like to do outside of work?

I grew up in Lake Oswego, Oregon, and went to Cal Poly San Luis Obispo. I’ve always been someone who likes to stay busy and keep learning. Outside of work, I find myself exploring, whether it's new travel destinations around the world or just hidden gems here in San Francisco.

I love being active and outdoors, hiking mountains, skiing, or surfing. I have many cherished memories of hiking the mountains of San Francisco with my Dad and sister. Post hikes I enjoy eating my mom’s cookies, they’re the best.

I also have a couple of more unique hobbies. I was a Sommelier at a winery I worked at through university, which sparked a real passion for winemaking. I also love bringing people together by hosting social events and have even DJed at a few small, local music festivals.

As a kid, what did you want to be when you grew up?

I've always wanted to be a scientist. My grandfather was an engineer, and I was fascinated by the idea of inventing and solving frontier problems. As I got older, I realized that what he was teaching was in fact engineering (science applied) and I became drawn to the executional side of things. Not just discovering a principle, but tangibly building with it.

Describe a day in the life of your role.

Every day in Forward Deployed Engineering is different, which is part of what makes it so exciting. We believe that innovation is a contact sport, so my day is built around solving important challenges with our customers and partners.

This might look like meeting with doctors, administrators, or even patients to just listen and deeply understand their workflows and pain points. From there, we translate those human needs into technical deliverables and build those solutions. We’re the bridge between the problem and the technology, making sure what we build has a measurable, meaningful impact.

What made you decide to join Commure?

It's a funny story actually. I was working at a winery and met an investor who was visiting. I was trying to convince them to hire me at their venture capital firm. Instead, they told me about this incredible company called Athelas (now part of Commure) and suggested I look into a role there. That one conversation at a winery led me here, and I’m incredibly grateful it did.

How would you describe the Commure company culture?

I’d describe it with the phrase “long-term games with long-term people.” At its core, Commure is a group of people with a shared vision for the future of healthcare and the drive to build it day in and day out. We focus on a long-term horizon, which allows for compounding relationships and compounding impact on the problems we’re solving.

It's also a "positive-sum" environment where there's always an opportunity to take on new challenges and have real agency over your work. People are encouraged to be proactive and find new ways to contribute.

More than anything, this culture makes the work incredibly rewarding. If you’re going to unravel a problem, why not explore one as universal as healthcare? We have the unique ability to move beyond a linear impact, like a single doctor helping one patient. Instead, we build tools that can scale to improve care for an entire nation and, eventually, the world.

What advice would you give someone on their first day at Commure?

Commure has a culture of action. My advice would be to dive in on day 1, find a problem, big or small, and solve it. That first small win creates a powerful momentum that you can build on. You solve one problem, then move to the next, and the next. If we all keep doing that, we’ll look around one day and realize we’ve transformed the U.S. healthcare system for the better.

What has been your greatest accomplishment so far at Commure?

The entire journey has been an incredible ride, and I’m proud of so many things we’ve accomplished as a team. The work Cem, Umesh, Lauren, and team did rolling out our ambient AI solution for hospitalists with major health systems like HCA and Tenet stands out. Building the Sales Engineering and Forward Deployed Engineering teams from the ground up with Joseph. All of it has been a huge honor.

But the moment that really brought it all home for me was when my uncle was admitted to an HCA hospital that was using our ambient AI product. He called me afterward and was amazed at how present and attentive his doctors were. He had been to the same facility before our launch and said the difference in his experience as a patient was night and day. Hearing that from someone in my own family was the ultimate validation that the work we do here truly matters.

Interested in a career building the next generation of healthcare technology powered by AI? We are always looking for talented people across our departments.

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