instED LLC

03/24/2026

The NAMIHP Rural Health Transformation Legislative Panel took place yesterday, moderated by Brenden Hayden, with Chris Malagrida and Jen Femino sharing valuable insights from their decades advocating in the community health and MIH spaces and advising Summit attendees on how to best position their programs to participate in opportunities.

The big takeaways:

1. Relationships are key. Inviting legislators and decision-makers to see firsthand how programs function, the impact on patients and communities, the difference between MIH care and emergency response, will provide the foundation for substantive discussions in the future.

2. Find your partners. In this rapidly evolving environment, organizations with proven competency in specific aspects of care in place - care coordination, delivery, technology, administration - can and should collaborate, turning theory to blueprints.

3. Measure everything. Data, outcomes, patient stories are crucial in demystifying the various nuanced programs, showing immediate value and the path to sustainability.

We in MIH must lead the conversations, educating Legislators, payors, health systems and advocates on how MIH answers so many of the challenges in our current health care system, from access to capacity to specialty to staffing. The RHTP calls for innovation, and as Chris, Jen and Brendan emphasized to Summit attendees, the time is now for MIH programs to demonstrate why we are the answer.

03/10/2026

It’s Patient Safety Awareness Week! This week is an important reminder of why we do what we do.

At instED, patient safety is our priority. Through rigorous monitoring of care delivery and by encouraging partners and patients to give feedback, we are continuously seeking opportunities to improve our processes, strengthen communication, and enhance the quality of care we provide.

“I'm really proud to be part of a team so committed to our patients' wellbeing. Helping build our patient safety process from the ground up alongside such passionate colleagues has been one of the most meaningful parts of my work. Every day, we focus on identifying risks early, solving problems upstream, and preventing harm, because the people we care for deserve the safest and highest quality care possible.” – Manisha Madikonda, Quality & Safety Project Manager, Medical Operations

Listening, learning, and improving – that’s how we put patient safety first. This week and every week, instED cares about your safety.

03/05/2026

We’re revolutionizing patient care at instED. Our model is designed to bridge the gap between patients and their longitudinal care teams, ensuring timely follow-ups and seamless sharing of critical information, a step often missed in other instances of episodic care.

How do we achieve continuity?
• Our proprietary instED NOW platform pushes visit notes to care managers as soon as the visit is complete and sends encounter summaries to all providers on the patient’s care team.
• The instED Clinical Resource Center nurses and clinical support specialists follow up with patients and PCPs as needed, ensuring they understand next steps and can access timely care
• Our clinical team works closely with care teams to coordinate services and plan ahead for those with highest risk or frequent needs

Episodic care is notoriously fragmented. At instED, we’re meeting this challenge head-on with continuous patient support, care team collaboration, and purpose-built technology. This approach empowers patients and enhances the quality of care they receive at every stage of their journey.

02/27/2026

Did you know instED offers a self-pay option?

Get a convenient, in-home visit from instED for one flat fee of $399 – hundreds less than an average ED visit, inclusive of all tests and treatments completed in the home, and no surprise bills. FSA & HSA are accepted. From the Berkshires to Cape Cod, we see patients anywhere in Massachusetts except Nantucket & Martha’s Vineyard.

Learn more about instED’s self-pay option at www.instED.us.

02/24/2026

Being a family caregiver is both a gift and a challenge. You pour so much love and care into your loved ones, often without the support you need. That’s where instED comes in.

We offer high-quality, in-home care on demand, providing the timely support you need when your loved one’s health requires attention. From unexpected illnesses to ongoing health management, our team of medical professionals works directly with you to ensure your family stays comfortable and well-cared-for, all in the familiar comfort of home.

At instED, we believe caregivers deserve support, too. Let us help lighten the load, so you can focus on what matters most: the health and well-being of those you care for.

02/20/2026

We are committed to providing reliable, accessible care when you need it most. instED’s phone lines are open from 8:00 a.m. to 10:00 p.m., 365 days a year, ensuring you can reach our team every day of the year.

If you need to request a visit after hours, you still have convenient options:

• Visit instED.us and submit a request through the portal
• Download the instED App
• Call 833-946-7833 and leave a detailed message

All after-hours visit requests are reviewed and processed first thing the next morning. No matter the time or circumstance, our team remains committed to supporting your patients with timely, high-quality care and compassion.

02/13/2026

What conditions, symptoms and illnesses can be treated in the home? More than you would think. For people with chronic conditions, compromised immune systems, or mobility challenges, care in place can be a life-changing solution, offering an alternative to the ED and helping to avoid hospital admissions when symptoms flare.

instED’s care model was built especially for people with complex care needs and can treat a wide range of symptoms, illnesses and conditions:
• Flu, COVID and respiratory infections
• Urinary tract infections
• Nausea and dehydration
• Migraines
• Cellulitis
• CHF, COPD and hypertension
• Diabetes
• Anxiety and depression
• Wound care, burns and injury assessment

By meeting patients’ needs with experienced clinicians and an array of high-level diagnostics and treatments, our goal is to help our patients feel better and avoid hospitalization when illness can be safely treated at home.

To learn more about what we treat, visit.insted.us/what-we-treat

02/10/2026

This week is Heart Failure Awareness Week, an important time to spotlight a serious but often misunderstood condition that affects millions of Americans. Heart failure occurs when the heart can’t pump blood effectively, leading to symptoms like fatigue and shortness of breath, and it’s projected that the number of people impacted will continue to rise in the coming years.

At instED, we treat congestive heart failure symptoms at home and provide timely care for patients experiencing these symptoms, assessing concerns onsite and helping our patients manage flare-ups when they arise.

02/04/2026

Wondering where in Massachusetts you can get an instED visit?

Inspired by a few famous Bostonians on The Tonight Show with Jimmy Fallon, we’ll answer that question the Massachusetts way.

https://www.youtube.com/watch?v=FhC76xAq7oE

instED now services Cape Cod – meaning our service area now includes the whole Commonwealth, except for the Islands.

Many thanks to our partners, providers, and team for helping us bring acute care to even more people in Massachusetts. See you on the Cape!

Three guys from Boston (Matt Damon, Ben Affleck, Jimmy) say every town and city in Massachusetts.The Tonight Show Starring Jimmy Fallon. Stream now on Peacoc...

01/22/2026

We’re looking forward to speaking at the 9th Annual Mobile Integrated Health & Community Paramedicine Clinical and Leadership Conference, hosted by Atrium Health in Chicago, IL, held from April 1- April 3.

This insight-packed event brings together healthcare leaders, clinicians, and changemakers who are transforming care beyond the hospital walls. From Mobile Integrated Health and Community Paramedicine to Hospital-at-Home programs, this conference is the place to learn, connect, and grow.

Join instED’s Evan Berg, M.D., Chief Medical Officer and Chief Strategy Officer; Rick Sauriol, Network Delivery Manager; and Ashley Koch, Vice President, Customer Experience for their session, MIH for High-Risk Patient Cohorts: Reducing 911 Calls, ED Visits, and Readmissions.

Thanks to Atrium Health for creating spaces for collaboration and innovation in support patient-centered care in homes and communities.

01/16/2026

In-home care can significantly reduce stress by allowing individuals to receive support in the environment where they feel safest and most comfortable. For those managing chronic conditions and behavioral health challenges, familiar surroundings can improve emotional well-being, engagement in care, and overall outcomes.

According to research from the Massachusetts Health Policy Commission:
• Patients with behavioral health complaints waited in the ED for 12+ hours
• 38.8% of behavioral health-related ED visits resulted in boarding, compared to 8.1% for non-BH visits
• Boarding for patients with BH-related complaints increased 7.5% from 2020 to 2024

Read more here: masshpc.gov

At instED, we bring the care to patients. Our experienced mobile health providers arrive fully equipped with advanced testing and treatment tools, ensuring safe, efficient, and compassionate care for a wide range of medical needs.

01/01/2026

Happy New Year from instED! As we welcome a new year, we’re reflecting with gratitude on the patients, partners, and communities who trust us with their care. Every day, we’re proud to bring high-quality care directly to patients’ homes.

As we step into the year ahead, our commitment remains the same: improving access to care, reducing unnecessary emergency department visits, and meeting patients where they are, when they need it most. Here’s to a healthy, hopeful year ahead for all.