The software sends the reminder.Our specialists ensure patients show up.
The software sends the reminder. Our specialists ensure patients show up.
Don't let patient churn and no-shows leak your revenue. Horatio HX delivers dedicated, healthcare-trained outreach specialists — HIPAA-compliant, in your timezone, and integrated with your EHR in weeks. Not offshore. Not just software. Dedicated humans who keep your patients active and adherent.
Limited Q3 capacity. Limited Q3 capacity. We prioritize quality over volume. Few partnership slots remain for this quarter. Book your assessment now to ensure seamless team integration for H2.
Most healthcare companies have a "leaky bucket" problem — not a messaging problem.
The "no-show" drain
With telehealth no-show rates hitting 15–25%, every empty slot is a lost margin. Automated texts are easy to ignore; a proactive human confirmation call isn't.
The GLP-1 & chronic care drop-off
Patients disengage when they hit side effects or PA delays. Without proactive side effect support calls, they don't just stop their meds — they cancel their subscription.
The recall gap
Your EHR is full of patients due for annual labs or follow-ups. Most in-house teams lack the bandwidth to run recall campaigns, leaving "found money" on the table.
The high cost of in-house scaling
Building a 24/7 outreach team in the US requires a high investment per head ($85–100K fully loaded). We provide the same quality at 40–50% of the cost, scaling with you in weeks.
Human execution with the empathy healthcare demands
- Proactive outreach: appointment reminders, recall campaigns, and prescription refill follow-ups
- Clinical empathy: specialists trained in behavioral health, GLP-1 protocols, and diagnostic sensitivity
- Deep EHR integration: we work directly in Athena, eCW, CandidHealth, Kareo, DrChrono, and more
- Patient re-engagement: targeted "win-back" calls for cancelled members or inactive patients
- Nearshore efficiency: teams based in the Dominican Republic, Colombia, and Honduras — same timezone, premium communication
- Dedicated teams: no shared agent pools. Your team is exclusively yours
What many Horatio HX clients typically see
While results vary by organization, these represent typical outcomes across our patient engagement and outreach partnerships.
Up to 35%
Reduction in no-show rates
Typical range within the first 60 days.
40–50%
Lower labor costs vs. in-house
Compared to a fully-loaded US team.
3–5 wks
From contract to live team
Across all healthcare verticals.
Not software. Not offshore. Not generic.
Every alternative falls into one of two buckets. Horatio HX is deliberately neither.
The two alternatives — and why they fall short
- Engagement software: Automates the message, but can't manage the relationship. It hits a wall the moment a patient has a complex question or a barrier to care.
- Offshore BPOs: Lower cost, but poor clinical expertise, timezone friction, and a script-first mentality that lacks the empathy required for healthcare.
- Horatio HX: The boutique human experience (HX)
Our services are made for you
Horatio HX is built for healthcare organizations that need dedicated outreach execution — not another tool to manage.
Strong fit if you are…
- A growth-stage or mid-market telehealth, DTC health, or diagnostic company
- Experiencing high no-show rates or seeing patients drop off after 30–60 days
- A Series A/B or PE-backed company that needs to scale without sacrificing quality
- Ready to launch a dedicated, HIPAA-compliant team within 3–5 weeks
- Tired of managing software workflows and want a team to own the execution
Probably not a fit if you…
- Are primarily searching for the lowest-cost "body shop" available
- Only need one-way automation software (no human follow-up)
- Need part-time, low-volume, or single-task support only
- Are not operating in the healthcare or regulated wellness space
From assessment to live outreach team in weeks
A structured rollout designed to improve retention without disrupting your existing patient journey.
- 1
Free Retention Assessment
We audit your current patient journey, identifying exactly where churn and no-shows are costing you revenue.
- 2
Workflow & Compliance Setup
We design a HIPAA-compliant outreach model tailored to your EHR, your protocols, and your brand voice.
- 3
Team Recruitment & Training
We hand-pick and train dedicated specialists who are experts in your specific healthcare vertical.
- 4
Integration & Go-Live
Your team is live and working inside your EHR in 3–5 weeks. We own the execution; you see the results.
Our clients value discretion and results
“In the competitive world of DTC health, our operational playbook is our edge. We don't just need a vendor; we need a partner that protects our patients' data and our brand's reputation. Within 60 days of partnering with Horatio HX, our re-engagement rate for lapsed members increased by 28%, and our no-show rate plummeted. They are the human layer we were missing.”
How Horatio HX compares
If cheapest matters most, other options exist. If quality, compliance, and measurable outcomes matter, here's the picture.
| Capability | Horatio HX | Offshore BPO | In-House Team | Engagement Software |
|---|---|---|---|---|
| Dedicated specialists | Exclusive team | Shared pools | Yes | No |
| Clinical empathy | High / Trained | Scripted / Low | High | N/A |
| HIPAA / BAA included | Built-in | Inconsistent | Internal burden | Partial |
| US timezone | Nearshore | Timezone lag | Yes | N/A |
| Cost vs. in-house | 40–50% lower | 60% lower | Full cost | N/A |
| Readiness | 3-5 weeks | 6-12 weeks | 3-6 months | Weeks (no staff) |
| EHR integration | Direct access | Manual entry | Yes | API-limited |
| Relationship ownership | Proactive | Reactive | Bandwidth limited | Automated only |
Your patients shouldn't just be records in an EHR. They should be active participants in their care.
Get a free retention assessment. We will review your current patient journey, identify where no-shows and churn are costing you, and outline exactly how a dedicated Horatio HX team would plug those leaks. No obligation. A specialist will respond within 1 business day.
- Free retention journey review — no commitment
- Reply within 1 business day
- BAA & HIPAA-compliant by default
Get your free retention assessment
Share where churn and no-shows are hurting growth. We'll map outreach gaps and what a dedicated team would look like.