a new approach for physician-patient communication

PreMinder delivers precisely targeted messages to remind patients to take prescribed medications and gives care providers visibility into patient adherence.

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Simplicity is the Key

Communication between Physician and Patient

We believe the key to an effective system of communication between physicians and patients is simplicity. That's especially true when the goal of communication is detecting patient non-adherence with medication, a large, expensive and, so far, intractable problem for scores of millions of patients in the US alone.

Patients, especially those with chronic illnesses that must be managed with medication, can't be expected to use a system that is difficult or complex.

Physicians have too many administrative chores to do already; they can't be expected to use a system that requires much time to master or to operate.

PreMinder is the culmination of our efforts to introduce simplicity into physician-patient communication.

For the patient, there is nothing to learn, nothing to remember, no "app" to download or program, no special device to deal with. PreMinder employs the devices that the patient already uses, his mobile phone or landline, to deliver simple medication reminder messages. Because PreMinder is a two-way messaging system, the patient can respond to messages by texting a couple of letters or pushing one button on a dial pad. That's all. That's the extent of the patient's role. The patient's responses enable PreMinder to gather adherence data in real time and keep the physician informed in real time.

For the physician, PreMinder is equally simple. Our technologies provide data on the patient's adherence in a manner that lets the physician detect a problem at a glance, in seconds, without crunching numbers or reading reports. When a physician may have to see dozens of patients each day, no other approach is practical.

For those who need more, PreMinder can do more. Our system was built to incorporate sophisticated data visualization techniques. In the past, that was affordable only to politicians and economists. But now, we can enable physicians who want to go deeper to find trends and patterns in the patient data we gather, to discover anomalies, to help answer complicated questions and, most importantly, to make actionable decisions about patients.

But we start by answering one simple, vital question for the physician: Is the patient adhering to his medication or other treatment requirements?

Our Solutions

Medication Adherence Services for Chronic Care Management

Under the new CMS rules for Chronic Care Managment, physicians can now bill for non-face-to-face services for many Medicare beneficiaries, a group who generally make up over 50% of patients for primary care physicians.

Physicians with qualifying patients can generate thousands of dollars each month of additional revenue from their existing patients, month after month, without adding significantly to their existing workload.

We've created a turn-key system that automates the process for the physician, from signing up patients for the program, to providing billable services, to providing the documentation required for billing Medicare.

Best of all, we're making a real impact on the health of underserved patients.

Reducing Hospital Readmissions through Post-Discharge Monitoring – a Simple, Low-Cost Solution

The Affordable Care Act established the Hospital Readmissions Reduction Program, which severely penalizes physicians and hospitals for readmission of Medicare patients within 30 days of discharge from a hospital.

The key to reducing readmissions is providing high-quality communication between physician and patient after discharge to ensure that the patient is complying with recommended treatment and that the treatment is working. Contacting hundreds or thousands of discharged patients for a detailed follow-up conversation every day for a month is a logistical impossibility for most hospitals.

Our system solves this problem by gathering patient data through automated voice messaging and by analyzing the data to detect problems with the patient's adherence or condition before those problems become serious enough to require readmission. This results in a better outcome for the patient as well as for the physician and hospital.

Interactive voice technology helps achieve our goal of simplicity for the patient in particular. Many recently discharged patients, due to their condition or to their age or both, are not comfortable interacting with software by using a keyboard or dial pad. If patients can interact with the system through voice alone, it becomes possible to include many patients who can benefit from the system but could not otherwise utilize it. We have the advanced data visualization techniques needed to translate patients' voice responses to data that is quick and easy for the physician to assess.

Managing Patient Adherence to Complex Medication Regimes

Patient adherence to prescribed medication is always important, but in patients with the most serious conditions, including dialysis and transplant patients, cancer patients, stroke patients and HIV patients, it is crucial. Many such patients must deal with a bewildering variety of medications on a daily basis. Small wonder that for many, average individual adherence rates are below 60%.

Increasingly, physicians are evaluated and even paid based on patient outcomes, but those outcomes can depend on medication adherence by outpatients, something most physicians can't control or even monitor on a real time basis. Our system makes it possible for the physician to monitor adherence in real time and intervene with the patient when necessary. As always, better patient data produces better outcomes.

We have worked and continue to work with physicians who treat dialysis and transplant patients, HIV patients and cancer patients to customize our system for their needs – to remind patients about each medication that must be taken and to deliver patient data to the physician simply, clearly and in real time.

Founding Team

Stephen Medaris Bull


Steve Bull is a graduate of the NYU:ITP program and has over twenty years of software development experience. With a background in cultural anthrology and user experience design, Bull was chosen as one of the designers and prototype builders for Paul Allen's Interval Research. Since then, he has focused on mobile applications. For the past two years he has designed mobile applications for the health care field, of which PreMinder is the latest.

S.J. Maxwell

COO and General Counsel

S.J. Maxwell is a graduate of New York University (B.A.), UCLA School of Law (J.D.) and New York University School of Law (LL.M.).

He has served as a Co-founder, Director, General Counsel and Chief Operating Officer of several companies in the Defense and Information Technology industries during the past two decades. As an entrepreneur, he looks for two things in a start-up. One is a solution to a real problem. The other is a solution simple enough that people dealing with that problem will actually use it. Few start-up companies have both. PreMinder is one of them.

Forest Mars


Forest Mars is a hypermedia architect who has been using Drupal since 2005, mainlyin the space of media and business integration, and is extremely active in the Drupal Community, as well as the open source community in general.

Forest has organized and spoken at multiple large open source conferences, including NYCCamp, an annual open source conference hosted at the United Nations.

Some of his recent projects include creating a video delivery platform for the world’s largest television network and New York City’s first civic engagement platform for the Borough President of Manhattan.

Nilay Shah, MD

Chief Medical Officer

Born and raised in the suburbs of Buffalo, NY, Dr. Shah earned his bachelors in Biology with a concentration in Neurobiology and Behavior and minor in Computer Science at Cornell University, his medical education at St. George's University in Grenada, West Indies followed by a Residency in Neurology at Mt. Sinai Medical School in New York City and Fellowship in Clinical Neurophysiology at the University of Pittsburgh Medical Center.

After founding in 1999, Dr. Shah went on to work with a number of technology startups and innovative healthcare delivery systems over the last 15 years. He is founder of the Brain Research Institute of New York and New Jersey and sits on the board of several medical and pharmaceutical companies as well at the New York National Multiple Sclerosis Society.

Bruce Molloy

CAIO - Chief Artificial Intelligence Officer

Bruce Molloy holds a patent for a "cognitive processor", a fast learning, concept-based, neural net which has been the basis of multiple successful products. He is well versed in several AI disciplines including machine learning, connectionist systems, and genetic algorithms. Holistic and entrepreneurial in nature, Bruce has built multiple smart software companies – one which achieved an IPO. He graduated from Columbia University with a degree in Music and Physics.

Bruce has provided valuable insight in creating our rules engine and planning for future growth of PreMinder to become a thought leader and innovator in the medical field.

Key Advisors

Shyamali Mallick Singhal, MD

Medical Advisor, Strategic Partnerships

Dr. Shyamali Singhal is a dedicated surgeon and the Founding Director of the El Camino Hospital Cancer Center in Mountain View. In her private practice, she specializes in Surgical Oncology and Advanced General Surgery.

Shyamali is also very active in the Mountain View startup community and has been an immense help in identifying and structuring stargic partnerships with medical startups and hospitals in the area.

Michael Collins

Medical Advisor, Clinics

As the Program Director at David E. Rogers, M.D. Center / Southampton Hospital, Michael Collins provides us valuable insight into the needs of a clinic and help us construct innovative ways to help non-adherent patients.

For the past 2 years, he has been helping us run an extensive trial on HIV patients and providing insight into the behavior and needs of these patients.

Rajeev Fernando, MD

Medical Advisor, Director of Infectious Diseases

Dr. Rajeev Fernando is an infectious disease specialist in Southampton Hospital, who has worked with NSLIJ, Brooklyn Hospital Center, Dartmouth Hitchcock Medical Cente and Stony Brook University Medical Center.

Over his 13-year practice, he built a name for himself in the Infectious Disease world. Rajeev has been instrumental in leading the PreMinder HIV patient trial.

Anatoliy (Toli) Zaslavskiy

Data Visualization

Anatoliy (Toli) Zaslavskiy is a full stack engineer, with a specialization in UX and data visualization. Toli has worked for many large corporations and startups, including the WSJ, NY Federal Reserve, and Percolate.

He has a passion for keeping on top of the latest trends in tech and especially the Javascript community. He frequents the Brooklyn.js, Manhattan.js, Papers We Love, CodeGenius, and many other technical meetups. He is also very active in the NY Startup scene and frequently presents on startup prototyping.


PreMinder was created in response to our own experiences. We all have loved ones who take prescription medication, some for the rest of their lives. When they forget or fail to take medication as and when required, their health is put at risk. Most such medications must be taken daily, and it is not practical to ask physicians to check on the medication adherence of each and every patient each and every day. Instead, we created a highly automated, two-way messaging system to check on adherence for the physician, and report back to him in real time. information to those responsible for their care.

That is the basic function of PreMinder. But our system is capable of supporting a broader vision, the vision of creating a new channel of communication between patients and physicians to address a variety of needs.

In whatever way our system is adapted, its basis will always be the same: applying simple and highly functional technology that is extremely easy to use for patients that provides valuable insight and information to those responsible for their care.


We've worked with some very complex systems for gathering and storing medical information. While they have many features and capabilities, we've noticed that physicians often fail to use many of these capabilities. Our goal is to create a very simple user experience in which physicians are not distracted or overwhelmed by features but are presented only with those that provide exactly the data they need.

We never stop looking for ways to improve our system. The bulk of our time, effort, and capital are devoted to research and development of solutions that are ever simpler and more effective.

We strongly believe in proactive medicine. Our emphasis on helping physicians improve medication adherence is about helping patients stay healthy rather than paying attention only when they become ill. Proactive medicine improves patient outcomes and lowers treatment costs.

We have developed and own valuable intellectual property, but our most valuable asset is our people. Our aim is to attract engineers, data scientists, physicians, and UX professionals who are as passionate about helping physicians and patients as we are.

Get in Touch with PreMinder

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