ExpressAgainFor cancer centers
Keep your patients' voices through treatment, and see the weeks between visits.
For patients with a brain tumor, brain metastases or head and neck cancer who can think and understand but cannot reliably speak: tap a phrase and it is spoken, in their own cloned voice where one was recorded. Between treatments, your team reads the symptoms the family logs at home, with alerts against your targets.
30 minutes on Zoom with our founder. Nothing to prepare.
The gap
The patient has plenty to say. Between visits, no one can see the days at home.
Speech lost, while the mind stays present
A tumor or a metastasis in the brain, or surgery or radiation to the head, neck or throat, can take speech away for a time or for longer. The patient still thinks, understands and has plenty to say.
The voice changes, and no one recorded it
Treatment can change how a person sounds. If nobody recorded the voice beforehand, the way the patient sounded is hard to get back.
The weeks between treatments are invisible
Nausea, pain, a fall or a missed dose at home reaches your team only if someone calls or comes in, and nothing is written down in one place.
The family becomes the care coordinator
A spouse, a son or a daughter keeps track of the appointments, the medications, the symptoms and the rides, and relays it all by phone, one call at a time.
What your patients get
A way to be heard in the clinic, in the hospital and at home.
ExpressAgain runs in the web browser on a phone, tablet or computer; there is nothing to install. This is what a patient and the family use today.
Tap to speak
One tap on a phrase says it out loud. Quick Speak tiles hold what is needed most, a Letters board spells a word, and a Type tab speaks anything typed. A 3 at a time switch shows fewer choices on hard days, and there is no timer.
Tap any phrase to speak it →The sentence builder
Starters like I am, What about and Let's open long lists of the real things a patient wants to say, so a sentence comes together piece by piece. Speak it, save it for later or star it.
Build a message →The Medical Words dictionary
What an MRI is, why doctors use saline, what to expect, in plain language, with questions the patient can tap to ask your team out loud. It explains words, never the patient's own case.
Medical Words →The patient's own voice
From Settings, the family records the patient speaking, or uploads a recording, and the app creates a personal voice that sounds like the patient. Where that is possible, the cloned voice can be recorded before treatment. Until the voice is ready, a clear built-in voice speaks, so the patient is never without one.
The cloned voice →The family circle and the daily note
The family invites family and friends with personal links, each with its own role. Every evening the app writes up the day from what was logged, by fixed rules and never by a model, and the family reviews it before it posts.
The daily note →
The condition modes
The family chooses a mode in the guided setup; a mode changes which phrases come first, and every phrase in the library stays available.
Head, Neck & Throat
LiveAfter surgery or treatment of the head, neck or throat, typing and tapping phrases give a voice at once. The Head, Neck & Throat mode is live, with its own phrase library: choose it in the guided setup and its phrases open first.
ExpressAgain for head, neck and throat →Hospice & Palliative
LiveFor supportive and palliative care. The mode's own library, Comfort & End of Life, holds short phrases for comfort, breathing, pain and pain medicine, wishes and decisions, family and presence, spiritual care, feelings, memories and legacy, and rest. Choose it in the guided setup and those phrases open first.
ExpressAgain for hospice and palliative care →Aphasia & Stroke
LiveFor a tumor or a metastasis that affects language: the patient can think, read and understand, but the words will not come out. The core library, the Learn courses and Practice Out Loud were built for this patient first.
ExpressAgain for aphasia and stroke →
Glioblastoma and brain tumors, head, neck and throat, and every condition we support.
See it on a tablet, the way a patient in your program would.
Request a demo
Keep your patients' voices through treatment
See tap-to-speak, the sentence builder, the Medical Words dictionary, the patient's own cloned voice and the condition modes, the way a patient after surgery, or with a tumor affecting language, would use them.
Rather pick a time now? Book a 30-minute demo.
What your team gets
The weeks between treatments, on one panel your team can read.
All of it is live today, except where a line says it is pending activation or waits on a signed BAA.
The organization panel
Every enrolled patient on one screen: last reading, open alerts and how old they are, unread feed and enrollment status. Tap a row to open that patient's whole dashboard.
The organization panel →Enrolling a patient
Enroll a patient by email or text; the message names your organization, never the patient, and the family accepts. Add covering colleagues, staff or a coordinator, resend while it waits, or end it, which revokes every access.
Enrolling patients and coverage →Preview before the agreement
Before the agreement is signed, your organization is in preview: providers see the patients whose families added them, and a few patients can be enrolled to see how it works. Anyone can be the first person added, and everyone gets an invitation that explains their role.
Preview and signed organizations →Targets and care alerts
Your team gives the family its ranges and when-to-call instructions. Every reading becomes one plain line for your clinicians, and a reading outside the targets goes out at once. The rule is your numbers; it is not a diagnosis.
Targets and care alerts →The home log and symptom tracking
The family and the Home Team type what happens at home: symptoms and events such as nausea, pain, swelling, a fall or feeling very sleepy, vitals, weight, meals, sleep and personal care. Every entry carries who logged it, and nausea, a fall or lethargy goes to your team as a flagged alert at once.
Health Tracking →Health reports and the weekly summary
Vitals and glucose, medications, symptoms and alerts, the visit flow sheet, and a weekly home summary. 7, 30 or 90 days, Print and CSV, the same report the family reads.
Health reports →Appointments
Each visit with where to go, what to bring, who is driving and who goes along. It is on the patient's schedule and your care dashboard the moment it is booked, and the family writes down what happened.
Appointments →The team feed and notes
The IDC Team feed is the Care Team's own conversation: every discipline and the family post and pin, with a row for each reading and dose logged, with initials and the time. Clinicians leave notes the family reads.
The IDC Team feed →Feed, acknowledging and escalation
One stream of alert lines, team posts and activity across your scope. Acknowledge flagged alerts, and set an escalation window in minutes that emails the primary and covering providers.
Feed and alerts, and escalation →The Partner API and HL7
The Partner API reads what families shared with your organization and pushes readings and documents back, with every call logged; keys are issued after a signed BAA. The HL7 v2 feed is built and pending activation.
Partner API documentation →
See it with one of your own patients in mind.
Request a demo
See the weeks at home between treatments
Walk through enrolling a patient, the family's home log with symptoms typed as they happen, care alerts against your team's targets and the reports your team reads between visits.
Rather pick a time now? Book a 30-minute demo.
Outcomes
Built for communication through treatment, fewer avoidable trips to the emergency department, and a family that is not on its own.
Patient experience and communication access during treatment
Tap-to-speak, the sentence builder and the patient's own voice
A patient who cannot speak after surgery, or whose words are interrupted by a tumor, taps a phrase, builds a sentence or spells a word, and the phone or tablet says it out loud. The patient can answer your team, ask a question and say where it hurts, in the clinic and at home.
Tap any phrase to speak it →Fewer avoidable emergency visits and admissions between treatments
Care alerts against the targets your team set
The family and the Home Team log symptoms and readings at home. Every entry reaches your clinicians as one plain line, and a reading outside your team's targets, a fall, nausea or lethargy goes out at once, so your team hears about it between visits instead of at the next one.
Targets and care alerts →Support for the family
The family circle, the daily note and one shared record
The family invites family and friends, each with a role of their own. Every evening the daily note writes up the day from what was logged, by fixed rules and never by a model, and the Care Team and the Home Team read the same record, so the family is not the only one holding the picture.
The daily note →Symptom tracking between visits
Symptoms typed by the family, with who logged them and when
Symptoms and events are typed by the family and the Home Team, never sent by a device, and every entry carries who logged it. Your team reads them on the shared chart, in the Symptoms and alerts report and in the weekly home summary. The log records and displays; it never judges a value.
Health Tracking →
A pilot measures these with you, in your own patients.
Book a 30-minute demoPotential reimbursement
See your physician groups' potential.
Chronic care, principal care and transitional care management are billed by physicians and qualified practitioners under the Medicare Physician Fee Schedule, so this estimate is for the physician groups and practitioners caring for your patients. Principal care management is built around a single serious, high-risk condition expected to last at least three months, where chronic care management needs two or more; the calculator counts chronic care management and shows principal care management beside it for comparison, and whether a patient's cancer care fits is your billing practitioner's decision (CMS). Hospital outpatient departments bill care management under the outpatient payment system, which pays differently, and this estimate does not cover it.
Estimated reimbursement opportunity
$1,524a month
$18,284a year
- Enrolled Medicare patients
- 36
- TCM episodes a month
- 2
- Allowed reference a month
- $2,381
Not in the dollars yet: 99495. Rate varies: load your payer rates in the app. The estimate above counts only codes with a verified or CMS-loaded national rate, so it is on the low side.
Estimated reimbursement opportunity. National Medicare non-facility rates; your MAC locality, payer mix, coinsurance and documentation determine what is paid. Eligibility, coverage, coding and payment remain subject to payer rules and claim adjudication.
The breakdown
Chronic care management (CCM), clinical staff time
In the total36 enrolled Medicare patients · 99490 × 36 at $66.13
- Allowed reference
- $2,381 / mo
- Medicare pays 80%
- $1,905 / mo
- Estimated
- $1,524 / mo · $18,284 / yr
20 minutes for the first code, each further 20 minutes an add-on unit. Two or more chronic conditions, consent, a care plan.
Complex CCM
Comparison only36 enrolled Medicare patients
Not at this many minutes
Needs 60 minutes or more of clinical staff time a month and moderate or high complexity decision making.
Principal care management (PCM)
Comparison only36 enrolled Medicare patients
Not at this many minutes
Needs 30 minutes or more of clinical staff time a month, for one serious chronic condition.
Transitional care management (TCM)
In the total2 discharges a month · 99495 × 2
Rate varies: load your payer rates in the app
Contact within 2 business days and a visit within 14 days of discharge (99495); a visit within 7 days with high complexity is 99496. CMS allows CCM during the TCM period (MLN909188).
How it is worked out
- 200 patients with two or more chronic conditions × 30% who enroll × 60% on Medicare = 36 enrolled Medicare patients.
- At 20 minutes of clinical staff time a month, each reaches 99490 for CCM.
- 4 discharges a month × 60% on Medicare = 2 TCM episodes a month (99495, the 14-day level).
- Units × the national non-facility allowed amount = the allowed reference. Medicare pays 80% of it (the patient owes the 20% coinsurance after the Part B deductible), × 0.8, the "likely" planning assumption the app's billing reports use = the estimated reimbursement opportunity. Yearly = monthly × 12.
- The total counts CCM plus TCM. Complex CCM and PCM are shown for comparison: a patient gets one of them instead of CCM in a month. A code without a verified or CMS-loaded rate adds nothing to the dollars.
Where the rates come from
CY 2026 Medicare Physician Fee Schedule, national non-facility amounts (MAC locality 0000000). 99490 was checked against the CMS PFS dataset on 2026-09-27: 1.98 total RVUs × the $33.4009 conversion factor = $66.13. Codes without a verified rate show that the rate varies until the CMS rows are loaded.
Medicare's national non-facility reference; your MAC's locality differs — verify with your biller.
Code numbers are shown; every description here is ExpressAgain's own plain wording. CPT is AMA-licensed content and its descriptors are not reproduced.
Readings in ExpressAgain are typed by people, so remote physiologic monitoring is not part of this estimate.
We run it with your physician groups' own numbers.
Request a demo
Capture the care management your physician groups provide
Walk through the monthly billing support report for the physician groups caring for your patients: the time clinical staff logs, the contacts, consent and the estimated reimbursement opportunity it documents.
Rather pick a time now? Book a 30-minute demo.
How cancer centers work with us
The same packages as hospitals, starting with one program.
Ways to work with us
Departmental Pilot
Six months in one department or service line, with the patient capacity and scope agreed together.
Department License
The department keeps going after the pilot, under its own license.
Hospital Enterprise License
Every department in the hospital, under one license.
Health System Agreement
Several hospitals and departments under one agreement.
Integration
EHR, HL7, FHIR, single sign-on or custom work, scoped per agreement.
Cancer center pricing is set with each center in the demo; it is not published.
How a pilot works
From a demo to your first patients enrolled.
A 30-minute demo
We walk through tap-to-speak and the patient's own voice, the condition modes, enrolling a patient, the home log and care alerts, and run the calculator with your physician groups' numbers.
Scope a six-month pilot in one program
Pick one program: neuro-oncology, head and neck, supportive and palliative care, or survivorship. Agree the patient capacity and scope together, then sign the agreement. We sign a Business Associate Agreement with partner organizations once our vendor agreements are complete; that is in progress now, so ask us for the timeline.
We set up your organization and train the program
Our team creates your organization and adds the first person, in whatever role fits. We train the program's team; once the agreement is signed, your administrators invite their own clinicians, and the program enrolls patients by email or text.
Grow from the pilot
From the pilot into a department license, a hospital-wide license or a health-system agreement across several hospitals and departments.
What clinicians say
From the pilot practice.
These are clinicians at the physician practice piloting ExpressAgain.
This is very helpful.
This is all in one. Convenience is everything, and this is super convenient.
Why we built it
I built ExpressAgain for my mother, Debbie. Five lesions on the left side of her brain took her speech, not her mind. She still has so much to say — now she has the tools to say it.
Questions
What cancer centers ask us.
Keep your patients' voices through treatment and see the weeks at home. Start with a 30-minute demo.
Pick a time that suits you, or tell us what you need and we will reach out.
Request a demo
Talk to us
Tell us about your cancer center, the program you have in mind and what you are trying to solve. A real person replies within one business day.
Rather pick a time now? Book a 30-minute demo.
Are you a cancer nonprofit or foundation? Nonprofits and foundations can sponsor patients' access. Book a Nonprofit & Foundation Sponsor Call.
One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills