01
The practice
Scale care without scaling administrative complexity.
Software handles eligibility, intake, prescribing, documentation, visits, reimbursement, and follow-up so clinicians can focus on care.
Grata Health Inc.Never wait
Healthcare begins too late.
The system meets someone after they become sick and asks them to wait. It sees them for a few minutes, updates a medical record assembled from occasional encounters, and sends them home.
The model
One relationship. Three systems.
Doing this for one person takes a great clinician. Doing it at enormous scale requires three systems:
02
The clinical workforce
Build an excellent network through a repeatable system.
The system recruits, screens, contracts, credentials, onboards, trains, and activates independently licensed clinicians.
03
Patient reach
Meet people wherever they enter healthcare.
Consumer products and referral partnerships establish trust, verify coverage, and carry each person into care.
Grata operates all three as one system.
Consumer products create trusted distribution before care is needed. The clinic turns that relationship into reimbursed care. The software carries everything we learn into each new clinician, market, and condition.
Most healthcare companies own one point. Grata is building the loop.
Proof · July 2026
It works.
Clinical care launched in March 2026.
45,000+Sobo downloads
400+patient appointments completed
0.9 daysmedian intake to completed appointment
2states delivering care
32referral partners
1,300+care requests from states not yet live
Virginia and Ohio are live. Most insured patients pay nothing out of pocket. Partnership development spans behavioral health providers, digital health companies, and public-sector care transitions.
Status of the works
What exists today.
Solid is operating. Dashed is proposed. The drawing never asks the reader to guess which is which.
Operating today
Existing work. Drawn solid.
- A virtual addiction clinic treating opioid, alcohol, and kratom dependence.
- Live in Virginia and Ohio with commercial and Medicaid coverage.
- Sobo with more than 45,000 downloads.
- A referral network with partners actively sending patients.
- Proprietary software running the whole practice.
Under construction
Started, not finished.
- Closing the loop back to referral partners.
- Collections and the revenue cycle at scale.
- Expanding clinical capacity across live and upcoming markets.
Proposed
The destination. Drawn dashed. Not built.
- Multiple behavioral health conditions beyond addiction.
- A national clinician network.
- Grata as the default interface between people and healthcare.
SHEET 01
Care delivery
Treats people. Covered by insurance.
A practice designed to scale without administrative complexity, treating opioid, alcohol, and kratom dependence in Virginia and Ohio. It is where the relationship becomes reimbursed care.
1.01 · ProductLIVE
Intake
Serves patients
A short, account-free path from inquiry to a booked appointment.
The gap between deciding to get help and being seen is where people are lost.
1.02 · ProductLIVE
Visits
Serves patients
Video visits a patient can join without an account or an app.
The people who most need the appointment have the least tolerance for friction.
1.03 · ProductLIVE
Prescribing
Serves patients
Buprenorphine and naltrexone, sent electronically, often on the first visit.
Medication can be central to evidence-based addiction treatment. Everything upstream exists to make it easier to reach.
1.04 · ProductLIVE
Safety and monitoring
Serves clinicians
Prescription monitoring, drug screening, and structured overdose-risk review.
Prescribing a controlled medication to someone you have never met in person demands more evidence, not less.
1.05 · Clinical operationsLIVE
Commercial and Medicaid contracts
Serves payers
Commercial and Medicaid payer contracts across live markets.
Contracts are what put treatment within reach of the people who need it most. Without them this is a clinic for people who can already afford care.
1.06 · Clinical operationsLIVE
Clinical handoffs
Serves patients
Clear destinations for people whose needs fall outside Grata’s scope.
Responsible care includes a safe handoff when Grata is not the right destination.
SHEET 02
Patient reach
Meeting people where they already are.
A way to reach patients wherever they enter the healthcare system, whether that is a consumer product or a referring clinician. It is how we are already present before someone would call themselves a patient.
Consumer growth
Builds trusted relationships before care is needed.
2.01 · ProductLIVE
Sobo
Serves patients
A recovery companion people use daily, often before they enter formal care.
Trust established early creates a durable path into care when someone is ready.
2.02 · ProductLIVE
Consumer products
Serves patients
Recovery companions designed for different needs and moments.
People arrive through different doors. Each one can lead into the same care system.
2.03 · GrowthLIVE
Content engine
Serves patients
Evidence-informed recovery content published across consumer surfaces.
Most people search before they call. A useful answer can become the first step toward care.
Partnerships
Creates dependable paths into treatment through existing care relationships.
2.04 · PartnershipsLIVE
Referral network
Serves referral partners
Partnerships with practices that provide therapy and support but need a medication partner.
Partners retain the therapeutic relationship while Grata provides medication treatment.
2.05 · PartnershipsIN BUILD
The loop back
Serves referral partners
Consented status updates for partners after a referral is made.
Closing the loop builds trust and makes the next referral easier.
2.06 · PartnershipsLIVE
Outreach
Serves referral partners
Systematic outreach to clinics and community organizations.
Reliable partnership development should not depend on a finite number of calls each day.
SHEET 03
Providers
The people who deliver the care.
A repeatable way to recruit, prepare, and support an excellent clinical workforce. Care can only expand as quickly as qualified clinical capacity does.
3.01 · ProductLIVE
Screening
Serves clinicians
A short, account-free application in text, audio, or video.
Excellent clinicians are busy. Applying should respect their time.
3.02 · ProductLIVE
Review
Serves grata operators
Structured candidate review, with the supporting evidence on one screen.
A consistent process helps Grata evaluate candidates fairly without lowering the bar.
3.03 · ProductLIVE
Interviews
Serves clinicians
Candidates can schedule interviews directly into available time.
Simple scheduling protects time for both candidates and clinicians.
3.04 · ProductLIVE
Onboarding
Serves clinicians
Each new clinician sees the requirements and next step relevant to them.
A clear path through onboarding lets clinicians focus on preparing to deliver care.
3.05 · Clinical operationsIN BUILD
Credentialing
Serves grata operators
Licensure, payer enrollment, and renewal requirements tracked in one place.
Credentialing connects qualified clinicians to reimbursed care and keeps networks moving.
3.06 · Clinical operationsIN BUILD
Network expansion
Serves patients
Growing an independently licensed clinician network across live markets.
Qualified clinical capacity determines how quickly Grata can reach more people.
SHEET 04
Operating layer
Turns complexity into coordinated work.
Software coordinates the work that a clinic would otherwise spread across disconnected administrative teams. It keeps patients, clinicians, and operators moving through the same system.
4.01 · Clinical operationsLIVE
Care coordination
Serves grata operators
A shared queue that prioritizes timely patient outreach and follow-up.
Care between visits depends on consistent coordination across the team.
4.02 · EngineeringBUILT · NOT LIVE
Grata OS
Serves grata operators
Objectives become coordinated work, with progress and decisions visible in one place.
The company should be limited by what is clinically possible, not by administrative throughput.
4.03 · EngineeringLIVE
Knowledge system
Serves grata operators
Operational knowledge available with its sources attached.
Reliable answers keep decisions consistent as the company grows.
4.04 · Clinical operationsLIVE
Training simulator
Serves grata operators
Scenario-based practice for difficult and high-risk patient conversations.
Critical conversations should be rehearsed before they happen with a real patient.
4.05 · PartnershipsLIVE
Partnership learning
Serves referral partners
Partnership conversations summarized into clear follow-up and shared learning.
Each conversation should make Grata more useful to current and potential partners.
4.06 · EngineeringIN BUILD
Outcomes
Serves payers
Pre-registered measures with documented methods and limitations.
Defensible evidence is what turns promising care into durable payer partnerships.
SHEET 05
Why the layers connect
Owning both ends.
Any one of these layers is a company someone has already built. The argument is what each one does for the others.
Patient reach → Care delivery
patients
A trusted consumer relationship can become a direct path into care when someone is ready, without a new handoff or acquisition step.
Providers → Care delivery
providers
Care can only grow as quickly as qualified clinical capacity. Owning both pipelines keeps expansion coordinated.
Operating layer → Care delivery
coordinates
Staying with a patient between visits requires coordination. Software makes that continuity sustainable as the caseload grows.
Operating layer → Patient reach
learns from
Knowing which channels produce people who actually enter care, rather than installs, is only possible when one company owns both ends.
Operating layer → Providers
learns from
A consistent view of recruiting, credentialing, and availability helps Grata expand care without lowering the clinical bar.
0.00
Shared foundation
What makes it a loop and not three companies.
The software carries what we learn into each new clinician, market, and condition. The same foundation supports expansion without rebuilding the company around every new launch.
Consistent identity
A patient is recognized consistently across every part of their care.
Consistent permissions
Access follows the same clinical and privacy rules across the system.
Addiction is the beginning.
We began with addiction because the failure of the old system is impossible to miss. A visit is not enough. A prescription is not enough. The hardest hours happen away from the clinic.
The same is true across healthcare. Diabetes is lived between glucose checks. Depression is lived between therapy sessions. Obesity is lived between weigh-ins. Chronic disease is managed every day or it is not managed at all.
Grata already has the systems required to reach patients continuously, staff their care, run the practice, and get paid. The next condition begins with the same loop.