We Built Integrated Specialty Care Because Fragmented Healthcare Was Killing Workers.
When a worker gets hurt, they don’t need a referral merry-go-round between a GP, a specialist, a workers’ comp case manager, and a physical therapist who’ve never spoken to each other. They need coordinated care. The right specialist, in the right sequence, with full context, from the moment of injury to the moment they return to full duty. That’s what Integrated Specialty Care is. And here’s why we built it.
19+
On one integrated platform, and growing
$400M
4.5M+
2010
The Problem We Were Solving
Healthcare Was Broken Into Silos. Workers Were Falling Through the Gaps Between Them.
Every gap between those pieces cost the worker time, pain, and money, and cost the employer an injury that lasted twice as long as it should have. An orthopedic injury that should have been a two-week recovery became a three-month workers’ comp claim because no one in the system had the full picture at the same time.
We saw this pattern as an orthopedic surgery practice. Patients arriving with incomplete records, delayed diagnoses, untreated comorbidities that complicated their recovery, and no coordinated plan for getting back to work. The system wasn’t designed for the whole patient, it was designed for the single-visit transaction. We decided to build something different.
The Fragmented System · Before ISC
No immediate clinical guidance
ER visit = automatic OSHA recordable
Unnecessary. Most were preventable
Referral to specialist. 4–6 week wait
No shared records Duplicated assessments
WC case manager enters in week 3
Attorney contact within 48 hrsWorker on lost time and employer on WC premium
Avg $28,000+ loaded claim cost
2010
I kept seeing the same patient twice. once when they were injured, and again six months later when the system had failed them. I couldn’t fix the system from inside an operating room. But I could build a better one.
Co-Founder & CEO, HealthcareLive · Board-Certified Orthopedic Surgeon
Why We Started Here
It Started With Orthopedics Because That's Where the Most Expensive Failures Were Happening.
Dr. Michael Greiwe founded HealthcareLive as an orthopedic surgeon who had spent years watching the same failure play out in different patients. A worker would come in with a shoulder injury that had been mismanaged for months, bounced between a primary care physician who wasn’t sure what to do, an ER that ordered unnecessary imaging, and a physical therapist who was treating the symptom without the diagnosis. By the time they reached him, what had been a manageable rotator cuff strain had become a surgical case.
Orthopedics was the right starting point because musculoskeletal injuries represent the single largest category of workers’ comp costs in the US economy: back strains, shoulder tears, knee injuries, and repetitive motion disorders that account for 60%+ of employer medical spend on injured workers. If you could solve the coordination problem for orthopedic injuries, you could fundamentally change what workplace injury management looks like.
That’s what we set out to build. And as we built it, we learned that the coordination problem didn’t stop at orthopedics. It applied to every specialty a worker might need. Which is why Integrated Specialty Care became the platform it is today.
From OrthoLive to HealthcareLive: How We Built the Integrated Specialty Care Platform
2010
Dr. Michael Greiwe launches OrthoLive in Cincinnati, OH. A virtual-first orthopedic telehealth practice designed to give workers and employers same-day access to board-certified orthopedic care without the ER wait.
2015–2018
Scaling Orthopedics · The Employer Model Emerges
2019
Employer demand for a complete musculoskeletal care pathway, from triage to recovery, drives the addition of virtual physical therapy and sports medicine. The coordinated pathway model is validated: injuries managed start-to-finish on one platform recover 40% faster.
2020–2021
The pandemic accelerates telehealth adoption. HealthcareLive becomes the go-to occupational health partner for cruise lines and maritime operators, adding emergency medicine, cardiology, and neurology to serve crew medical needs at sea. The multi-specialty model is born.
2022–2023
As the platform expands beyond orthopedics to 15+ specialties, the brand evolves. OrthoLive becomes HealthcareLive. A name that reflects the full scope of the Integrated Specialty Care platform: every specialty an employer’s workforce could need, on one coordinated platform.
2024–Today
19+ Specialties · Full ISC Platform
What Integration Actually Means
Integrated Specialty Care Isn't a Marketing Term. It's Four Specific Things We Do That Nobody Else Does Together.
Every healthcare platform claims to be “integrated.” Here is what it actually means at HealthcareLive: in four specific, operational commitments that define every care pathway on our platform.
One Record, Every Specialty
Every provider who touches a case, the triage physician, the orthopedic specialist, the physical therapist, the behavioral health clinician, sees the same complete record. No faxing. No re-explaining your injury history at every appointment. No specialist making decisions without context from the provider who saw you first.
Coordinated Care Pathways
When a worker is injured, we don’t assign them to a single specialist and hope for the best. We build a coordinated care pathway, the sequence of specialties, interventions, and milestones that gets them from injury to full recovery as efficiently as the clinical evidence supports. Every step is planned with the end in mind.
Same-Shift Access, All Shifts
Integrated care means nothing if it’s not available when the injury happens. HealthcareLive delivers board-certified specialty care in under 10 minutes, 24 hours a day, 7 days a week, 365 days a year, including holidays, overnight shifts, and Black Friday. The integration doesn’t clock out at 5pm.
Employer Visibility Across All Cases
Integration is also about information flow to the employer. Every active case, every OSHA determination, every modified duty plan, every drug screen result, and every outcome trend flows into one employer dashboard, giving HR Directors and EHS Managers the visibility they need to manage their program, not just react to individual incidents.
One Record Employer Dashboard 24/7/365
300+ LanguagesThe Clinically Integrated Network
A Network of Board-Certified Specialists Who Actually Talk to Each Other.
The term “Clinically Integrated Network” (CIN) has a specific meaning in healthcare: a formal collaboration of providers with shared protocols, shared records, and shared accountability for patient outcomes. Most employers have never had access to one. HealthcareLive built the first CIN specifically designed for employer workforce health, connecting every specialty a worker could need on a single platform, with shared records and coordinated care pathways from day one.
When a maritime crew member presents with chest pain at sea, our cardiology team isn’t starting from scratch. They can see the occupational medicine triage notes, the vital signs from the ship’s medical officer, and the patient’s prior visits. When a manufacturing worker’s back strain turns out to have a neuropathic component, the referral to our neurology team takes minutes, not weeks, and the neurologist arrives with full context already loaded.
No Repeated Intake, Ever
Employers don’t manage separate vendor relationships for orthopedics, behavioral health, physical therapy, and drug screening. It’s all on HealthcareLive: one contract, one dashboard, one client success team.
The Specialties
19+ Specialties, and Growing Every Quarter
Every specialty on our platform was added because an employer client needed it, a worker required it, or a clinical gap became apparent through our outcomes data. We grow the network where clinical evidence and patient need intersect, not where it’s most commercially convenient.
Orthopedics
Shoulder, Knee, Hip, Spine, Elbow
Origin SpecialtyCardiology & Internal Medicine
Neurology & Neurosurgery
Physical Therapy
Occupational Medicine
Behavioral Health & Psychiatry
Primary Care
Sports Medicine
Hand & Upper Extremity
Podiatry & Foot
Pain Management
Spine & Back
Dermatology
Pulmonology
Endocrinology
Wound Care
Ophthalmology
Emergency Medicine
Radiology Review
From the Founder
"The worker who gets hurt on a Tuesday night in a manufacturing plant doesn't need a system that eventually gets them to the right specialist. They need the right specialist now, with full context, a coordinated plan, and a direct path back to their life."
That was the belief that turned OrthoLive into HealthcareLive. We started with orthopedics because that’s where my training was and where I could see the failure most clearly. But the problem wasn’t orthopedics, the problem was the architecture of care delivery itself: episodic, disconnected, designed for the convenience of the system rather than the needs of the patient.
Integrated Specialty Care is our answer to that architecture. It’s what happens when you design a care system around the worker’s journey, from the moment of injury, through every specialty they might need, all the way back to full duty, rather than around the billing codes and referral networks of the status quo. Fourteen years of building this taught us that integration isn’t a feature. It’s the foundation.
Co-Founder & CEO · Board-Certified Orthopedic Surgeon · HealthcareLive
What Integration Delivers
The Outcomes of Integrated Specialty Care vs. Fragmented Care
$400M
Across all HealthcareLive employer clients since founding. The direct result of faster specialist access, fewer unnecessary ER visits, and coordinated return-to-work management.
<10 min
40%
96%
Across all HealthcareLive employer clients since founding. The direct result of faster specialist access, fewer unnecessary ER visits, and coordinated return-to-work management.
Fragmented Care Integrated Specialty Care
No
Yes, all specialties Depends on WC adjuster Physician-issued at triage ER only 24/7/365, all specialties Manual, after-the-fact Auto-generated at triage Fax & phone tag Real-time, shared record19+ Specialties. One Platform. One Partner. The Care Your Workforce Has Always Deserved.
HealthcareLive’s Integrated Specialty Care platform gives every employer, from a 50-person manufacturer to a 5,000-location national chain. The same coordinated, board-certified specialty access that enterprise health systems provide to their own executives. On every shift. In every language. At every location.
