Boston-Based instED Reports Success in Reducing Emergency Room Reliance

In 2025, instED conducted over 12,500 encounters for 5,500 unique patients, focusing on individuals with multiple chronic conditions and complex care requirements. The service, which relies on a network of paramedics, nurse practitioners, and physicians, aims to replace unnecessary emergency department visits with on-site interventions. Data indicates that over half of the treated patients presented with two or more chronic illnesses, while nearly 30% of visits were categorized as high-acuity Priority 1 cases, with providers reaching the patient in an average of 90 minutes.

Chief Medical Officer Dr. Evan Berg noted that the model provides patients with clear escalation pathways, reducing the friction often found in traditional urgent care navigation. By utilizing a proprietary platform to coordinate between EMS partners and longitudinal care teams, the organization maintained an 80+ Net Promoter Score. As the provider expands its footprint beyond Massachusetts and Oregon into states including Texas and Louisiana, the focus remains on leveraging this infrastructure to stabilize high-risk members outside of traditional hospital settings.