Design story / EttaCare
Designing care technology around people.
EttaCare is a platform we designed and built for therapists in Oregon and Washington. It is prelaunch, so this story explains the design decisions rather than reporting outcomes.
By AI Coop · Updated
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EttaCare is prelaunch. This story records design decisions and does not report patient or practice outcomes.
Visit EttaCare and its launch waitlist →
- 01
AI prepares a labelled draft
- 02
Clinician reviews and edits
- 03
Clinician signs the record
- 04
Amendments preserve the original
A simplified view of the decisions described below.
Payments go straight to providers
Insurance payments go directly from insurer to provider. The platform helps reconcile records without holding the money.
This design addresses licensing and fee-splitting questions before the payment flow becomes hard to change. Legal review remains part of the process.
Payment rules shaped the product from the start.
Pricing designed around the rules
The prelaunch design uses flat membership and optional flat per-claim fees. Pricing and payment flows were considered together so legal advisers could review the model before launch.
A pricing page is usually a marketing artifact. Here it was a compliance output — which is why it could not be decided last.
AI can draft. Clinicians decide.
AI can help draft a clinical note, but it cannot sign one. Drafts are marked as AI-generated and a clinician reviews, edits and signs them. The model is HIPAA-eligible and covered by a business associate agreement; provider data is not used for training.
The feature must pass a clinical accuracy check before it is enabled. Signed notes are locked; corrections preserve the original and the amendment. The clinician remains accountable for the record.
Providers can take their data with them
One-click full export of every client record, note, appointment and financial record. Month-to-month membership, cancel anytime. Stated publicly as deliberate anti-lock-in.
This is the same principle we apply to our own engagements, which is why we recognised it as the right call here rather than arguing about it.
What this has to do with your organization
In regulated work, decisions about payments, information and human approval affect what a product can safely do. We made those choices early in the EttaCare design.
We can help your team identify the decisions that matter most before you commit to a build.
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