ADVANCE CARE PLANNING
guided to completion.ready when it matters.
A physician initiates. The patient completes an AI-assisted directive in about 15 minutes. The finished document is stored and retrievable by authorized clinicians when it matters.
THE PROBLEM
the gap is not awareness. it is completion.
Incomplete advance care planning creates measurable downstream cost and operational burden. When patient wishes are undocumented, surrogate decision-making increases, unwanted interventions occur, ICU family burden rises, and quality measure performance suffers.
Medicare enrollees, per 100
64%
of U.S. adults have no advance directive on file
Yadav et al., Health Affairs 2017
Only 31%
of emergency physicians were confident they could locate ACP documentation, yet 74% needed it weekly
Lakin et al., J Palliat Med 2016
55%
of documented ACP discussions were not easily accessible in the EHR at the point of care
Walker et al., J Pain Symptom Manage 2018
$3,237
average savings per hospital admission with advance care planning
May et al., JAMA Intern Med 2018
Adults with an advance directive
64% have none on file. Yadav et al., Health Affairs 2017
Illustrative model of referred patients, not a study result
THE SHIFT
every existing tool waits for the patient. anchor changes the starting point.
Patient self-initiation
Physician-initiated referral
A blank legal form
A guided 15-minute directive, voice-first and bilingual
Filed somewhere, findable nowhere
Stored and retrievable at the point of care
THE PLATFORM
the physician sends it. the patient finishes it.
This is what a physician sees: every patient referred for a directive, tagged by where they stand, on file, in progress, or awaiting signature. Open one and the detail view shows the sections completed, the language used, the filing state, and whether it was witnessed, everything needed to act on a patient's wishes at the point of care.
FROM THE CHART
from the chart to the directive.
anchor runs inside the systems a clinician already uses. Opening it from a patient's chart carries that patient with it, so the directive is there without a separate login and without searching for the right record. The panel answers the question being asked at the bedside: is there a directive, who speaks for this patient, and what did they say they wanted.
15
Minutes to complete
2
Languages
15
Guided sections
1
Referral code
$3,237 saved per admission, compounding
May et al., JAMA Intern Med 2018
Per-admission figure is cited. Totals are anchor's illustrative model, not a study result.
Anchoring a referral early keeps information retrievable when the crisis comes.
WHY IT MATTERS
two versions of the same crisis.
The same fifteen minutes, spent at two different points in time: long before a crisis, or in the middle of one.
With anchor, a short referral-to-completion window leaves the directive on file and retrievable. Without it, the same moment is lost to delay, confusion, and a rushed crisis response.
THE PRODUCT
built to be finished, not just started.
Patient directive wizard
Prototype, available under NDA
EARLY VALIDATION
what clinical and legal experts are saying.
“I really like the idea. This is something I haven't heard or seen in the literature.”
“This could get us eighty percent of the way with a lot of people.”
“Anything that encourages and further promotes adoption of these tools is very, very important.”
“I can envision a self-directed session a patient could complete on an iPad while waiting for their visit.”
WHO IT SERVES
one platform. three front doors.
anchor meets three kinds of organizations where they already work. Each gets the same platform, pointed at the problem it feels most.
FOR HEALTH SYSTEMS
Primarythe infrastructure that closes the documentation gap.
anchor closes the ACP documentation gap upstream: a physician-initiated referral that takes seconds to send, and a directive most patients finish in one sitting.
QUALITY METRIC
A provider-driven lift in ACP completion is already a metric health systems report on, without adding to provider workload.
FOR LONG-TERM CARE
the audit trail every admission is supposed to have.
Federal law already requires this conversation at admission. anchor turns it into a clean, versioned, retrievable directive instead of a one-time checkbox.
F-TAG F578
CMS surveyors already enforce this. A citation lands on the facility's public Care Compare record, where families and referral partners can see it.
FOR FEDERALLY QUALIFIED HEALTH CENTERS
advance care planning built for the patients you serve.
The patients least likely to have an advance directive are the patients FQHCs exist to serve. anchor's bilingual, voice-first design was built for them specifically.
CPT 99497 / 99498
Reimbursed nationally under the 2026 Physician Fee Schedule, though FQHCs bill under a different, bundled system entirely.
FOR INVESTORS
early stage. right moment. clear path.
Stage
- Legal entity: Anchor Advance Care LLC, Maryland
- Patent: Provisional application filed June 2026
- Prototype: Available by request
- Validation: Prototype in expert review
anchor is seeking clinical pilot partners, strategic advisors, and early investors who believe the documentation gap in advance care planning is worth solving. If that describes you, we would like to talk.
THE TEAM
built by a founder. backed by clinicians.
Leadership
Julian Bolanos, B.S.
Founder and CEO
MD/MBA Candidate, University of Maryland School of Medicine and Robert H. Smith School of Business
Advisory board
Sumedh Shah, MD
Clinical Advisor, Neurosurgery
PGY-6 Chief Resident in Neurosurgery, University of Miami and Jackson Health System
Diane Hoffmann, JD, MPH
Legal Advisor, Health Law
Jacob A. France Professor of Health Care Law, University of Maryland Francis King Carey School of Law
Carolina Mendoza, MD, MBA, FAAEM
Clinical Advisor, Emergency Medicine
Assistant Professor, Department of Emergency Medicine, University of Maryland School of Medicine; Assistant Medical Director, Department of Emergency Medicine, University of Maryland Midtown Campus
In affiliation with
the crisis is the wrong time to find out what a patient wanted.
A directive completed calmly, before the crisis, protects your patients and the people asked to speak for them. Whether you are a clinician, an investor, a potential collaborator, or just curious about what we are building, reach out. We read every message.
Email us directly
contact@anchoradvance.careWe typically respond within two business days. For NDA requests, mention it in your message and we will send one over.
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