Iris Pricing Solutions Endorses X by 2’s Choreo-ED as a Breakthrough in Fixing ED Overcrowding

Farmington Hills, MI —X by 2 today announced that Iris Pricing Solutions, a leading global consultancy specializing in pricing strategy, revenue management, and operational performance, has completed an in-depth review of Choreo-ED, X by 2’s platform for improving patient flow. After a multi-session deep dive, Iris concluded that Choreo-ED represents a breakthrough approach to solving the long-standing problems of ED overcrowding and patient boarding.

Why This Matters:

For more than 30 years, Iris Pricing Solutions has advised organizations across North America, Europe, and Asia on aligning pricing and operations to drive measurable business outcomes. Their experience spans industries including healthcare, where they have supported organizations seeking to improve both financial sustainability and access to care. That perspective made their review of Choreo-ED particularly meaningful.

“We’ve worked with a wide range of healthcare executives who are well-versed in the ecosystem of healthcare technology solutions. Choreo-ED is different It choreographs the ED in real time and connects the financial, clinical, and operational dots.” – Kirk Jackish, President of Iris Pricing Solutions

“Emergency Departments are inherently chaotic. What struck us about Choreo-ED is how it brings clarity without oversimplifying. It creates a living, dynamic model of the ED that guides smarter decisions on patient flow and resource allocation. That’s rare—and badly needed.”- Peter Winters, Senior Pricing Consultant

The Problem Choreo-ED Tackles

• ED boarding has reached crisis proportions in the U.S.
• 90% of ED leaders say boarding is worse now than five years ago.
• Patients boarded in the ED face higher risk of complications and mortality.

Hospitals lose billions in revenue each year due to ineffective patient flow and missed admissions.

Earlier dashboards and workflow tools couldn’t solve these problems at scale due to poor workflow integration and unreliable predictive models. Choreo-ED changes that by:

• Operating directly on the existing digital exhaust of care delivery, integrating real-time patient data from the EHR without altering physician workflow.
• Using clinically validated AI models to transform frontline clinical intuition into a consistent, highly accurate, and early indicator of patient disposition across all patients and providers.
• Equipping nursing, admitting, pharmacy, hospitalists, and EVS with zero-click, EHR-native indications of upcoming patient dispositions, which they can use to shorten ED length of stay and ease overcrowding.

Rather than attempting to model every variable in the ED, Choreo-ED focuses on accurately predicting admittances and discharges. By giving teams earlier, more reliable signals, it improves patient flow across the department and reduces overcrowding in ways that complement existing staffing and bed-management processes.

Endorsement Reinforces a Turning Point

“What makes Choreo-ED different is that it does not rely on a one-size fits all model. It is trained on each hospital’s real-time clinical data to give admitting teams actionable signals that are grounded in their existing procedures. Choreo-ED’s aim is to not interfere with clinical judgements and decisions while proactively choreographing the teams who responds to them.”- Mitch Quinn, Director of AI/ML at X by 2

Roadmap for Greater Impact

While Choreo-ED is already delivering measurable results, its roadmap includes additional models designed to extend its impact further across the hospital:

• Inpatient discharge models to predict and accelerate safe discharges upstream.
• Level-of-care models to help route patients to the appropriate settings earlier.
• Length-of-stay models to support more effective planning and throughput management.

In order for Choreo-ED to deliver its best and highest impact, it works most effectively when hospitals integrate its insights into operational routines across admitting, inpatient units, and executive oversight. This creates a system-wide choreography of care that reduces overcrowding and supports both clinical and financial sustainability.

” When experts like Iris Pricing Solutions call our approach novel. It validates that Choreo-ED isn’t just another patient flow tool. It’s a new way of thinking about the ED, one that aligns the priorities of physicians, nurses, and executives around better outcomes.” – Qasim Hussain, Principal at X by 2

A Call to Action

The Iris evaluation underscores that Choreo-ED is ready to scale in health systems that want to:

• Reduce boarding, improve throughput, and safeguard financial sustainability.
• Protect financial performance by reducing diversion and throughput inefficiencies.
• Advance health equity by ensuring faster, safer access to emergency care.

About Iris Pricing Solutions

Iris Pricing Solutions is a global consulting firm specializing in pricing strategy, revenue management, and operational optimization. With clients across North America, Europe, and Asia, Iris has been recognized for helping organizations improve performance and achieve sustainable impact.

About X by 2

X by 2 is a technology and strategy consultancy based in Farmington Hills, Michigan, with deep expertise in healthcare and insurance. Its teams partner with payers, providers, and health systems to deliver measurable transformation through data, AI, and technology modernization.