The Objective Standard for Musculoskeletal Health

We turn movement into clinical-grade data.

AAI Health surfaces musculoskeletal risk before it becomes a claim — and proves whether treatment actually works. A clinical-grade assessment from any phone or computer. No wearables.

MSK is the #1 cost in self-funded healthcare. Everyone manages it blind. We don't. We turn movement into clinical-grade data.

Jessica · Movement Capture CAPTURING
142.6° ROM.shoulder_flexposture.dev_Lgait.symmetry 1,000+ data points captured
Movements
45+
Precision
0.1°
Wearables
0
$980B+
Annual U.S. MSK
burden · 5.8% of GDP
364M
Workdays lost
per year
1 in 2
U.S. adults live with
an MSK condition
1000+
Data points per
30-min assessment
The Blind Spot

Every diagnosis got a real test.
Function is still a guess.

A few hundred years ago, all of medicine ran on guesswork. Three of these were retired. One never was.

BLOOD PRESSURE

Then — a finger on the pulse, a guessed number.

Now — the cuff. Exact, every time.

CHOLESTEROL

Then — guessed from the look of the eyes.

Now — a blood panel. Precise.

DIABETES

Then — tasted in the urine and blood.

Now — a glucose meter. Instant.

The One That Never Changed
Function is still assessed subjectively, randomly, and primitively.

The most expensive sector in American medicine is still measured the way it was before electricity — back when diabetes was found by taste.

The Problem

A system failing the employer and the patient at the same time.

Too Late

Claims surface months late

By the time an injury becomes a claim, you’re already paying for it. There is no early warning.

Subjective

No objective baseline

Pain and function are recorded subjectively. That inflates cost and hides who is actually at risk.

Inconsistent

Unconscionable variability

Diagnosis, recovery, and protocols differ wildly. There is no standard and no way to compare.

The MSK Epidemic, By the Numbers

The most misdiagnosed, mistreated, and costly conditions in employer health.

$980B+

Annual U.S. burden — 5.8% of GDP, direct + indirect

364M

Workdays lost per year — more than any other condition

1 in 2

U.S. adults live with a musculoskeletal condition

Higher rate of anxiety & depression with chronic pain

Sources: U.S. Bone & Joint Initiative, BMUS 4th ed. · National Health Interview Survey 2019, published in PAIN (2024).

The Solution

Most MSK apps are vitamins. We're the blood test.

Exercise apps hand everyone the same routine without ever screening whether they need it. AAI Health screens first — what’s wrong, who’s at risk, and whether treatment is actually working.

Screen

Risk, surfaced early

Objective MSK risk surfaced before it becomes a claim.

Predict

Injury, foreseen

Identify who is heading toward injury — before it happens.

Validate

Treatment, proven

Prove whether PT, meds, or surgery work — in weeks, not months.

The Platform

Meet Jessica — a clinical-grade assessment from any phone or computer.

An objective measurement of a participatory test — repeatable, standardized, and completely wearable-free.

  • Pain Mapping — a natural conversation captures the history of discomfort.
  • Clinical Intake — voice-enabled dialogue records structured clinical answers.
  • Movement Capture — camera-based range-of-motion measured to a tenth of a degree.
How It Works

45+ movements. 1,000+ data points. 30 minutes. Zero wearables.

STEP 1

Patient opens the app

Any camera-enabled phone or tablet.

STEP 2

Jessica guides the session

Movements, postures & ROM tests.

STEP 3

Computer vision captures

1,000+ unique data points recorded.

STEP 4

Normal clears, risk routes

Flagged results route to expert care.

45+

Standardized movements

1,000+

Data points captured

100%

Remote & wearable-free

30 min

Average session

The Ecosystem

One closed loop: the patient, the AI, and the physician.

The AI measures. The physician diagnoses and directs care. The next assessment proves whether it worked.

01 PATIENT 02 JESSICA 03 PHYSICIAN MEASURES DIAGNOSES THE NEXT ASSESSMENT PROVES WHETHER IT WORKED 30 min · any phone 1,000+ data points credentialed MSK

This is the regulatory posture, not just the product. The platform measures and structures; credentialed physicians diagnose and treat. The loop is the ecosystem — and the outcomes-linked dataset it generates is the moat.

Smart Data

Clinically structured reports that redirect spend.

Every movement measured against unit-aware target windows, with status flags that surface risk at a glance — the raw material behind the population analytics employers and payers buy.

Assessment

Head-to-toe MSK

Complete clinical summary of the whole musculoskeletal picture.

ROM Report

Range of motion

Isolated measurements & deviations from target windows.

Oswestry

Disability scoring

Standardized scoring, comparable across a population.

Custom

Any stakeholder

User-defined sections for employers, payers, or work-comp.

Consistent, reproducible output — the same assessment, scored the same way, every time. That consistency is what makes it comparable across a population and over time.

Early Evidence

Five years and 100,000+ data points of real-world clinical signal — generated inside a working practice.

5 yrs

Deployed with real patients inside a working pain practice

100k+

Data points collected and analyzed

80–90%

Engagement among symptomatic patients

70

Patients · paired baseline & follow-up outcomes

Every measured outcome moved in the right direction.

70 patients, paired baseline and follow-up structured assessments under guided corrective care.

PAIN SEVERITY (VAS 0–10) 5.97 → 3.08 · −48%
MOVEMENTS THAT PROVOKE PAIN 64% → 15% · −76%
RANGE OF MOTION, ALL JOINTS 71.3° → 81.7° · +15%
PATIENTS WHOSE PAIN WORSENED 0 / 70
Competition

A different axis than the exercise apps.

EXERCISE-ONLY → SCREEN · PREDICT · VALIDATE CONSUMER → CLINICAL-GRADE Hinge · Sword · Kaia $2–6B scale AAI HEALTH physician-validated
What they have that we don't (yet)

Distribution, capital, and brand at $2–6B scale.

What we have that they chose not to build

Physician-interpreted objective measurement, risk prediction, and treatment validation — in one closed clinical loop.

Why Now

Three forces converging at once.

Technology

Agentic AI just made it possible

We built the computer vision in 2020. Only at the end of 2025 could AI guide a clinical-grade assessment at scale.

Demand

Employers are demanding this now

Self-funded plans name MSK their #1 cost and are actively moving to direct provider contracting.

Timing

The GLP-1 wave needs us

Weight comes off — the MSK damage and deconditioning stay. We’re the missing other half of that care.

The Patient Journey

A broken system, made whole: Jack's story.

Former athlete. Now a construction worker, father, and husband to Diane.

What it’s worth: one avoided surgery pays for hundreds of screens.

Built For the Organizations That Carry the Cost

Three buyers. One objective standard.

01 · DIRECT ENTERPRISE

The self-funded employer

Self-funded operators (500–2,500 employees) in manufacturing, logistics & distribution — moving to direct contracting. A single avoided surgery pays for hundreds of screens.

02 · BROKER / CONSOLIDATOR

The gatekeeper with a book

Regional benefits consultants and point-solution platforms who need an MSK differentiator to defend fees. One relationship becomes many contracts.

03 · WORKERS' COMP / TPA

The objectivity buyer

WC carriers and TPAs managing MSK claim duration — objective function data and consistency flags for variances that can’t be medically explained.

Founded & Led By

The physician who saw the opioid crisis coming — now building the standard that comes next.

Jay Joshi, MD® — Founder & CEO · Double board-certified

AAI Health isn’t a tech company that hired a medical advisor. It’s founded and led by one of the most credentialed interventional pain physicians in the country — the first U.S. pain physician to work with the World Health Organization’s Department of Substance Abuse, who warned of the OxyContin epidemic more than a decade before the CDC, and who has never prescribed OxyContin or oxycodone in three decades of practice.

The clinical logic inside this platform is his — now formalized into protocols any credentialed reviewer can apply, designing the founder out of the critical path on purpose.

WHO · Geneva 1999
700+ lectures
Cover of Lancet Oncology
Opioid-free by conviction
One Ecosystem

Physician-led. Built to outlast any one of us.

AAI Health owns the clinical logic and the outcomes-linked dataset — the moat — while its arms deliver the care and the engine.

Clinical Arm

National Pain Centers

The physician-led practice where the ecosystem was built and validated on real patients.

Technology Arm

Deep Mind Healthcare

The computer-vision & motion-capture engine behind Jessica. AAI owns the clinical logic and the outcomes-linked dataset.

The Team

Physician-led, technology-built.

A double board-certified founder, a GLP-1 clinical bridge, an operating COO, and a deep AI/computer-vision engineering team — backed by a clinical network of credentialed MSK experts reviewing assessments today.

Leadership

Jay Joshi, MD®

Founder & CEO

Double board-certified pain physician

Grant Reffell, DC

Chief Operating Officer

Six years operating the company

Shoriful

Chief Technology Officer

Two-time exit founder

Technology

Mehedi

Team Lead

AI & computer vision

Asif

Lead Mobile App Dev

iOS · Swift · Flutter

Nirjor

AI Engineer

CV & LLM applications

Meraj

Android Developer

On-device AI

Desha

Frontend Developer

Next.js · React · TS

Sadi

Researcher

Univ. of Tsukuba

Clinical Team & Consultants

Mitul Desai, MD

CMO · Obesity Medicine

Double board-certified · the GLP-1 clinical bridge

Deanne Giannola, PA-C

Patient Care & Clinical Coordination
Patient Experience & Operations

Krista

Financial Coordinator

Adriana

Patient Experience

Chrissy

Patient Experience

Enrique

Patient Experience
What's Next

MSK is the beachhead. The method extends.

Adjacent

Integrated mental health

Chronic pain carries 5× the rate of anxiety and depression. The same objective-measurement method extends to the mental-health dimension of MSK.

Expansion

Health systems & payers

Rural health systems, FQHCs, and payers — sequenced after the employer wedge is proven.

Partnership

Pharma & GLP-1

The objective standard for the MSK half of the GLP-1 care equation.

For Employers, Brokers & Payers

Stop managing MSK blind.

See how objective, physician-validated MSK measurement redirects waste and proves what works across your population.

For Investors

The objective standard, while the window is open.

Physician-led, ecosystem-validated, five years of clinical signal. Request the investor materials for traction, market, and roadmap.

Set up a demo & meet Jessica.

Our agentic AI will lead you through your first MSK assessment — experience Smart Data firsthand. The future of MSK begins here.

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