Medicaid maternal-infant care ·For the system that holds the cost of early births
A predicted delivery date for her doctor. A nurse for her, through 90 days home.
Delivery Date AI™ gives her doctor a Predicted Delivery Date from ultrasound images your providers already capture, for eligible patients, as an aid to clinical judgment. Her doctor decides. The mothers her doctor refers get a Tonn Health nurse through delivery and 90 days home. Results are measured on your own ledger.
Delivery Date AI™ by Ultrasound AI, Inc. · FDA De Novo granted (DEN250007) · TIME Best Inventions 2026 · Peer-reviewed (2025)
Early births are the costliest surprise.
More than 1 in 10
Medicaid babies who come early.
All births nationally: 10.4% (CDC, 2024).
$35,000 to $75,000+
What each early birth costs the system that holds the risk.
Phibbs 2019
About 550
Early births a year at a system with 5,000 Medicaid births.
Many
Early births that are a surprise. For many mothers, the first warning is labor.
Planning values for a system with about 5,000 Medicaid births a year. Discovery replaces them with yours.
Today’s care is excellent (and late).
Tonn Health’s program is built around that problem: a Predicted Delivery Date in front of her doctor, a doctor who decides, and a nurse who stays with her through 90 days home.
From her scan to 90 days home.
One contract. You hire no one.
Pregnancy
Home
14 weeksDeliveryDay 30Day 60Day 90ReadEligible patients, 14 to 36 weeks: a Predicted Delivery DateReviewHer doctor reviews the date with the rest of her care and decides. The program never orders a scan.CareA Tonn Health nurse from referral, through deliveryDays 0–30 closest contactDays 31–60 step downDays 61–90 handoffSupport the familySSI filed on day one, for every baby who qualifiesMeasureEvery prediction linked to what happened
The program working in the background
Her doctor and nurse
Her doctor decides
Read. For eligible patients, ultrasound images your providers already capture give a Predicted Delivery Date.
Review. Her own doctor reviews the date alongside the rest of her care, and decides. The program never orders a scan.
Care. A Tonn Health nurse through delivery and 90 days home, for the mothers her doctor refers.
Support the family. SSI filed on day one for every qualifying baby.
Measure. Every prediction linked to what happened. Savings counted each year on your ledger.
The AI predicts a date. The doctor decides, every time.
The Predicted Delivery Date is an aid to clinical judgment, used alongside standard methods. Her own doctor reviews it with everything else they know about her, and decides. If her doctor refers her, a Tonn Health nurse works under the doctor’s plan. Nothing is ordered or billed without her doctor.
One contract
One fixed price a year covers the reads and the care. One contract, with Tonn Health.
Nothing to build
Four data files your systems already produce. Install, training and support included.
Who does the work
Ultrasound AI, Inc. makes Delivery Date AI™. Tonn Health nurses deliver the care. Tonn Health runs the program and answers for the results.
The care program
A nurse who knows her, from referral to 90 days home.
Every mother her doctor refers gets a Tonn Health nurse. Care happens by phone, video and text, so she does not need a ride or a sitter to get it. The nurse works under her doctor's plan and keeps her doctor in the loop.
From referral to delivery
Get to know her. Keep her on track.
A welcome call, then regular check-ins by phone, video or text.
Help keeping her prenatal visits, and getting to them.
Plain teaching on the signs of early labor, and who to call.
If her doctor orders one, a blood pressure cuff at home that sends readings to her nurse.
A delivery plan made with her doctor: which hospital, and how she gets there.
Anything worrying goes straight to her doctor.
Days 0 to 30 home
Closest contact.
Check-ins in the first days home, for her and her baby.
Help with feeding, sleep, medicines and the baby's first doctor visits.
Her own after-birth checkup, scheduled and kept.
Mood check-ins, with a path to help for depression or anxiety.
SSI filed on day one for every baby who qualifies.
Days 31 to 60
Step down.
Fewer calls as she finds her footing. Her nurse is still one call or text away.
Follow-through on the baby's checkups and shots.
Help with needs at home: food, rides, housing and the benefits her family qualifies for.
Days 61 to 90
Handoff.
A warm handoff to her own doctor and her baby's doctor, with a written summary.
Help keeping her health coverage and benefits in place.
Her outcome is recorded and linked to her predicted date.
We do the work. Your teams stay focused on care.
One contract. You hire no one.
Outreach
Her nurse contacts every mother her doctor refers and welcomes her in.
Teaching
Plain-language guidance she can use at home, in English or Spanish.
Home devices
When her doctor orders one, a connected device is set up and shipped to her home.
Watching and follow-up
Readings and check-ins are reviewed, and missed visits get a call.
Escalation
Concerns go to her doctor. The nurse never changes the doctor's plan.
Updates to her doctor
Short, regular notes to her doctor's office. No new software for them to learn.
Family support
SSI filed on day one for every baby who qualifies, and help finding food, rides and housing support.
Reporting
Every prediction linked to what happened, in a yearly report your finance team can check.
The technology
Delivery Date AI™. FDA De Novo granted.
Delivery Date AI™ is made by Ultrasound AI, Inc. It analyzes pregnancy ultrasound images and provides a Predicted Delivery Date: a prediction of the actual delivery date, as an aid in clinical judgment alongside standard methods.
How it works
It works from ultrasound images the care team already captures. The result comes back in under 60 seconds, and the practitioner reviews it alongside other clinical information.
What the FDA did
FDA De Novo granted (DEN250007), February 11, 2026. The FDA created a new device category for it.
Who it is for
Prescription use only. Women 18 and older, carrying one baby, from 14 0/7 to 36 6/7 weeks, who lack a reliable estimated delivery date: for example, an unreliable last menstrual period, or no ultrasound before 14 weeks.
What it is not
It does not re-date the pregnancy or measure gestational age. It is not intended to predict or assess preterm-birth risk, and it does not identify at-risk pregnancies or specific complications. Her doctor decides.
The published research
Patel et al., J Matern Fetal Neonatal Med, 2025 (cohort of 5,714 patients and 19,940 exams). Retrospective, single-institution research findings; not a guarantee of individual or site performance.
Three short videos: our overview of the program, UltrasoundAI’s own look at Delivery Date AI™, and a regulatory expert’s explainer. The AI predicts a date. Her doctor decides.
How the program works
Our overview: from her scan to 90 days home, and how results are measured on your own ledger.
Delivered by Tonn Health with UltrasoundAI.
Delivery Date AI™, from its maker
How Delivery Date AI™ goes from an ultrasound image to a Predicted Delivery Date. No sound. The words appear as text in the video.
Allison Komiyama, PhD, RAC, looks at Delivery Date AI™ on her series about medical devices: what it does for the care team, and what it does not do.
“It aids their judgment. It doesn’t replace it.”
From There’s a Medical Device for That by Bluestocking Health, hosted by Allison Komiyama, PhD, RAC. Shared with permission.
What it is worth.
Targeted: up to
$3 backfor every $1
$1
$2.30 to $3.00
Targeted Return on Investment (ROI): $2.30 to $3.00 back for every $1, on your own ledger. Most of it is NICU cost you already pay.
Measured and delivered: the method is in your contract, and your own actuaries run the numbers each year.
One fixed price a year, one contract. Value-based care, priced to deliver a targeted 3 to 1 return on investment.
What to expect.
Financial ROI
Savings counted on your ledger every year, in dollars you can take to your board.
Quality Outcomes
The goal: healthier births and fewer NICU days. Every mother her doctor refers has a Tonn Health nurse from referral through 90 days home.
Enhanced Experience
Doctors stay in charge; nothing is ordered or billed without them. Mothers get a dedicated nurse who knows them. You get one partner and demonstrated results.
Start with your own numbers.
Every account starts with Discovery: a paid, retrospective review of ultrasound images and births you already have. No new scans. No change to anyone’s care. You see the size of the problem before you buy anything.
You pick one group of delivered pregnancies, usually 1,000 to 2,500 from the past 12 months: one hospital, one clinic, or one patient group.
Delivery Date AI™ runs on ultrasound images already on file for eligible pregnancies; Tonn compares each Predicted Delivery Date with the actual delivery date.
You get one page of your own numbers: how many babies came early, what those early births cost, and how the predicted dates compared with what happened.
Priced so one executive can sign for it.
A typical Discovery report comes back within about 30 days of receiving your data.
Step 2
Full Discovery
“What is it worth to us, and what would the program look like?”
All your eligible Medicaid pregnancies from the past 12 months.
Full Discovery sets the savings baseline from your own counts and costs: the number the program is later measured against.
You get the program design and the price.
A typical Discovery report comes back within about 30 days of receiving your data.
Each step counts toward the next. The Entry Discovery fee counts toward Full Discovery. The Full Discovery fee comes back as a credit against the program.
Either answer is worth having. If the numbers are small, nothing was lost, and you can say so with evidence. If they are large, you know what the status quo costs.
Discovery Cohort
Join our first Discovery Cohort.
Tonn Health is forming its first Discovery Cohort: a limited number of health systems and Medicaid plans. Each member starts with Discovery on its own past pregnancies. Cohort members receive founding terms.
The program is the same for everyone. What it is worth to you depends on who pays for the NICU stay. Pick the one that sounds like you.
Who fits best
A system that holds the cost of early births and sees them in volume:
Several thousand Medicaid births a year.
Its own Medicaid plan or a risk contract, so the NICU savings land on its own ledger.
Its own delivery hospitals and NICU.
OB practices that do the routine scans in-house.
A finance team willing to measure.
An integrated system that owns the plan and the hospitals is the clearest fit.
Who is welcome
Anyone managing Medicaid births. Health systems paid fee-for-service. Safety-net hospitals. Medicaid plans. The platforms and service firms that work for them.
The program is the same for everyone; Discovery shows what it is worth to you, and Entry Discovery works at any size, from about 1,000 past births.
Health systems
You already capture the images. Put a predicted delivery date in front of her doctor.
What changes for your teams.
For eligible patients, her doctor gets a Predicted Delivery Date from ultrasound images already captured. The doctor stays in charge.
Delivery gets planned at the right hospital, before labor decides.
The mothers her doctor refers have a nurse through delivery and 90 days home.
If your Medicaid plan holds the cost. Many systems deliver the babies while a plan pays the NICU claim. We can build the case with you and take it to your plan partner together.
Published research: Patel et al., J Matern Fetal Neonatal Med 2025;38(1):2532099. Retrospective, single-institution research findings; not a guarantee of individual or site performance.
Recognition for UltrasoundAI: Named one of TIME’s Best Inventions of 2026 · AI for Good Innovation Factory winner (ITU, 2023) · Best Maternal Health Platform, MedTech Breakthrough Awards (2026) · Silver Stevie, AI in Healthcare (2026) · Cooley Capital Call winner (2026) · Prix Galien USA nominee (2026)
Tonn is the Irish word for wave.
We say it to rhyme with on.
Every ultrasound picture is made of waves. The machine sends sound too high to hear into the body and listens for the echo. The echoes make the picture. For decades, doctors have measured those pictures to estimate a due date. Now the same waves can help her doctor predict when the baby is likely to come. That is the wave in our name.
In old Irish stories, three great waves on the coast were said to roar to give warning before danger came. A wave that warns early. We liked that.
It is why the wave in our mark rides over the letters “on.” Early on is where our work starts, months before labor. Tonn. Early On.
What we do
Tonn Health is a Medicaid maternal-infant care program for the systems that hold the cost of early births. We bring the technology, the nurses, and the measurement together under one contract.
Our partners
Delivered by Tonn Health with UltrasoundAI, maker of Delivery Date AI™. The nurses who support each mother are Tonn Health nurses.
Leadership
Rob Kulis, CEO, is a 30-year healthcare industry executive with population health experience at GE Healthcare, Cardinal Health and PwC Health Advisory; Fellow, ACHE.
See earlier. Act sooner. Support mothers better.
Questions we hear.
Does the program order scans or change her care?
No. The program never orders a scan. Her own doctor reviews the Predicted Delivery Date alongside other clinical information, and decides. Nothing is ordered or billed without her doctor.
Which patients is Delivery Date AI™ for?
Women 18 and older, carrying one baby, from 14 0/7 to 36 6/7 weeks, who lack a reliable estimated delivery date. It gives a Predicted Delivery Date as an aid to clinical judgment. It is not a test for preterm-birth risk.
Who are the nurses?
Tonn Health nurses. They care for her by phone, video and text, work under her doctor's plan, and keep her doctor in the loop.
How does a mother reach her nurse?
By phone, video or text. She does not need to travel, and she has a direct number for her nurse's team.
What does it ask of our staff?
No added scans, visits, equipment, or exam-room steps. No interface build: you export existing scan images and a delivery log. Install, training and support are included.
What does it cost?
One fixed price a year, one contract, priced to your Medicaid births. Reads are included. No per-read charge.
How are results measured?
Targeted Return on Investment (ROI): $2.30 to $3.00 back for every $1, on your own ledger. Your own actuaries run the numbers each year, against a baseline set in Discovery.
How is patient information protected?
Patient information is handled under a business associate agreement, following HIPAA. Never send patient information through this website.
How do we start?
With Discovery on your own past pregnancies. No new scans and no change to anyone's care. A typical Discovery report comes back within about 30 days of receiving your data.
What is the Discovery Cohort?
Tonn Health’s first group of a limited number of health systems and plans. We are recruiting through January 8, 2027, and the program launches February 1, 2027. Cohort members start with Discovery on their own past pregnancies and receive founding terms. Email rob@tonnhealth.com to ask.
Don’t believe us. Check us against a year of your own scans.
It starts with Discovery on your own data, before any program.
