MeiraWorks connects OPOs directly with the donation and transplant professionals who carry the work. Credentialing, scheduling, and payment in one platform, on compliance-native infrastructure. No agency in the middle.
MeiraWorks, MeiraPay, and Atlas operate as one platform on the same compliance-native engineering foundation: role-based tool authorization, Postgres row-level security, AES-256 encryption of PII at rest, and secure authentication.
Direct workforce coordination across U.S. organ donation. Traveling coordinators work directly with the OPOs they serve, with credential records they carry between assignments, faster payment, and case history that travels with them. OPOs get direct access to the professional workforce: credentialing, scheduling, and payments in one platform. No agency in the middle. When a coordinator accepts an assignment, the platform generates the contract, calendar block, and travel plan together.
See MeiraWorksThe payment rail across U.S. organ donation and transplant. AI-generated invoices with CMS-216 line-item categorization performed at the transaction level. OPO finance teams stop reconstructing cost reports retroactively. Vendors stop maintaining separate invoicing relationships with 55 OPOs and 200+ transplant programs.
See MeiraPayFederal data intelligence across U.S. organ donation and transplant. Every OPO, every hospital, every transplant program, every referral, mapped to one operational layer with provenance tracking.
See AtlasMeiraWorks is opening with a small first cohort of OPO partners and traveling coordinators. Sign up by track.
The shortfall between the organs the United States recovers and the organs it could recover does not originate in clinical decision-making. The variance that produces it accumulates where independent organizations meet across uncoordinated workflows, in narrow operational windows that the system was never built to support.
In 2025, deceased organ donation in the United States declined for the first time outside the COVID downturn in more than a decade, from 16,988 donors in 2024 to 16,550 (OPTN 2026). The decline arrived after years of record federal investment in donation after circulatory death expansion, normothermic regional perfusion, and machine perfusion technology. The downstream improved. The upstream did not.
The U.S. recovers organs from roughly 17,000 deceased donors each year, against a federally estimated potential donor pool of 35,000 to 40,000 (HRSA 2013). The clinical protocols downstream of the operating room are mature, standardized, and governed by national algorithms. The variance lives upstream. In JAMA Surgery in 2023, hospital-level conversion rates ranged from 0 percent to 51 percent across hospitals served by the same OPOs (Johnson et al. 2023). Same regional protocols. Same clinical infrastructure. The variance is inside the service area, where the coordination work happens.
The supply problem is a coordination problem, and the work that solves it is human work.
None of this is unsolvable. The interfaces are countable. The workforce is finite. The federal data exists. The financial rules are knowable. What is missing is the operational layer that lets the field's institutions coordinate at the scale this work requires. That layer is buildable now.
