Total knee replacement (TKR) is the most common surgical procedure in the US with 1.3M annual surgeries and is expected to grow to 3.5M by 2040. Costs are exorbitant with payers spending $4B annually on TKR rehabilitation alone. As Medicare leads the shift to value-based care, providers are being pressured by payers to cut costs while maintaining the same quality of care. Today, provider groups are losing an average of $474.61 per patient. At the same time, 50% of patients are noncompliant with home exercise and 26% have difficulty accessing care. As a solution for the entire healthcare ecosystem, ATDev is building Rehab Robo, a telehealth enabled exoskeleton to reduce rehabilitation costs by 43%, maintain the quality of care, increase compliance, and improve outcomes. The device can provide assistive and resistive torque to the knee to allow for independent at-home exercise while collecting and reporting patient outcomes data via a telehealth application. To date, the team has been funded by the NSF, NIH, state of Colorado, and the Berkeley Skydeck Fund. ATDev will begin a 30 patient pilot study with UCHealth and the Orthopedic Center of the Rockies in Q3 of 2022.