memios — Move Through Cancer. Live Beyond It.
The National Standard for Cancer Exercise Delivery

Move Through Cancer.
Live Beyond It.

memios builds the infrastructure that connects every cancer patient to the certified exercise and wellness support that science proves can change their outcome — from diagnosis through the rest of their life.

I Am a Patient For Hospitals & Clinicians
2,800+
peer-reviewed RCTs proving exercise helps cancer patients[1,2]
15%
of patients currently receive an exercise referral[3]
18M
cancer survivors in the US deserve better[4]
Why Cancer Exercise Is So Very Important

The evidence is overwhelming.
The gap is unconscionable.

Cancer treatment is one of the greatest physical and emotional challenges a human being can face. Chemotherapy, radiation, surgery, and hormone therapy are powerful medicines — and they come with devastating side effects: fatigue that does not lift, muscle that wastes away, hearts damaged by the drugs meant to save a life.

For decades, the instinct was to rest. To protect. To wait. That instinct was wrong.

"Exercise during cancer treatment is not optional. It is medicine. ASCO guidelines state that medical oncologists should refer all patients to exercise oncology programming."[5]

Over 2,800 randomized controlled trials document what happens when cancer patients move.[1] Cancer-related fatigue drops by up to 50 percent.[6] Muscle mass is preserved.[7] Hearts are protected from cardiotoxic damage.[8] Depression and anxiety lift.[9] Quality of life improves in ways no medication alone can replicate.[10]

For breast, colorectal, and prostate cancer, accumulating evidence links regular exercise in survivorship to reduced recurrence risk and improved survival.[11] Movement may not just help patients feel better — it may help keep the cancer from coming back.

And yet only 15 percent of cancer patients receive an exercise referral.[3] 162 American cities of 50,000 or more residents have no exercise oncology program at all.[12] The gap between what science proves and what patients receive is not a knowledge problem. It is an infrastructure problem. memios was built to close that gap.

Cancer-Related Fatigue

Exercise reduces fatigue severity by up to 50% — outperforming every pharmaceutical intervention studied.[6] It is the most effective treatment available for the most common side effect of cancer treatment.

Heart Protection

Cardiotoxic chemotherapy agents damage the heart. Exercise protects cardiovascular function during treatment and reduces long-term cardiac risk.[8] Validated in randomized trial by Viamonte et al. (JAMA Cardiology, 2023).[13]

Muscle and Strength

Cancer treatment causes dangerous muscle loss (sarcopenia) that worsens prognosis. Resistance training preserves and rebuilds lean mass, improving treatment tolerance and survival.[7,14]

Mental Health

Exercise reduces depression and anxiety in cancer patients with effectiveness comparable to therapy and medication.[9] It also restores something no drug can: a patient's sense of agency over their own recovery.

Surgical Recovery

Prehabilitation before cancer surgery reduces post-operative complications, shortens hospital stays, and accelerates return to full function.[15] The window between diagnosis and surgery is one of the most powerful opportunities to change outcomes.

90%
of oncologists say they need more knowledge to refer patients to exercise programs[3] ASCO Workforce Survey, 2019
162
US cities of 50,000+ residents with no exercise oncology program[12] Schmitz et al., Cancer, 2025
4
phases of care where memios delivers structured exercise and wellness supportPrehab · Active Treatment · Post-Procedure · Survivorship
"Every cancer patient deserves access to what science has proven can help them survive — and thrive."
— Andrew Wilson, Founder and CEO, memios — melanoma survivor, caregiver, and builder
Who memios serves

One platform.
Every voice in cancer care.

Whether you are a patient, a certified exercise professional, a hospital administrator, or a health plan medical director — memios was built for you.

For Cancer Patients

You were told to rest.
Science says move.

If you are going through cancer treatment, you may have been told to conserve your energy. To wait until treatment ends before thinking about exercise. That advice is wrong — and it may be costing you the relief you deserve right now.

Exercise does not drain your energy during treatment. It restores it.[6] You do not need to be fit. You do not need to have exercised before your diagnosis. You need a certified Cancer Exercise Specialist who understands your cancer, your treatment, and your goals.

  • Reduce cancer-related fatigue by up to 50% — even during active treatment[6]
  • Protect your heart from the damage that chemotherapy can cause[8,13]
  • Preserve your muscle mass and physical strength through treatment[7]
  • Lift depression and anxiety with the effectiveness of medication — without side effects[9]
  • Prepare for surgery with prehabilitation — fewer complications, shorter hospital stay[15]
  • Access in-clinic, telehealth, and community programs — wherever you are[16]
  • Build a long, strong, purposeful life in survivorship — with a program that stays with you
Your Four-Phase Program
  • 1
    PrehabilitationBefore treatment or surgery. Build physical and mental reserves so you enter treatment stronger.[15]
  • 2
    Active Treatment SupportDuring chemotherapy, radiation, or immunotherapy. Exercise tailored to your treatment schedule and daily tolerance.[5,6]
  • 3
    Post-Procedure RecoveryAfter surgery or treatment completion. Structured rehabilitation that restores function and prevents long-term complications.[17]
  • 4
    Long-Term SurvivorshipFor the rest of your life. Exercise, nutrition, mental wellness, sleep, and purpose — a complete holistic program.[11]
For Cancer Exercise Professionals

Your expertise can change survival outcomes.

Exercise oncology is the fastest-growing specialty in health and fitness. The demand for certified Cancer Exercise Specialists is outpacing supply at every major cancer center in the country.[4,12] memios trains you, certifies you, places you, and supports you.

  • Earn a nationally recognized Cancer Exercise Specialist credential through our CETI partnership
  • Access hospital-based roles that pay significantly more than traditional fitness positions
  • Deliver in-clinic, telehealth, and community sessions — expand your reach beyond any single facility[16]
  • Use the memios clinical platform: exercise prescription builder, outcomes tracking, and HIPAA-compliant telehealth — all in one place
  • Direct placement opportunities within the memios national hospital client network
  • Your outcomes contribute to the national evidence base that advances the entire field
What memios Provides
  • CES
    CertificationCES credential through CETI. Specialty add-ons for prehab, post-procedure, and holistic wellness delivery.
  • Rx
    Clinical PlatformExercise prescription builder, 300+ exercise library with cancer-specific modifications, outcomes tracking, and telehealth.
  • JOB
    Career PlacementDirect access to hospital placement opportunities within the growing memios network.
  • NET
    Professional NetworkCase consultations, clinical Q&A, and peer connection with Cancer Exercise Specialists nationwide.
For Hospitals and Cancer Care Facilities

The infrastructure your patients need. The standard your institution requires.

ASCO guidelines mandate that every cancer patient should be referred to exercise programming.[5] The 2024 NAPBC standards require documented exercise recommendations for breast cancer patients.[18] memios delivers a turnkey program that integrates with your EHR, meets accreditation requirements, and demonstrates documented ROI.

  • Epic and Cerner EHR integration with referral pathways embedded at the point of care
  • NAPBC 2024 compliance: exercise documentation auto-generated for every eligible patient[18]
  • ~32% reduction in 30-day readmissions with prehabilitation program[15]
  • 45% patient connection rate to exercise services using the EXCEEDS triage model[19]
  • 90-day proof-of-concept pilot before committing to a full contract
  • The only platform covering all four phases: prehab, active treatment, post-procedure, and survivorship
The Business Case
  • $
    Readmission ReductionOne avoided 30-day readmission saves $15K–$30K. Prehab programs frequently offset their license cost in the first year.[15]
  • Q
    Quality MetricsImproved MIPS scores, HEDIS performance, and patient satisfaction tied to CMS reimbursement.
  • A
    AccreditationNAPBC 2024 compliance auto-generated.[18] Commission on Cancer standard preparation.
  • R
    Research RevenueStructured outcomes data makes your institution more competitive for NCI, NIH, and pharma research grants.
For Insurance Companies

Measurable outcomes. Documented savings. A partnership built on data.

Cancer is one of the most expensive conditions your plan manages. Structured exercise oncology programs reduce hospitalizations, readmissions, ED utilization, and long-term disease burden. The evidence is clear. memios provides the infrastructure, outcomes data, and partnership model to make it measurable.[15,20]

  • ~32% reduction in 30-day readmissions documented in prehabilitation literature[15]
  • Cardiac rehab billing for patients on cardiotoxic regimens — covered today, fully optimized by memios[8,13]
  • PROMIS, FACIT-Fatigue, EQ-5D, and HEDIS outcomes data structured for your analytics teams[6,10]
  • Shared savings pilot structures — measure ROI before expanding coverage
  • FHIR-native payer integration — eligibility, PA documentation, and outcomes in your existing systems
  • Position your plan ahead of the CMS national coverage determination for exercise oncology[21]
Key Data Points
Readmission savings
$15K–30K
per avoided 30-day readmission[15]
Fatigue reduction
50%
documented in active treatment[6]
Treatment completion
Higher
fewer dose reductions and delays[5]
Referral rate achieved
45%
Hillman Cancer Center protocol[19]

Every cancer patient deserves this.
Let's build it together.

Whether you are a patient seeking support, a professional building your career, a hospital closing the gap in your care continuum, or a payer investing in outcomes — memios is your partner.

For Patients For Professionals For Hospitals For Insurers

Research References

All statistics and clinical claims on this page are grounded in peer-reviewed research. Primary source: Adsul, Pergolotti, and Schmitz (2025), ASCO Educational Book, Vol. 45, Issue 3.

1
Campbell KL, Winters-Stone K, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51:2375–2390. (2,800+ RCT figure cited within ASCO/ACSM guideline literature.)
2
Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–1426. (First published ACSM guidelines; growth of evidence base since 2010.)
3
Ligibel JA, Pierce LJ, Bender CM, et al. Attention to diet, exercise, and weight in oncology care: results of an ASCO national patient survey. Cancer. 2022;128:2817–2825. (Source for 15% referral rate and 90% of oncologists needing more knowledge.)
4
American Cancer Society. Cancer Treatment and Survivorship Facts and Figures 2022–2024. Atlanta: American Cancer Society; 2022. (18 million cancer survivors currently living in the United States.)
5
Ligibel JA, Bohlke K, May AM, et al. Exercise, diet, and weight management during cancer treatment: ASCO guideline. J Clin Oncol. 2022;40:2491–2507. (ASCO mandate that medical oncologists should refer all patients to exercise oncology programming.)
6
Campbell KL et al. (ACSM 2019) and supporting FACIT-Fatigue meta-analyses. Up to 50% reduction in cancer-related fatigue severity with structured exercise vs. control conditions. Exercise outperforms all pharmaceutical interventions studied for cancer-related fatigue.
7
Rock CL, Thomson CA, Sullivan KR, et al. American Cancer Society nutrition and physical activity guideline for cancer survivors. CA Cancer J Clin. 2022;72:230–262. (Resistance training preserves lean body mass and prevents sarcopenia during treatment.)
8
Gilchrist SC, Barac A, Ades PA, et al. Cardio-oncology rehabilitation to manage cardiovascular outcomes in cancer patients and survivors: a scientific statement from the American Heart Association. Circulation. 2019;139:e997–e1012. (Cardiotoxic treatment damage; exercise protects cardiovascular function.)
9
Campbell KL et al. (ACSM 2019) and PHQ-9/GAD-7 outcomes in exercise oncology RCTs. Exercise reduces depression and anxiety scores with effectiveness comparable to pharmacological and psychotherapeutic interventions in cancer populations.
10
Ligibel JA et al. (ASCO 2022) and FACT-G / PROMIS Global Health meta-analyses. Exercise consistently improves patient-reported quality of life across all cancer types and treatment phases studied.
11
Rock CL et al. (ACS 2022). For breast, colorectal, and prostate cancer, meeting exercise guidelines in survivorship is associated with reduced recurrence risk and improved disease-free survival. Post-diagnosis physical activity linked to 31% reduced cancer-specific mortality, 22% reduced recurrence, 45% reduced all-cause mortality (breast cancer meta-analysis).
12
Schmitz KH, Demanelis K, Crisafio ME, et al. Proximity to cancer rehabilitation and exercise oncology by geography, race, and socioeconomic status. Cancer. 2025;131:e35515. (Geospatial analysis: 2,100+ programs mapped; 162 US cities of 50,000+ with no ORE program.)
13
Viamonte SG, Joaquim AV, Alves AJ, et al. Cardio-oncology rehabilitation for cancer survivors with high cardiovascular risk: a randomized clinical trial. JAMA Cardiol. 2023;8:1119–1128. (Significant improvement in peak VO2 and quality of life; cardiac rehab RCT.)
14
Giri S, Al-Obaidi M, Weaver A, et al. Association between chronologic age and geriatric assessment–identified impairments. J Natl Compr Cancer Netw. 2021;19:922–927. (61% of patients aged 60–64 had two or more geriatric assessment impairments; muscle mass and frailty as prognosis predictors.)
15
Stout NL, Brown JC, Schwartz AL, et al. An exercise oncology clinical pathway: screening and referral for personalized interventions. Cancer. 2020;126:2750–2758. (Prehabilitation reducing surgical complications, LOS, and readmissions; 30-day readmission reduction data.)
16
Winters-Stone KM, Boisvert C, Li F, et al. Delivering exercise medicine to cancer survivors: has COVID-19 shifted the landscape? Support Care Cancer. 2022;30:1903–1906. (Telehealth and online delivery; EXCEL study: 75%+ self-referral rates, 80%+ retention in rural/remote populations.)
17
Brennan L, Sheill G, Collier S, et al. Personalised exercise rehabilitation in cancer survivorship: the PERCS triage and referral system study protocol. BMC Cancer. 2024;24:517. (Post-procedure rehabilitation; PERCS model feasibility trial; improved adherence and physical function.)
18
National Accreditation Program for Breast Centers (NAPBC). Optimal Resources for Breast Care 2024 Standards. American College of Surgeons, 2025. (Requirement that exercise recommendations be documented in the medical record for breast cancer patients under oncology care — effective 2024.)
19
Schmitz KH, Chongaway A, Saeed A, et al. An initiative to implement a triage and referral system to make exercise and rehabilitation referrals standard of care in oncology. Support Care Cancer. 2024;32:259. (Hillman Cancer Center: 45% patient connection rate using EXCEEDS model; 3–5 minutes of staff time per patient.)
20
Kennedy MA, Potiaumpai M, Maitin-Shepard M, et al. Looking back: a review of policy implications for exercise oncology. J Natl Cancer Inst Monogr. 2023:140–148. (Policy review: comparison with Diabetes Prevention Program, peripheral artery disease supervised exercise; payer coverage pathway analysis.)
21
Adsul P, Pergolotti M, Schmitz KH. Implementation science as the secret sauce for integrating exercise screening and triage pathways in oncology. Am Soc Clin Oncol Educ Book. 2025;45:e472854. (Primary source document: EPIS, CFIR, ERIC frameworks; EXCEEDS, PERCS, CORE, CREST, PGA triage models; CMS NCD submission update; full implementation science review.)