Skip to content

Access by Design —with VerifiedOutcomes

Built for the populations every payer needs to reach — private plans, Medicaid agencies, Medicare ACOs, and CMS innovation programs alike

Safe, timely transitions home. Accountable delivery, tracked quality, lower total cost — in the places traditional networks break

Populations We Manage

Member segments where YCare lowers utilization and cost while raising quality scores

Five percent of the population drives roughly half of US healthcare spending. These are the segments where that concentration sits. Each has a defined operating model, a contracting structure, and a measured outcome set

Medicare Advantage

Chronic, complex, high-utilizer · RPM/CCM at scale · Star-quality lift

Medicare–Medicaid Duals

Highest-cost cohort · D-SNP · MMP · FIDE-SNP arrangements

CMS · Federal · Rural Health

Rural Health Transformation Program ($50B / 10 yr) · CMS Innovation · HaH waiver

Medicaid Managed Care

Mental health, complex populations · SPHERE program (Social, Physical Health & Engagement for Recovery and Equity)

Page 1 of 2

HIPAA-compliant and SOC 2 Type II audited · active supporter of Rural Health transformation initiatives

Spending concentration per AHRQ Medical Expenditure Panel Survey

Contracting Model

PMPM. Episodic. Risk-Aligned

Built to match how plans pay. Aligned economics, shared outcomes

PMPM

ongoing

Care management for chronic populations on a per-member-per-month basis

Episodic

defined

Post-acute, discharge, and defined clinical pathways

Risk-Aligned

at-Risk

Reimbursement tied to readmissions, ER avoidance, and quality

What YCare operates

In-home care delivery · discharge coordination · RPM and chronic care management · network management across owned and partnered agencies · quality reporting

YCare will take risk. We co-invest alongside plan partners, across your whole population or a defined subset

SPHERE Initiative

Whole-person care, brought home

Social, Physical Health & Engagement for Recovery and Equity — developed for a State Medicaid Tailored Plan, configurable to any state

Discharge coordination and home-health activation
In-home rehab on connected devices
Community reintegration and caregiver engagement
Circle of Care on one platform

Two populations: members leaving long-term institutional care, and members discharged after an acute crisis. Physical and behavioral health coordinated in one program

YCare provides the platform, monitoring devices, clinical workflows, and program management alongside the plan’s care team

Outcomes That Map to Your Scorecard

Measured in the home. Reported to your scorecard

Program results from YCare deployments, mapped to the measures plans are evaluated on

20–25%

lower 30-day readmissions

New York home-based primary care practice · 1,100 patients · average age 85

Plan All-Cause Readmissions (Star)

15–20%

fewer all-cause hospitalizations

Same practice cohort

Utilization · total cost of care

<40% → >90%

medication adherence

Howard University–affiliated Type 2 diabetes program

Medication Adherence for Diabetes Medications (Star)

>9 → <6

HbA1c improvement

Same diabetes program

Comprehensive Diabetes Care — HbA1c Control (HEDIS)

Additional therapeutic areas — heart failure, behavioral health, pharmacogenomics — are covered on our Providers page, with published literature benchmarks noted where YCare program data is not yet available

Case · Howard University

Turning adherence into measurable therapeutic impact

<40%>90%medication adherence
>9<6HbA1c improvement

A Howard University–affiliated Type 2 diabetes program. A model designed to scale across high-risk populations

The YCare platform integrating reminders, RPM, telehealth, and caregiver support

Why Payers Pick YCare

Three things payers usually buy separately

Platform, network, and operators in one company. One contract, one accountable partner

The platform

250+ integrated devices. Epic, Oracle Health, and PointClickCare. HIPAA-compliant and SOC 2 Type II audited

The network

Owned operations in Florida; clinical partnerships in NY, NJ, NC; technology partnerships in six more states. One quality bar

The operators

Ten prior healthcare exits across the leadership team. Advisors from the White House, CMS, Baylor Scott & White, Northwell, the ANA, and Dell

Questions Payers Ask

The questions that come up before the first meeting

Q01
We co-invest alongside plan partners and structure around risk-aligned economics tied to readmissions, ER avoidance, and quality. We will work across your entire population or a defined subset, depending on the product and the market.
Q02
Our network is built state by state. Owned clinical operations in Florida; clinical partnerships in New York, New Jersey, and North Carolina; technology partnerships in six additional states. Program design — including our SPHERE initiative for Medicaid Tailored Plan members — is built to each state’s requirements.
Q03
The plan owns the Model of Care. YCare operates against it — delivering the in-home services, capturing the data, and reporting into your quality infrastructure. We do not ask plans to adopt our model in place of theirs.
Q04
YCare supplements rather than replaces. We operate our own agencies where we have them and partner with agencies where we do not. Plans that already have adequate network coverage in a market typically engage us for the populations or programs their current network does not reach.
Q05
YCare handles in-home care delivery, discharge coordination, remote patient monitoring, chronic care management, care coordination, network management across owned and partnered agencies, and quality measurement. Benefits administration — utilization review, prior authorization, and claims payment — remains with the plan.