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Capacity Unlocked —for PatientContinuity

For health systems, ACOs, and physician practices. EHR-native workflows that protect your compliance and your value-based contracts.

A single, scaled, compliant home-health partner — already integrated with Epic and Oracle — that lets you discharge sooner without giving up the outcomes.

Therapeutic Areas We Cover

Conditions YCare handles end-to-end

Each area has a defined intervention model, a clinical-evidence base, a CPT-coded billing pathway, and a workflow tested against real agency operations.

Cardiac & Heart Failure

LVAD · post-discharge monitoring · UF Health (in active investigation)

COPD

15% reduction in readmissions

CKD

10% reduction in hospitalizations

Diabetes

30–40% fewer hospitalizations · HbA1c improvement

Mental Health

NC Medicaid SPHERE · adolescent and adult populations

Behavioral Health (VR)

Gamified cognitive interventions · AidXR

Pharmacogenomics

Point-of-care prescribing intelligence · PGxAI

Precision Nutrition (Oncology)

Dietary adherence in oncology populations

Geriatric Primary Care

Practice-embedded RPM/CCM · Lindenwood Medical PC

We work with — Medicare Advantage · Medicaid Managed Care · ACOs · Specialty payers · and more.

Three Reasons Systems Pick Us

Capacity at scale. Compliance you can defend. Outcomes you can measure.

Three concerns systems raise when evaluating home-health partners — answered by design.

Scale Requirement

Capacity at scale

A multi-state, multi-agency network sized to system-level discharge volume.

Compliance Expectations

Compliance you can defend

SOC 2 + HIPAA, centralized audit trails, and a mock-audit cycle in place.

Cost & Outcome

Outcomes on your dashboard

RPM + care-coordination data wired into your VBC scoreboard.

Case · UF Health

Co-developed with UF Health. LVAD heart-failure remote-monitoring in active investigation.

A co-development partnership anchored in one of the most demanding populations in cardiac care: LVAD recipients.

Population
LVAD recipients, integrated cohort.
Investigator
Dr. Mustafa M. Ahmed, UF Division of Cardiovascular Medicine.
Endpoints
TTR, BP control, LVAD complications + mortality composite.
Workforce
Coordinator burnout (CBI) + work-related QoL (WR-QOLS).
Devices
Roche CoaguChek Vantus · Terumo Elemano 2 · Body Trace · Bluetooth oximeters & thermometers.
EMR
Full Epic integration.

Case · Baylor College of Medicine

Pharmaceutical research, run on YCare's platform

A year-long virtual, geographically distributed drug trial run on YCare's RPM and telehealth stack.

Our team has nothing but positive things to say about the platform. I would recommend it for research studies and clinical trials.
Nathan Bryan, PhD, Baylor College of Medicine

Case · Lindenwood Medical PC

1,100 patients. Average age 85. Better than the New York State baseline.

How Lindenwood Medical PC, a NY home-based primary care practice, transformed chronic care management — with staff productive within 3 hours.

20–25%

Reduction in 30-day readmissions

15–20%

Reduction in all-cause hospitalizations

+23%

Year-over-year revenue growth

15–20%

Reduction in total cost of care

257 vs 278 hospitalizations per 1,000 — below the NY baseline for beneficiaries 65+, despite serving a population averaging age 85.

Inside Your Workflow

Inside your EHR. Inside your discharge process. Inside your value-based contracts.

Workflow-embedded — not an additive burden for your clinicians or your IT team.

EHR-Native
Surfaced inside Epic, Oracle, and other major EMRs.
Workflow-Embedded
Triggered from the screens your clinicians already use.
Documentation
Single source — no double-charting.
Care Coordination
RPM, alerts, and home-side data in one record.