TCARE

TCARE, an acronym for Tailored Caregiver Assessment and Referral, operates as an enterprise-facing, cloud-based care management system designed to mitigate caregiver burnout. Founded in 2014 by Ali Ahmadi, Rhonda Montgomery, Jessica Jacobs Vechinski, and Michael Mings, the company originated from a deeply personal experience. Co-founder and CEO Ali Ahmadi, a former U.S. Naval Aviator with a background in aerospace engineering, was inspired to productize an evidence-based protocol from the University of Wisconsin after it helped him and his wife navigate the challenges of caregiving for a loved one.

The company's core business revolves around reducing long-term care claims and delaying nursing home placements by supporting family caregivers. TCARE's business model is value-based, licensing its proprietary, patented platform to enterprise clients rather than marketing directly to consumers. The company serves three primary market segments: health plans (including Medicaid, MA, and D-SNP plans), life and long-term care insurance carriers, and government entities like State Units on Aging and Area Agencies on Aging. Notable clients include major insurers like Cigna, Anthem, and UnitedHealthcare, as well as various state departments of health.

The platform is built on over 30 years of clinical research and more than 15 years of longitudinal data on the factors leading to caregiver burnout. It identifies the root cause of burnout, which TCARE defines as "identity discrepancy"—the conflict between a person's existing familial role and their new responsibilities as a caregiver. Certified care professionals, such as social workers and case managers, use the system to conduct assessments that analyze over 90 burnout factors across six proprietary burden scores. Based on this tech-enabled assessment, machine learning algorithms help create a tailored care plan, connecting caregivers to targeted, often low-cost or free, local resources from a database covering 168 categories. This process has demonstrated significant outcomes, including an average delay in nursing home placement of 21 months and a 20% reduction in long-term care service utilization.

Keywords: caregiver support, caregiver burnout, care management platform, elder care technology, long-term care insurance, health plans, Medicaid services, aging-in-place, family caregiver support, digital health, population health management, risk management for insurers, social determinants of health, value-based care, insurtech, case management software, home and community-based services (HCBS), gerontology, data analytics in healthcare, evidence-based protocol