Home health ops · Paid family caregiving
Abby Care
Abby Care is a Medicaid home care provider that trains and certifies family members as paid caregivers, pairs each caregiver with a registered nurse care manager, and keeps visit records in its own app.
Strong fit
- Families caring for a relative who qualifies for Medicaid home care
- Family caregivers who want training and pay for care they already give
- Medicaid health plans that want verified records of home care visits
Weak fit
- Families outside the eight states Abby Care serves
- Patients without Medicaid or a qualifying state program
- Families who want an outside agency caregiver instead of a relative
Bottom line
Abby Care turns family members into trained, paid caregivers under state Medicaid programs, with nurse oversight and visit records kept in its app. It suits families already caring for a relative who qualifies for Medicaid home care in one of its eight states. Because it depends on Medicaid rates, state budget cuts can change what its caregivers earn.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Abby Care is used by families caring for a child or adult with long-term needs, such as autism, cerebral palsy, epilepsy, or frailty in old age, who qualify for Medicaid home care. A relative or friend completes free online training and two days of in-person skills training, including CPR, to earn the certification their state requires. Abby Care then employs that person as a caregiver, and one of its roughly 80 nurses writes a care plan with them, according to a Forbes profile republished by Forbes Vietnam. Caregivers log hours, update records, and ask questions of an AI assistant in the Abby Care app.
Families do not pay Abby Care. The company bills Medicaid or a Medicaid health plan and pays the caregiver an hourly wage, which Forbes reported is at least $20 an hour in Colorado. Abby Care operates in eight states, including Colorado, Pennsylvania, New Jersey, and Florida.
HIR has not reviewed another paid family caregiving provider. The closest companies on HIR are home care software vendors used by agencies, including Axxess, AlayaCare, HHAeXchange, and CareSmartz360.
Havi Nguyen founded Abby Care and launched it in Colorado, one of the first states to pay family caregivers. Forbes reported revenue of $15 million in 2025 and a $225 million valuation in the company's previous round. In October 2026 Abby Care announced an $82 million Series C led by Transformation Capital, with CVS Health Ventures, Frist Cressey Ventures, and Pivotal Ventures joining Khosla Ventures, Thrive Capital, and Sequoia Capital. It said its patient census had grown more than five times since its Series B in the third quarter of 2024.
The model depends on Medicaid. Forbes noted that federal proposals to cut Medicaid spending led Colorado and Indiana to propose lower pay for family caregivers, and fraud in home care programs is a standing concern for states. Abby Care says its app records give health plans a way to check the care their members receive.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Axxess | 7.9 | 7.5 |
| Abby Care | 7.6 | 7.4 |
| AlayaCare | 7.2 | 6.9 |
| CareSmartz360 | 7.1 | 6.9 |
| HHAeXchange | 6.9 | 6.6 |
Pricing
| Item | Detail |
|---|---|
| Model | Abby Care bills Medicaid or a Medicaid health plan and pays the family caregiver an hourly wage. |
| What usually drives cost | Families pay nothing. For health plans and states, cost depends on the hours of care a member is approved for and the state's rate. |
| What to ask before you buy | Ask Abby Care whether your state and program allow paid family caregivers, the hourly wage in your state, and how long training and enrollment take. |
| Published pricing | Abby Care publishes no rates. Training is free for eligible caregivers. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.