The dyad is the unit of care. Nobody else is building for it.
Dyad Health is building the first care-delivery company whose unit of analysis is the person with dementia and their family caregiver, cared for as one. We're in active conversations with Medicare Advantage, D-SNP, and Medicaid managed-care partners, and with investors who see dyadic care as the next segment of value-based care.
The market
Dual-eligible Americans — people on both Medicare and Medicaid — are roughly 12 million people and represent ~30% of combined federal and state healthcare spending. Within that population, the ~1.5 million living with dementia are the highest-variance cohort: the most expensive, the most operationally complex, and the most neglected by today's care-management playbooks. Their caregivers — also visible to the same payers, also generating cost when they break down — have never been a distinct unit of care.
The dyad of patient + primary caregiver is the actual unit that the healthcare system interacts with, and it's the unit Dyad Health builds for.
"If you only pay attention to the person with dementia, you miss half the reason they end up in the hospital. The caregiver's health drives the patient's outcomes. That's the insight that's been sitting in plain sight for a decade, waiting for a company to be built around it."
Why now
Three macro shifts converge in 2026–2027 to make dyadic care a fundable category:
- LEAD Model begins January 2027. The Medicare shared-savings program that succeeds ACO REACH has a ten-year horizon. Dementia is the single cohort with the highest shared-savings upside for any ACO that can compress it. See For providers for detail.
- GUIDE Model reimburses the care. CMS's eight-year GUIDE Model pays directly for comprehensive dementia care — navigation, 24/7 access, caregiver education, respite. The payment architecture now exists.
- CMS Interoperability Final Rule (CMS-0057-F). FHIR-based data exchange took effect April 2026; decision clocks shorten through 2027. Any new care-delivery company built without a FHIR-native architecture is already behind.
Dyad is not dependent on any specific policy window — our unit economics hold under today's rules. What the shifts do is compress the sales cycle from 2028 go-lives to 2027 go-lives.
What we do
For a health plan's dementia-plus-caregiver members, Dyad delivers:
- A bilingual, community-based care navigator who works with the whole family in the family's language.
- A Dyad-Health-employed dementia specialist providing dementia-specific clinical oversight — coordinating with each member's existing PCP, neurologist, and other treating clinicians.
- Respite care scheduled proactively for the caregiver before burnout drives an ED visit.
- A software layer that ingests plan and provider records via FHIR, identifies the families most likely to be admitted in the next 90 days, and surfaces documentation back to the ACO/plan's own systems.
Care is delivered through the plan's existing network. We add what's missing; we don't replace what's there.
Team
Genevieve Caruncho-Simpson
Ten-plus years at the intersection of dual-eligible health plan strategy, caregiver-focused care design, and value-based-care contracting. Previously led cross-functional programs for California Medi-Cal and Medicare-Medicaid alignment initiatives.
Dementia specialist lead
In formation. The clinical leader for Dyad's dementia-specific care oversight, with a contracted advisory bench in behavioral neurology, geriatric psychiatry, and primary-care integration. Announced with the first plan partnership.
Plan contracting lead
In formation. Search underway for a commercial lead with direct experience contracting dyadic or dementia programs with Medicare Advantage and D-SNP plans.
Current stage
- Incorporated as Dyad Health, Inc. (Delaware C-Corp, 2026).
- Active plan conversations. First plan-partnership signature expected this spring. We're contracting for 2027 enrollments.
- Legal & compliance foundation. Website Privacy and Terms frameworks in place. Healthcare-specific compliance work underway in advance of the first plan partnership; counsel review ongoing.
- Seed round. Actively raising. Targeting partners who understand dual-eligible economics, dementia-care delivery, or value-based care for complex populations.
What we share — and when
Dyad keeps cost, savings, and contract-specific figures out of public materials. Those conversations happen with signed NDAs, typically after a first call. If you're an investor interested in dyadic care, dual-eligible economics, or dementia-specific value-based care — we'd like to hear from you.