Dementia care that pays the plan back.
Medicare Advantage, D-SNP, and Medicaid managed-care plans have one of the hardest problems in healthcare: members with dementia are expensive, hard to keep in-network, and their caregivers — the people who actually deliver their care at home — are invisible to the plan. Dyad Health is built for that problem.
How it works
We find the members who need us most.
Working with the plan's data, our software identifies which families are most likely to end up in the emergency room in the next three months — so we reach them first.
- Works with plans' and providers' records via HL7 FHIR
- Focused on dementia, not every condition
- Risk stratification reviewed with the plan's clinical team
We care for both — the member and their caregiver.
A bilingual care navigator works with the whole family. The person with dementia gets dedicated oversight from a Dyad dementia specialist — focused on dementia-specific medication review, behavioral and functional assessment, and integration with the member's existing care team. Available within days, not months. The caregiver gets her own check-ins, benefits navigation, and respite care when she needs one.
- Community-based care — not a call center
- Spoken in the family's language (Spanish, Tagalog, English)
- Care delivered through the plan's existing network
We're paid by the plan — never by families.
Our contracts with health plans are outcomes-based. The details of how we're compensated are worked out with each partner plan during engagement. Cost and savings conversations happen then, not on a public page.
- Plan pays Dyad Health
- No cost to families, always
- Measured on the plan's own numbers
Why it works for plans
Three audiences in the plan care about Dyad for different reasons.
Clinical leadership
Members stay in the home. Caregiver-driven emergency visits — the ones that show up as "ambulatory care-sensitive admissions" in quality scoring — go down. CAHPS and HEDIS move in the same direction as the clinical outcome.
Finance & actuarial
Dementia members are the highest-variance cohort in a plan's book of business. Dyad compresses the tail — fewer hospital admissions, shorter SNF stays, lower ambulance volume — on the members actuarial already flags as expensive.
Compliance & Stars
Dyad surfaces conditions that home-based encounters reveal but clinic visits miss. Documentation flows back through FHIR so the plan's providers can code what they're already treating — Star Ratings and RAF accuracy move on the same visibility loop, without adding clinical workflow.
Built for the rules that are coming, not the ones that just left.
Dyad is not dependent on any specific regulatory tailwind — our model holds under today's rules. What recent shifts do is make the sell faster: plans that were weighing dementia programs for 2028 are now asking for 2027 go-lives.
- CMS Interoperability & Prior Authorization Final Rule (CMS-0057-F) — the API and data-sharing requirements took effect April 2026; the 24/72-hour prior-auth clocks phase in through 2027. Our FHIR-native architecture is designed for this world.
- LEAD Model — the Medicare shared-savings program that succeeds ACO REACH begins January 1, 2027. Dementia is the single segment that most rewards LEAD-era investment, and dyadic care is the delivery mechanism. See For providers for ACO/LEAD context.
- GUIDE Model — the eight-year CMS payment model reimbursing comprehensive dementia care (navigation, 24/7 access, caregiver education, up to $2,500/year in respite). Dyad's care delivery is GUIDE-compliant; plans and provider systems participating in GUIDE can use Dyad as their delivery partner.
- Medicare-Medicaid alignment — the long-running push to simplify dual-eligible enrollment and benefit coordination. Our business model is native to duals, not retrofitted.
Want the longer policy picture? Read What is a D-SNP? and What is FHIR?.