The problem
Families caring for disabled or ill relatives at home go unpaid while home-care agencies lack staff
What they do
Trains family members as certified caregivers and gets them paid through Medicaid
Traction $15M 2025 revenue (Forbes); 8 states; 2.5M+ care hours delivered
Hiring trend
- Open roles
- 20
- Ops roles
- 3
- Headcount
- ~383 (LinkedIn count on Ashby job pages; incl. ~80 staff nurses)
Growing: ~383 staff (LinkedIn, Oct 2026) vs ~250-350 est.; 22 open roles, 9 posted Oct 15
Hiring in
- San Francisco
- Boston
- Nashville
- Remote
Glassdoor
2.3 ★ 3 reviews ↗Funding
- Last round
- $82M
- Stage
- Series C
- Date
- Oct 2026
Led by Transformation Capital (Series C; CVS Health Ventures joined); Sequoia, Thrive, Khosla earlier
- Hiring+1.520 open roles on the live job board (10–29 roles = +1.5)
- Funding recency+1.5Series C · $82M, Oct 2026 (this month): 6 months or less = +1.5
- Traction+0.75Some growth: $15M 2025 revenue (Forbes); 8 states; 2.5M+ care hours delivered
- Red flags0Watch-outs noted below, none scored as a significant flag
- Total3.751.5 + 1.5 + 0.75 − 0 = 3.75 → Tempo (3.5–4.24)
Distance (Half) is a separate read on how long the lead can last. It doesn't change the score.
Distance
Half · edge: cheaper at size
The best-funded, health-plan-backed player in paid family caregiving (CVS Health Ventures now an investor), with licenses, payer contracts and a nurse network in 8 states that take years to copy; but every dollar is Medicaid, and states like Colorado are already capping family-caregiver hours
Sources: Fortune, Oct 2026: $82M Series C led by Transformation Capital; CVS Health Ventures joins; works with health plans ↗ · Forbes, Jul 2026: $15M 2025 revenue, 8 states, ~80 staff nurses, Medicaid policy and fraud risks ↗ · Runtime Wire, Jul 2026: each new state needs regulatory and clinical setup ↗ · Abby Care on the May 2026 CMS home-health enrollment moratorium ↗ · Colorado HCPF, Jun 2026: weekly caregiver cap phased to 56 hrs by Jul 2027 ↗
Watch-outs
Watch (not scored): Medicaid policy. Colorado, its founding state, is phasing in a cap of 56 paid hours per caregiver per member per week for CNA and long-term home health (84 from Jul 2026, 70 Jan 2027, 56 Jul 2027), which trims billable hours for high-hour family caregivers; 2025 federal law cuts Medicaid by ~$1T over 10 years and states (Colorado, Indiana, Idaho, Missouri, Maryland) have moved to cut family-caregiver pay; CMS paused new home-health enrollments (May 2026) amid a home-care fraud crackdown. Glassdoor 2.3 from only 3 reviews; a Jul 2026 senior-leadership review alleges high turnover and backfill postings. No layoffs, lawsuits or down round found.
Sources: Colorado HCPF, Jun 2026: weekly caregiver cap rules (84/70/56 hrs; covers CNA and LTHH) ↗ · KOAA, Jul 2026: Colorado caregiver hour cuts began Jul 1 ↗ · STAT, Jul 2026: states proposing family-caregiver pay cuts after federal Medicaid cuts ↗ · Forbes, Jul 2026: Medicaid policy swings and fraud risk to Abby Care's model ↗ · CMS: home health enrollment moratoria and fraud crackdown ↗ · Glassdoor review, Jul 2026: alleged high turnover and backfill postings ↗
Last checked Oct 25, 2026