Bringing value-based care to home care.
Aponot brings home care into the rest of the health system — connected to hospitals & health plans, aligned around shared goals, and accountable for the results it delivers.
Our approach
Connected to the system
We pull home care out of its silo, connecting it to the hospitals, health plans, and employers already involved in providing care — filling the spaces between more formal care to support everyday wellbeing and prevent health crises.
Aligned on goals
While much of home care is focused on maximizing billable hours, we've built a network where partner agencies are rewarded for measurable outcomes.
Accountable for results
We track what actually happens at home and connect it to the outcomes that matter — fewer readmissions, ER visits, and facility stays.
What families and clients tell us.
Thanks to Charlene, our caregiver, my mom is able to stay safe in her own home. After she got out of the hospital and then rehab, we were one fall away from moving her into a facility — but this care changed everything.
Before finding this care, my mom was constantly in and out of the hospital with severe UTIs. Since Dayan, our caregiver, started giving her regular showers and toileting support, she hasn’t had a single infection. This care has literally kept my mom healthy and out of the ER. I am forever grateful.
Marcus, my caregiver, is a godsend. He keeps me straight on all the new meds and appointments I got since I got out of the hospital — tells me when to take what, and drives me to my appointments. Haven’t missed one yet.
Testimonials are from clients of Aponot’s member home-care agency. Names are withheld for privacy; photos are representative.
The system is shifting to paying for outcomes. Home care hasn't caught up.
Healthcare is steadily moving from paying for volume to paying for results — through Medicare Advantage, accountable care organizations, and readmission-based penalties. Home care sits directly on many of those outcomes: whether an aging parent takes their medication, eats well, stays mobile, and avoids a fall or a hospital stay often comes down to what happens between visits, at home.
Yet home care remains one of the largest, most fragmented, and least connected parts of the system. It is delivered by thousands of independent agencies, paid mostly by the hour, and rarely linked to the medical results it influences. The care that could prevent the costliest events is disconnected from the parties who would benefit from preventing them.
- The 2010 Affordable Care Act set it in motion. It created the CMS Innovation Center and launched the first wave of value-based programs — Accountable Care Organizations, hospital readmission penalties, and value-based purchasing — that began tying payment to outcomes across the system.
- Roughly 40% of U.S. healthcare payments now flow through value-based models — yet non-skilled home care sits almost entirely outside them.
- The shift has paid off. Medicare's largest value-based program, the Shared Savings Program, generated a record ~$2.1 billion in net savings in 2023 while improving quality — and has produced savings for the trust funds every year since 2019.
- Care outcomes have followed the dollars: transitional and in-home care models have cut 30-day hospital readmissions by 20–50% for high-risk patients — precisely the kind of result non-skilled home care is positioned to drive once it's measured and rewarded. Start years reflect CMS program launch dates and are approximate. Sources: HCPLAN APM Measurement; CMS Medicare Shared Savings Program 2023 results; published research on transitional and in-home care.
Value-based home care can significantly reduce the overall cost of care.
Home care is uniquely positioned to influence the highest-cost outcomes — yet it's the one setting still paid for inputs, not results. Bringing it into the fold is where the next wave of value creation sits.
Sources: HCPLAN APM Measurement; CMS (Home Health Value-Based Purchasing, Readmissions Reduction Program, SNF VBP, oncology and kidney models); widely cited research on healthcare-spending concentration; published home-based and hospital-at-home care studies. Cost-reduction figures are directional — drawn from existing high-risk and skilled home-based programs — and illustrate the potential of extending value-based care to non-skilled home care, not a guaranteed result.
The outcomes we work to drive
Lower cost isn't abstract — it comes from a specific set of outcomes that consistent, well-managed home care is positioned to move. These are the results we measure and reward our network against.
Someone in the home catches a problem early and routes it to the right care — before a missed medication or an unnoticed symptom becomes a 911 call.
Structured post-discharge support — medication reconciliation, follow-up visits, early warning signs — closes the gaps that send people back to the hospital.
When a reliable home plan is in place, a hospital can discharge safely sooner — instead of holding a patient because there is nowhere safe to send them.
Consistent, capable support at home keeps people safely independent — delaying or avoiding a costly move into a nursing facility.
Each of these traces back to the same thing: what happens between visits — medication taken, meals eaten, mobility kept, decline caught early. That is the work our network is built to deliver, measure, and reward.
Evidence is drawn from established home-based and transitional-care programs — the Care Transitions Intervention (readmissions), CMS's Independence at Home demonstration (hospitalizations and emergency use), hospital-at-home models (length of stay), and home- and community-based services and PACE (facility diversion). These show what home-based care can achieve; our aim is to extend that impact to non-skilled home care and measure it directly. Figures are directional.
How the model works
Aponot operates a network of licensed home-care agencies where measurable, outcomes-based incentives are used to continuously refine and optimize delivery models and best practices. In practice, it works as a continuous loop:
Track care and outcomes together
We record what care is delivered in the home and connect it to health outcomes drawn from claims and clinical data — building a picture no single agency or payer holds on its own.
Link care to outcomes
By linking care and outcomes, we can see — fairly and risk-adjusted — which agencies and models are generating the results that matter.
Scale and steer to what works
We identify where care is improving outcomes, then push best practices across our network and redirect care to those proven models.
Who we work with
Health plans, ACOs, hospitals
A way to put existing home-care spend to work more effectively — and a measurable reduction in avoidable admissions, emergency visits, and facility stays, with the evidence to prove it.
Independent agencies
Access to value-based revenue and referral flow they can't reach alone, plus the tools and guidance to raise their outcomes — rewarded for quality, not just hours.
Older adults and caregivers
Care organized around staying healthy and independent at home — better managed, better coordinated, and connected to the rest of a person's care.
How we operate
Aponot is building this with payers, providers, and home-care agencies. If you work in value-based care, home-based care, care transitions, or agency operations, we'd welcome a conversation.