SageKin
← For caregivers
For health plans, providers, and analytics partners
Outreach works for members who answer the phone. For the frail, the homebound, and anyone with dementia, there is a daughter or a spouse doing everything — and nobody is talking to them.
Some vendors call the member. Some dispatch a clinician to the home. Both work — for members who are reachable.
For a large and expensive share of members, the member is not the person making decisions. The caregiver schedules the appointment, drives them there, fills the prescription, and remembers what the doctor said. The caregiver has never been offered a tool, and no one has built a channel to them.
SageKin is already that tool. Caregivers use it for their own reasons — tracking medications, finding programs they may qualify for, and getting through hard weeks. That relationship is the asset.
$13.4 billion
Medicare Advantage quality bonus payments in 2026 — more than four times the 2015 figure
3.98 stars
The 2026 enrollment-weighted average, just under the four-star bonus threshold
68%
Of enrollees in bonus-qualifying plans — the lowest share since 2018
KFF, July 2026 · CMS 2026 Star Ratings Fact Sheet. Per-enrollee bonus values range $318–$577 a year by plan type.
We prompt the caregiver on preventive and chronic care — the mammogram, the A1c, the eye exam, the refill that is about to lapse. We help them get the appointment booked and keep the medication from running out.
The clinician performs the service and bills it. That is what closes the gap. We are the reason it happened.
These are not limitations we are working around. They are how the measurement system works, and building against them would put a partner at risk.
SageKin is a direct-to-consumer app. The caregiver owns their data and directs any sharing, which keeps us outside your business associate perimeter until you have reason to bring us inside it.
If a contract requires that change, it means a BAA, a Security Rule build, and SOC 2 — work we would want funded by the agreement rather than done speculatively.
When you prompt a family caregiver instead of a member, does the service actually get done?
We could not find a published benchmark for caregiver-mediated completion. Member-direct outreach and clinician dispatch are both well measured. This channel is not.
We are looking for one scoped pilot — a diabetes cohort is the natural place to start — to produce that number. If it holds, you have a route to a population that is currently written off.
A scoped pilot, a data partnership, or just a call to test whether this is worth either of our time.
richard@sagekin.net