
careCycle
careCycle is a YC Winter 2025 (W25) company. Based in San Mateo, CA, USA. Team of 4.
About careCycle
Summary
careCycle builds an AI-powered operating system for Medicare and ACA agencies, replacing manual agent workflows across the full member lifecycle from lead intake through enrollment and ongoing retention. Coordinated teams of voice AI agents handle after-hours calls, scheduling, qualification, and warm transfers to licensed agents, cutting the post-enrollment disengagement that drives chronic member churn. The platform also serves as a unified CRM, giving agencies a single system of record in place of disconnected tools.
Business model
Book a demo sales motion targeting Medicare agencies and FMOs.
Go-to-market
Medicare agencies and FMOs are the buyers; they enter through a sales-led demo process and adopt careCycle as a replacement for their existing patchwork of CRM and dialer tools.
From the Y Combinator listing
Voice AI teams for medicare agencies.
careCycle is an AI workforce for medicare agencies and FMOs - helping leading agencies achieve 5x higher conversions, 37% better retention, and saving thousands of agent hours. We're transforming how Medicare agencies handle member relationships with teams of voice AI agents. We're solving the industry's biggest challenge: 50% annual member churn caused by poor post-enrollment engagement. Our multi-agent AI teams work together to handle the entire customer journey - from initial contact through enrollment and ongoing care. When a lead comes in after hours, one AI agent answers and schedules a callback, another calls at the perfect time, a third captures qualifying information, and a fourth handles the warm transfer to a licensed agent. This approach helped a leading FMO write over $2M in renewals during AEP 2024 while reducing agent talk time by 20% per sale. We've pioneered a purpose-built solution for Medicare's unique compliance requirements. Unlike generic AI platforms, our system features built-in HIPAA/CMS compliance, real-time data structuring, and seamless CRM integration. This enables agencies of all sizes to deliver enterprise-grade member care without massive infrastructure investments. Early metrics show the power of our approach: - 5x increase in after-hours conversion rates - 37% improvement in 90-day retention - 3,000+ agent hours saved in a single AEP - $2M+ in additional renewals during AEP 2024 The Medicare Advantage market represents a massive opportunity, with over $360B in annual premiums and growing 10% year over year. By solving the member retention challenge, we're positioning ourselves to capture significant value by transforming the member care experience for beneficiaries.
Facts
- B2B / B2B
- San Mateo, CA, USA
- 4
- Active
- Early
Founders (2)
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