Gather Health provides a Medicare‑focused primary care service for adults 65 + that combines clinic, home, and community visits delivered by a dedicated team of physician, care guide, and medical technician. The team creates and updates personalized care plans, offers 24/7 phone triage, and coordinates referrals and hospital transitions, with billing integrated into Medicare Advantage and traditional Medicare.
Funding
Funding not disclosed
Founders
Product
Problem
Seniors on Medicare often face fragmented primary care that requires multiple visits to clinics, limited home-based services, and insufficient coordination of chronic condition management, leading to gaps in treatment continuity and reduced health outcomes.
Solution
Gather Health delivers a dedicated primary care model exclusively for adults 65 + enrolled in Medicare, combining in‑clinic, at‑home, and community‑based visits under a single, patient‑centered team. Each patient is assigned a primary care physician, a care guide, and a medical technician who collaborate to create and adjust individualized care plans through shared decision‑making. The service integrates with Medicare Advantage and traditional Medicare reimbursement streams, ensuring coverage for eligible beneficiaries. Continuous support is provided via a 24/7 phone line, and the team coordinates referrals and transitions with local specialists and hospitals to maintain seamless care continuity. By embedding the care team within the communities they serve, Gather Health reduces travel burdens and improves access to preventive and chronic disease management.
Target Audience
The primary customers are Medicare‑eligible adults aged 65 + who seek convenient, comprehensive primary care, including those enrolled in Medicare Advantage plans and residing in the service regions.
Features
- Full multidisciplinary team (physician, care guide, medical technician) assigned to each patient for coordinated care delivery
- Flexible visit locations: dedicated practice sites, home visits, and community outreach locations
- Shared decision‑making platform that co‑creates personalized care plans and tracks progress in real time
- 24/7 telephone access for urgent concerns, enabling rapid triage and support outside regular office hours
- Direct integration with Medicare Advantage and traditional Medicare billing to streamline reimbursement
- Care coordination engine that manages specialist referrals, hospital discharge follow‑up, and medication reconciliation
- Secure patient portal for appointment scheduling, care plan updates, and secure messaging with the care team