HarborWell Health
HarborWell Health provides physician-led, longitudinal clinical care for people with complex medical, functional, and social needs. The company integrates fragmented healthcare services around each patient, coordinating clinical information, social context, and functional support into a single view. Care teams conduct regular outreach and monitor for meaningful change to help patients remain healthy at home.
- Digital Health
- Healthcare Technology
- Software Only
Funding
Founders
Product
Problem
People with complex medical, functional, and social needs often receive fragmented, episodic care from organizations that do not share information effectively. This disjointed system fails to address the full scope of a patient's situation, leading to poor health outcomes and unnecessary hospitalizations. Patients and their families struggle to coordinate clinical care, long-term services, and everyday life support across multiple disconnected providers.
Solution
HarborWell Health provides physician-led, longitudinal clinical care that integrates the fragmented healthcare system around each patient. The company brings clinical information, social context, and partner-delivered functional support into one unified view, then coordinates action across organizations and remains accountable over time. Care teams stay connected between encounters through regular outreach and monitoring for meaningful change, allowing them to act early when a patient's condition shifts. This continuous relationship—built around life at home—enables proactive intervention and helps patients remain safely in their homes rather than requiring institutional care.
Target Audience
HarborWell serves frail and elderly adults, people with physical disabilities, high-risk dual-eligible DSNP members, individuals with traumatic brain injury or intellectual and developmental disabilities, and the HCBS provider organizations and frontline caregivers who support them.
Features
- Physician-led interdisciplinary care teams available 24/7
- Longitudinal care model that endures beyond single episodes of care
- Regular proactive outreach and monitoring for meaningful change between encounters
- Integration of clinical, functional, and social data into one longitudinal patient view
- Coordination and accountability across multiple provider organizations and caregivers
- Care delivery built around the patient's home environment and daily life