Family caregivers are the largest care workforce in America. Nobody has given them a system.
Parcella gets families qualified for the benefits they're owed, gives them the tools to deliver care well, and hands agencies and payers the documentation they need — without adding headcount.
Powered by CareNotes — the clinically validated caregiver platform developed with Indiana University and the Regenstrief Institute.
Aging in place is colliding with a shrinking caregiver workforce.
Americans providing unpaid care to a family member — asked to deliver clinical-grade care with no training and no documentation tools.
Higher mortality risk among elderly caregivers experiencing caregiving strain. The caregiver is the second patient.
The shrinking ratio of available caregivers to people who need care. Institutional capacity cannot absorb the difference.
Meanwhile, Medicaid Self-Directed Care and Structured Family Caregiving programs are growing fast — and qualification, enrollment, and compliance documentation are still done by hand.
The operating system for the family care team.
Agencies, payers, and state programs need families qualified, monitored, and documented. Parcella runs that workflow end to end.
Qualification & enrollment
Eligibility screening, waiver application, level-of-care prep, and agency match — a manual, months-long process compressed into a guided one.
Daily caregiving workflow
Caregiver training and support, daily notes, symptom tracking, medication management, personalized care plans, and secure care-team messaging.
Audit-ready documentation
The compliance record states and payers require to keep waiver programs funded — produced as a by-product of care, not as paperwork after the fact.
RPM billing coordination
Continuous in-home monitoring structured so partners can capture remote patient monitoring reimbursement they are otherwise leaving on the table.
Wherever a family is doing the caregiving, someone is accountable for it.
Ten kinds of organizations carry the risk, the cost, and the compliance burden of family caregiving. Parcella works with all of them — starting with Medicaid Self-Directed Care in Indiana.
Medicaid Self-Directed Care & Family Caregiver Programs
BeachheadState SDC and family caregiver programs — including Indiana's Structured Family Caregiving — and their financial intermediaries and administering agencies.
Area Agencies on Aging & State Units
Title III caregiver support, respite coordination, and National Family Caregiver Support Program service delivery.
Accountable Care & Value-Based Networks
ACOs, clinically integrated networks, and physician groups under CMS or commercial value-based contracts, reducing avoidable utilization traced to caregiver gaps.
Health System Home-Based Care
Hospital-at-home, transitional care, and community-based care management programs where caregiver documentation is part of the care model.
Employer-Sponsored Benefits
Self-insured employers, coalitions, PEOs, and benefits platforms offering caregiver support and family leave management as a workforce benefit.
Pediatric & Adult I/DD Support
HCBS providers under Medicaid 1915(c) waivers and state-funded I/DD programs, where family caregiving is the primary delivery mechanism.
Veteran & Military Family Caregiver Programs
VA Caregiver Support Program and PCAFC populations, VA-contracted community care providers, and nonprofit administrators.
FQHCs & Rural Health Clinics
Section 330 community health centers and rural clinics embedding caregiver engagement in chronic disease and behavioral health integration.
Long-Term & Residential Care Continuity
Nursing facilities and licensed assisted living, carrying caregiver documentation across the transition into a facility and supporting PASRR and level-of-care intake.
Workers Compensation & Disability Management
Carriers, TPAs, and disability management organizations coordinating family caregiver participation in injured-worker recovery and long-term disability care plans.
Validated in a clinical trial, not in an app store.
Parcella runs on CareNotes, a platform developed at Indiana University and the Regenstrief Institute with NIH funding and measured in the ICARE clinical pilot, led by our Chief Clinical Officer. Partners adopt it without betting on an unproven intervention.
Source: ICARE pilot study, Indiana University and the Regenstrief Institute, NIH funded; published in the Journal of the American Geriatrics Society. Reflects the dementia care module of the CareNotes platform.
More on the evidenceIf you run an agency, a plan, or a state program — we should talk.
Tell us what you're accountable for. We'll show you what changes in the first sixty days.