Medicare and Medicaid were meant to protect families. Today, they leave them waiting.
In 1965, we declared that no American should go bankrupt just because their parents needed care. That caregiving shouldn't cost you your job, your marriage, or your chance to have children.
But today, home-based care is buckling. Caregivers churn at 65% per year. Families wait weeks—sometimes months—for help. For every available caregiver, five patients go without.
And when the system fails, the burden falls back on the family. The daughter who steps back from work. The son who drains his savings. The couple who delays a child because they're already caring for their parents.
Most home care agencies run on chaos. A team of 15 back-office staff supports over 300 clients—each admin juggling dozens of caregivers across shift scheduling, compliance, payroll, and constant last-minute coverage crises. All done manually.
The tools? Text threads. Sticky notes. Overloaded spreadsheets. Brittle EMR dashboards built for documentation, not decision-making. Every missed visit, late clock-in, or unfilled shift traces back to the same failure: coordination.
For comparison: Uber coordinates over 30 million rides a day with just 30,000 employees worldwide—one ops worker for every thousand transactions. That's the efficiency we need in home care. And it's not fantasy. It's just software that hasn't been built yet.
The infrastructure behind home care is spreadsheets, texts, and late-night crisis calls. It's not a labor shortage. It's a coordination collapse.
Traditional software gave you dashboards. Zingage gives you a teammate—powered by large language models, trained to coordinate in chaos, and designed to speak your language.
Legacy care software was built for compliance, not coordination. It relied on dropdowns, forms, and brittle workflows—designed to capture documentation, not drive action.
Zingage is different. We build AI-native coordination agents that don't just follow logic—they reason through ambiguity, adapt plans in real time, and communicate like a human.
Voice interfaces. Natural language prompts. Human-sounding responses. Zingage isn't a tool you operate—it's a teammate you talk to.
By eliminating admin overhead, we can redirect up to $7–8 per hour straight to the caregiver—turning care into a job worth keeping.
A typical Medicaid reimbursement for home care is around $25 an hour. Of that, about $15 goes to the caregiver, $4 to $6 is consumed by administrative overhead, and $1 to $2 remains as agency margin.
But if AI coordination compresses that overhead by 80%, we can redirect $7 to $8 per hour straight to the worker—raising wages to $22 or $23 without increasing costs.
The effects are immediate. Turnover in home care exceeds 65 percent per year, but studies show that even a one-dollar raise can reduce churn by up to 20 percent.
If we consistently raise wages from $15 to $18 and beyond, caregiving doesn't just compete with retail, warehouse, or gig work—it beats them.
And when the workforce stabilizes, patients benefit too. Caregivers stay longer. Families build trust. Fewer visits go unfilled, and more conditions are caught early. Continuity of care isn't just a nicety—it's the difference between crisis and prevention, between hospitalization and healing.
Higher wages don't just reduce churn—they restore dignity, reliability, and peace of mind to the people who need care most.
MOVE $1.5T TO HOME
The U.S. spends over $1.5 trillion a year on hospitals, nursing homes, and reactive care. With AI, that spend can move home—cheaper, earlier, and better. Zingage is the infrastructure that makes it possible.
Until now, home care has been treated like glorified babysitting—light housekeeping, companionship, help with daily tasks. But that perception isn't about the work. It's about the infrastructure. Fragmented systems. Manual scheduling. No clinical visibility. Policymakers undervalue it. Clinicians overlook it.
That's changing. Chat-based AI is beginning to outperform doctors on clinical reasoning benchmarks. Remote monitoring is becoming smarter and cheaper. Telehealth is embedded into Medicare. Lab tests now ship to your front door. For the first time, the core building blocks of clinical care are available in the home.
What's been missing is the glue—the intelligent coordination layer that ties it all together. That's what Zingage provides. We turn the home into a first-class site of care: continuous, proactive, and deeply integrated into the health system. This isn't just a clinical upgrade—it's a systemic shift. If even a fraction of institutional care spending moves upstream into home-based coordination, we're looking at hundreds of billions in reallocated value. And Zingage is the platform that captures it.
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Chat-based models outperforming doctors on clinical benchmarks
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Vitals, adherence, alerts from inside the home
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Embedded into Medicaid and Medicare reimbursement
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Chronic condition monitoring without clinic visits
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Ties it all together—turning chaos into care continuity
See what Zingage watches, routes, and resolves for you.
*Scroll down for a letter from the founders
REFERENCE NUMBER
012/ZNG/OPS/25
SERIES
CARE-OPS
DANIEL TIAN & VICTOR HUNT
THE ZINGAGE WAY
Why we’re building this — Victor & Daniel
Victor and I never set out to build software for other software people. From the beginning, our goal was a generational company in the real economy - systems that move the world outside a browser tab. Victor had just exited Astorian, a marketplace that helped property managers find contractors. I had just watched my family scramble to find caregivers for my grandfather with dementia during COVID. We didn’t know yet that home care would be our industry, but we knew our ambition belonged where failure has consequences.
We reconnected in 2023 at South Park Commons and started exploring. Our first step was Zingage Perform, a layer on top of the EMR (electronic medical record) to automate communication, engagement, and rewards. At the time we assumed two things: full automation wasn’t yet feasible, and most agencies had foundations we could build on. We were wrong. The work itself sets humans up to fail. Agencies live in a 24/7 cycle - 2 a.m. hospitalizations, daytime call queues, texts and emails piling up - while trying to coordinate care in systems built for records, billing, and compliance, not minute-to-minute staffing. These are good people doing heroic work inside constraints that make reliability overly dependent on brute force.
So, we stopped hedging and built what we always meant to build: Zingage Operator - coordination infrastructure that frees agencies from the back-office grind and makes care delivery dependable at scale. For a few months we even became schedulers ourselves to feel the weight of it and learn fast. That changed how we work. Every line of code now has a patient on the other end. A race condition isn’t an edge case - it’s a missed visit. A clumsy workflow isn’t an inconvenience - it’s a family crisis.
And now the curve has bent. Since launching post-pilot in August, four weeks of selling took us past seven figures in annual contracts, and we expect to 10x by year-end. Agencies aren’t just adopting; they’re telling us it’s changing their days. Laura Curry, who runs a veterans-focused CareBuilders agency in Kentucky, once bought cruise tickets with her husband and never used them - she was on call around the clock. When she saw Operator in action, she told us it was the first time in years she could put her phone down and know that her veterans would still get the care they needed.
That’s why we’re writing this now. We’ve shared these values internally, but with the team growing, the company at an inflection point, and the stakes higher than ever, it felt right to share them publicly too.
Victor Hunt
Victor Hunt / Zingage CEO
ZINGAGE
ZINGAGE
Daniel Tian
Daniel Tian / Zingage President