Oma Care

What do they actually do

Oma Care is an early‑stage YC startup that helps family caregivers figure out if they qualify to be paid for the care they already provide, and then guides them through enrollment at no cost. Today, their public footprint is a website with a waitlist and direct contact options; interested caregivers reach out and the team offers hands‑on help to check eligibility and complete paperwork for relevant government or insurance programs omacare.com, YC company page/launch.

Based on their launch description, the workflow they’re building combines an “AI agent” and services to: verify eligibility (including calling agencies), fill and file multi‑page forms, provide caregiver training and personalized care plans, and handle the compliance and billing steps required to get family caregivers paid under existing programs. Public materials suggest this is in pilot/early use rather than scaled, and they are seeking introductions to agencies, hospitals, and payors to run pilots YC company page/launch.

Who are their target customer(s)

• Unpaid family caregivers (adult children or spouses): They provide most day‑to‑day care but face hours of calls, complex forms, and state‑by‑state rules to access programs that could pay them, leading to lost income and time. Oma aims to check eligibility and file paperwork for them.
• Family caregivers for medically complex relatives: They need structured training, care plans, and reminders to deliver safe care and meet program requirements, but lack simple, credible resources. Oma proposes training, personalized care plans, and care‑management support.
• Home‑care agencies and provider organizations: They struggle with workforce shortages and high hiring/compliance costs; incorporating family caregivers into paid roles is operationally difficult. Oma is pursuing pilots to make paid family‑care workflows practical.
• Medicaid/Medicare payors and managed‑care organizations: They want lower costs and fewer readmissions but need compliant, verified home‑based care delivery that can include family members. Oma’s pitch is to provide the plumbing for eligibility, billing, payroll, and compliance.
• Hospital discharge planners and clinicians: They must arrange reliable post‑discharge support to reduce readmissions but lack time and tools to navigate program rules to set up paid family care. Oma proposes automated eligibility checks and enrollment support.

How would they acquire their first 10, 50, and 100 customers

• First 10: Founder‑led, manual cases from waitlist signups, DMs, YC and personal networks; provide free eligibility checks and file all paperwork, then capture step‑by‑step playbooks and consented case studies.
• First 50: Run small pilots with 2–3 local home‑care agencies and one hospital discharge team; partners refer families while Oma executes end‑to‑end enrollment/training and standardizes state scripts and partner onboarding.
• First 100: Add a pilot with a Medicaid MCO or large provider for steady referrals; recruit caregiver groups and clinics; launch a simple self‑serve eligibility screener and templated packets, and publish outcome summaries to convert more partners.

What is the rough total addressable market

Top-down context:

Headline population: 53 million unpaid family caregivers in the U.S. (AARP/NAC 2020) and a large payer budget in Medicaid home‑ and community‑based services (HCBS) at $129.4B in 2022 AARP, Medicaid/Mathematica.

Bottom-up calculation:

Near‑term focus centers on caregivers tied to the 7.8M Medicaid HCBS users (2022). Each HCBS recipient could potentially designate a family caregiver in consumer‑directed models, defining an upper‑bound pool of several million potential paid family caregivers, with revenue derived from enrollment, training, and compliance/payroll fees on a subset of those cases Medicaid/Mathematica.

Assumptions:

• Only a fraction of HCBS recipients will be eligible and opt to use a paid family caregiver in their state/program.
• Oma secures payor/agency partnerships and state approvals needed to transact (FMS, payroll, billing, EVV) in initial states.
• Average annual revenue per enrolled caregiver reflects a mix of one‑time enrollment plus ongoing training/compliance or transaction fees.

Who are some of their notable competitors

• Aidaly: Employs and trains family caregivers and helps them get paid through applicable programs; operates an app and state‑specific guidance for eligibility and payments Aidaly.
• Careforth (formerly Caregiver Homes/Seniorlink): Runs Structured Family Caregiving programs with caregiver coaching and payments for eligible Medicaid populations in select states Careforth, Careforth get paid.
• Public Partnerships (PPL): Major Financial Management Services (FMS) provider for self‑directed Medicaid; enables participants to hire family/friends and handles payroll, taxes, and compliance across many states PPL.
• GT Independence: FMS provider supporting self‑direction so people can hire family/friends; manages enrollment, payroll, taxes, and EVV with tools and a caregiver app GT Independence.
• FreedomCare: Large CDPAP/home‑care provider that helps eligible consumers hire family or friends as paid caregivers, notably in New York and additional states FreedomCare.