Claim Health, a Y Combinator-backed startup building AI-native revenue operations infrastructure for post-acute care, has raised a $4.4 million seed round led by Maverick Ventures, with participation from Peak XV, Y Combinator, and DHVP. The financing also included checks from C-suite executives at large post-acute care providers, which the company said reflect growing demand for modernized revenue workflows in home health, hospice, and personal care settings.
The company said it has seen rapid traction since joining Y Combinator’s Spring 2025 batch, reporting 30x revenue growth in under a year as providers look to replace manual, portal-heavy processes with automation. Claim Health is positioning its platform as “revenue infrastructure” for post-acute operators contending with rising demand, tighter staffing, and increasingly complex payers.
Post-acute care providers are managing a higher flow of referrals than before the pandemic, according to the company, while denial rates and administrative requirements continue to rise. Claim Health points to a market of roughly 68,000 post-acute care providers in the U.S., and says home health volumes are expected to grow by about 13% over the next five years—trends that are placing additional strain on already resource-intensive revenue operations.
Claim Health’s platform is designed to manage the referral-to-reimbursement workflow end to end, covering intake, eligibility verification, authorization management, and payment reconciliation. The company says it can run these processes without relying on manual portals or paperwork, aiming to reduce administrative burden, prevent revenue leakage, and allow providers to scale referral volume more efficiently.
“Post-acute providers are under immense operational pressure, and revenue operations are where that pressure shows up most acutely,” said Kevin Calcado, co-founder and CEO of Claim Health. “Our goal is to eliminate the administrative friction that slows down care and creates financial instability. We’re using AI to build a system that works continuously in the background so teams can stay focused on patients.”
Early customers include Ascend Health, Interim HealthCare, and Home Care RN, according to the company. Claim Health said users have reported cutting the administrative workload by more than 50%, increasing referral throughput by up to 4 times, and reducing preventable denials by 30% to 50%.
Maverick Ventures said the opportunity is driven by the size of post-acute care and the sector’s relative lack of modern operational technology. “Post-acute care is a large and rapidly growing part of healthcare that lacks modern technology,” said Lexi Henkel of Maverick Ventures. “Kevin and JJ’s history working together at venture-backed healthcare startups combines go-to-market leadership with product and engineering experience, uniquely positioning them to build something new and enduring in this space.”
Claim Health was founded in 2025 by Calcado and JJ Ram. The two previously worked together at venture-backed healthcare software companies, including as early team members at Dandy, where Calcado led early go-to-market efforts and Ram was an early engineering hire. The founders said they identified revenue operations as a consistent failure point across post-acute providers and are building what they describe as a long-term “self-driving” revenue cycle that uses intelligent automation to reduce administrative overhead and improve financial predictability.
KEY QUOTES:
“Post-acute providers are under immense operational pressure, and revenue operations are where that pressure shows up most acutely. Our goal is to eliminate the administrative friction that slows down care and creates financial instability. We’re using AI to build a system that works continuously in the background so teams can stay focused on patients.”
Kevin Calcado, Co-Founder and CEO, Claim Health
“Post-acute care is a large and rapidly growing part of healthcare that lacks modern technology. Kevin and JJ’s history working together at venture-backed healthcare startups combines go-to-market leadership with product and engineering experience, uniquely positioning them to build something new and enduring in this space.”
Lexi Henkel, Maverick Ventures
