Pair Team

What Pair Team does

Pair Team, PBC is a Delaware public benefit corporation headquartered in San Francisco, founded in 2019, that operates an AI-enabled medical group delivering whole-person care coordination to high-needs Medicaid (Medi-Cal) and Medicare beneficiaries. The company's core offering combines a Community Health Worker (CHW)-led clinical care team with Flora, a production voice-AI care advocate, and a Constellation of specialized AI agents that handle engagement, enrollment, care planning, scheduling, medication support, and chronic-condition monitoring. A unified data platform bridges fragmented medical, behavioral, and social-service data, integrating records, benefits, and community resources, and is enabled by named technology partners OpenAI (LLM), ElevenLabs (voice), and Langfuse (LLM observability).

The company sells primarily through B2B contracts with managed care plans (e.g., Molina Healthcare, Health Plan of San Joaquin) for Medi-Cal Enhanced Care Management and, going live July 5, 2026, through the CMS ACCESS Model — a 10-year outcome-aligned Medicare payment program in which Pair Team is one of 150 selected participants. Distribution is reinforced by the Pair Impact Network, a community care hub of 100+ local partners including shelters, food banks, Mercy Housing, Catholic Charities USA, Goodwill, and probation/care managers. Services are covered by Medicare and Medi-Cal, so patients pay little to nothing out-of-pocket. Validated outcomes include 52% reduction in emergency department visits, 26% reduction in inpatient visits, and $20K–$25K average annual savings per high-need patient, per a peer-reviewed study in the Journal of General Internal Medicine.

Pair Team has raised approximately $19.5M in equity across rounds (seed 2019, $7.3M Dec 2021, $9M Series A Oct 2023 led by NEXT VENTŪRES with Y Combinator and Kleiner Perkins participation, plus a $500K Form D in 2024). In January 2026 it acquired Town Square (social care coordination) to accelerate national Medicare expansion, and in May 2026 co-chaired the Coalition for Health AI (CHAI) Best Practice Guides for responsible AI in Medicaid eligibility. Total funding, headcount (11–50), and revenue are not publicly disclosed, and the company is positioning for national scale via CMS ACCESS rather than via a near-term IPO.

Name

Pair Team

Legal name

Pair Team, PBC

Website

https://pairteam.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

Pair Team operates an AI-enabled medical group that pairs a clinical care team with Flora, a voice-AI advocate, to deliver whole-person care coordination for high-needs Medicaid and Medicare beneficiaries, contracting with managed care plans and the CMS ACCESS Model while leveraging a 100+ partner community network.

Ownership category

akta.pro rank

Product category

Medicaid and Medicare Care Coordination

NAICS

Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Health Services (8000), Services-Social Services (8300), Services-Home Health Care Services (8082)

akta.pro primary industry

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

akta.pro secondary industries

Family Care Navigation & Care Coordination Platforms (multi-member care plans, referrals) (HLALAHAL), Care Coordination, Referral Management & Transitions-of-Care Pathways (HLACAGAL), Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Medicare Provider Networks & Delegated Medical Groups (MA-focused) (FSAIAGAK), Virtual Second Opinion & Care Navigation Platforms (HLALAAAF)

Keywords

• Medicaid care management
• Medicare care coordination
• AI health platform
• Value-based care services
• Community health partnerships

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Health plan contracts (B2B managed services): Pair Team contracts with Medicaid and Medicare health plans to provide community-integrated Enhanced Care Management (ECM) and care coordination services for high-needs members. Revenue flows via per-member or value-based contracts from payers such as Molina Healthcare and Health Plan of San Joaquin.
2. Medi-Cal Enhanced Care Management (ECM): Program delivered to Medi-Cal patients at no cost to the patient, reimbursed through California's Medi-Cal managed care plans. Covers dedicated care team, housing and food support, mental health, and medical coordination.
3. Medicare chronic care support (ACCESS model): Selected as one of 150 participants in the CMS ACCESS 10-year payment model that rewards health outcomes rather than clinical activities. Creates the first federal payment mechanism for AI agents monitoring patients between visits. Many Medicare patients pay little to nothing out-of-pocket.
4. Outcome-aligned payments (ACCESS): Under the CMS ACCESS model, the program replaces traditional billing codes with outcome-aligned payments for chronic conditions including diabetes, hypertension, chronic kidney disease, obesity, depression, and anxiety. Positioned to capture federal Medicare reimbursement for AI-enabled care delivery.

Pricing tiers

Go-to-market motion4 records

Distribution channels4 records

Marketing channels7 records

Core offering

Pair Team operates an AI-enabled care delivery platform that combines a human care team with Flora—a voice AI agent and constellation of specialized agents—to provide whole-person care coordination for Medicaid (Medi-Cal) and Medicare patients. Services span medical, behavioral, and social needs including housing, food, and transportation support, and are delivered via contracts with managed care health plans (e.g., Molina Healthcare, Health Plan of San Joaquin) and directly to eligible Medicare beneficiaries through the CMS ACCESS model.

Product overview

Pair Team operates an integrated, single-platform offering — the Pair Team connected care ecosystem — that combines an AI-enabled care delivery platform with a human care team, community-based partnerships, and a network of AI agents branded as Flora (the "Constellation of Agents"). The platform powers three core program offerings: Enhanced Care Management for Medi-Cal members, an Ongoing Support program for Medicare beneficiaries (delivered under the CMS ACCESS Model), and the Pair Impact Network (a Community Care Hub of 100+ local partners). Acquired offerings include Town Square (social care coordination). Together, Flora and the underlying platform unify fragmented medical, behavioral, and social data to deliver whole-person care coordination for Medicaid and Medicare populations.

Differentiator

Problem solved

Functional benefit

Brands

• Flora: Flora is Pair Team's branded AI care advocate (voice AI agent) — a patient-facing AI interface that helps coordinate care, connects members to food/housing resources, answers questions, and escalates to nurse practitioners and clinical team members.

Products and services

• Flora (AI Care Advocate) Flora is Pair Team's AI health advocate and primary patient-facing interface—a coordinated constellation of specialized agents that handles engagement, enrollment, care planning, scheduling, medication support, and monitoring. Available 24/7 via voice or text in any language; integrates with ElevenLabs for voice and OpenAI for language understanding.
• Enhanced Care Management (ECM) for Medi-Cal Medi-Cal program providing a dedicated care team, housing and food support, social support, mental health, and medical coordination for Medi-Cal patients managing chronic conditions, housing instability, food insecurity, or behavioral health needs. Available in California. Validated by a peer-reviewed study in the Journal of General Internal Medicine.
• Ongoing Support for Everyday Health (Medicare Program) Medicare-covered program for Original Medicare (Part A & B) beneficiaries combining the Flora AI health advocate with a dedicated clinical care team. Includes Health Coaching, Care Coordination, Medication Management, Food/Housing/Transportation support, Mental Health Support, and Condition Monitoring. Delivered under the CMS ACCESS Model; available in select states with nationwide expansion planned.
• Pair Impact Network (Community Care Hub) A Community Care Hub of more than 100 local partners—including residential facilities, shelters, probation/care managers, drop-in centers, food banks, and transportation providers. Pair Team provides funding, tooling, and staffing to extend impact for community-based organizations serving Medicaid and Medicare members.
• Pair Team Connected Care Platform Pair Team's underlying whole-person care delivery platform—a unified data platform that bridges healthcare and public-assistance data and powers the Flora Constellation of Agents. Provides real-time insights, proactive care coordination, and CHW-led care team workflows for high-need Medicaid and Medicare populations.
• Town Square (Social Care Coordination) Social care coordination company acquired by Pair Team in January 2026 to expand community-connected care for Medicare and Medicaid beneficiaries. Integrates clinical, behavioral, and social care coordination, strengthening infrastructure connecting health plans, providers, and community-based organizations.

Quantifiable outcome

• 52% reduction in Emergency Department visits
• +6 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability10 records

Feature5 records

Partnerships

16 partnerships are on record, tiered flagship / policy co-chair, core policy partner, flagship / strategic acquisition, flagship technology partner, core technology partner, core health plan partner, flagship health plan partner and community partner.

• Coalition for Health AI (CHAI)flagship / policy co-chairStrategic or Co-development Partner · 11 May 2026Pair Team co-chairs CHAI's Best Practice Guides for Responsible AI in Medicaid Eligibility, co-developed with NACHC, Centene, and HealthTech 4 Medicaid and over 40 organizations. Guides establish prohibitions on fully automated eligibility denials and require human-in-the-loop oversight for adverse actions, preceding the June 1, 2026 HHS guidance deadline.
• NACHC (National Association of Community Health Centers)core policy partnerStrategic or Co-development Partner · 11 May 2026Co-chair alongside Pair Team, Centene, and HealthTech 4 Medicaid on CHAI Best Practice Guides for Responsible AI in Medicaid Eligibility workflows under H.R.1 community engagement requirements.
• Centene Corporationcore policy partnerStrategic or Co-development Partner · 11 May 2026Co-chair alongside Pair Team, NACHC, and HealthTech 4 Medicaid on CHAI Best Practice Guides for Responsible AI in Medicaid Eligibility. Centene is one of the largest Medicaid managed-care insurers in the U.S.
• HealthTech 4 Medicaidcore policy partnerStrategic or Co-development Partner · 11 May 2026Co-chair alongside Pair Team, NACHC, and Centene on CHAI Best Practice Guides for Responsible AI in Medicaid Eligibility.
• Town Squareflagship / strategic acquisitionStrategic or Co-development Partner · 23 January 2026Pair Team acquired Town Square, a social care coordination company, to expand community-connected care for Medicare and Medicaid beneficiaries. Town Square's CEO Royal Tuthill joined Pair Team as SVP of Networks. Combined organization integrates clinical, behavioral, and social care via AI-driven care coordination and systems integration connecting health plans, providers, and community-based organizations.
• OpenAIflagship technology partnerTechnology or IntegrationListed as an 'Industry Partner' on Pair Team's AI page — supports Pair Team's voice AI and LLM systems powering Flora and the constellation of agents.
• ElevenLabscore technology partnerTechnology or IntegrationListed as an 'Industry Partner' on Pair Team's AI page — likely provides voice synthesis / voice AI capabilities underpinning Flora.
• Langfusecore technology partnerTechnology or IntegrationListed as an 'Industry Partner' on Pair Team's AI page — likely provides LLM observability / tracing tooling for production AI agents.
• Health Plan of San Joaquincore health plan partnerChannel Partner/ Reseller/ DistributorMedi-Cal managed care plan whose logo appears on Pair Team's /payers page; Pair Team delivers community-integrated care and care coordination for its members.
• Molina Healthcareflagship health plan partnerChannel Partner/ Reseller/ DistributorNational managed care insurer whose logo appears on Pair Team's AI Industry Partners page; Molina's Medicaid and Medicare members receive Pair Team's care coordination services.
• Catholic Charities USAcommunity partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner; participates in the Pair Impact Network supporting whole-person care for Medicaid/Medicare members.
• Helping Handscommunity partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner in the Pair Impact Network supporting whole-person care delivery.
• Call 211community partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner supporting social-care navigation for patients.
• Turlock Gospel Missioncommunity partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner in the Pair Impact Network; likely supports housing and food services for patients.
• Mercy Housingcommunity partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner; supports housing services for Medicaid/Medicare members.
• Goodwillcommunity partnerChannel Partner/ Reseller/ DistributorLogo displayed on Pair Team's homepage as a community partner in the Pair Impact Network supporting employment and social services.

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• WelbeHealth: PACE (Program of All-Inclusive Care for the Elderly) operator providing community-integrated medical, behavioral, and social care for dual-eligible seniors. Closest peer in the dual-eligible whole-person care space.
• MedArrive: In-home care and care-navigation platform for Medicaid/Medicare members, leveraging EMS providers and community health workers. Competes for the same value-based contracts serving complex-needs populations.
• Aledade: Largest independent primary-care network operator in value-based care, contracting with CMS ACO programs and Medicaid plans. Comparable in serving safety-net populations via community-based primary care partnerships.
• Somatus: Value-based kidney care company serving Medicaid and Medicare members with in-home and community-based care teams. Overlaps with Pair Team on Medicaid/Medicare managed-care contracts and whole-person care delivery for high-needs populations.
• Wellvana: Value-based care enablement company helping primary-care physicians succeed in Medicare Advantage and ACO REACH. Comparable in deploying technology and care-team support to PCPs serving complex populations.
• Cityblock Health: AI-enabled value-based primary care platform for Medicaid and dual-eligible populations, with a CHW-led model closely paralleling Pair Team's community-integrated care approach. Direct competitor for state Medicaid contracts and dual-eligible lives.
• Strive Health: Value-based kidney care provider for Medicare and commercial populations with integrated CHW care teams. Competes for the same payer contracts targeting high-need, chronic-condition members.
• Brave Health: Virtual behavioral-health provider for Medicaid populations, integrated with community-based care teams. Overlaps on the behavioral-health component of Pair Team's whole-person model.

Broad incumbents

• Evolent Health: Public value-based care services and specialty care management company that partners with Medicaid and Medicare health plans. Provides overlapping care-coordination and population-health capabilities to the same payer customers.
• Astrana Health: Public, large-scale value-based care medical group operating across Medicare Advantage, Medicaid, and commercial lines. Overlaps with Pair Team in delegated risk arrangements with health plans serving high-needs populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/yourpairteam
• Facebookfacebook.com/YourPairTeam
• LinkedInlinkedin.com/company/yourpairteam

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries1 record

Funding overview

Funding rounds6 records

Investors23 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pair Team