Paradigm Senior Services
- Company typePrivate
- Founded2016
- HeadquartersMiami, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
Paradigm Senior Services firmographics
Firmographics- Name
- Paradigm Senior Services
- Legal name
- Paradigm
- Website
- https://paradigmseniors.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
Paradigm Senior Services industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industry
- Patient Billing, Statements & Payment Processing (HLACACAG)
Keywords
Where Paradigm Senior Services is headquartered
LocationHeadquarters
- HQ city
- Miami
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Paradigm Senior Services business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Revenue Cycle Management Services: Paradigm provides end-to-end revenue cycle management for home care agencies billing VA and Medicaid. The company manages the entire claims process including submissions, rejections, appeals, and payer follow-ups. They reconcile payments, post remits, and provide real-time insights. Their model is aligned with customer success—agencies grow, Paradigm grows.
- Claims Processing Platform: Processing over $1.6 billion annually in VA and Medicaid claims. The company handles billing automation, denial management, and payment reconciliation for home care providers.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Revenue cycle management services for home care agencies |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels9 records
Paradigm Senior Services product offering
Product offeringCore offering
Paradigm Senior Services provides an AI-powered revenue cycle management (RCM) platform purpose-built for home care agencies billing the U.S. Department of Veterans Affairs (VA) and Medicaid programs. The company handles the entire claims lifecycle for VA and Medicaid payers, including billing automation, authorization tracking, enrollment and credentialing, denial management, and revenue visibility. It also offers free expert growth coaching alongside the technology, and integrates with state-specific EVV aggregators across all 50 states.
Product overview
Paradigm Senior Services offers a unified AI-powered revenue cycle management (RCM) platform for home care agencies, purpose-built for VA and Medicaid billing. The core platform is Paradigm RCM, which incorporates five integrated modules: Billing Automation, Authorizations & Eligibility, Enrollment & Credentialing, Revenue Visibility, and Growth Coaching. The platform also includes Paradigm Lens, a tool embedded within agencies' existing AMS systems. In September 2025, Paradigm acquired Careswitch (an AI-powered home care operating system), adding agentic AI capabilities including autonomous claims processing, fraud detection, and predictive denial risk scoring. Free tools include a VA Fee Schedule Lookup, Payer Mix Tool, and Medicaid Rate Lookup Tool.
Differentiator
Problem solved
Functional benefit
Products and services
- Paradigm RCM Platform
Quantifiable outcome
- 99.99% claims acceptance rate (highest in the industry)
- +7 more outcomes
Companies that use Paradigm Senior Services
Customer profileNamed customers11 records
Segments5 records
Ideal customer profiles3 records
Paradigm Senior Services technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability6 records
Feature4 records
Paradigm Senior Services partnerships and signals
Strategic signalPartnerships
21 partnerships are on record, tiered minor and core.
- CorecubedminorFull-service digital marketing and advertising firm dedicated exclusively to helping home care companies grow.
- Amada Senior CarecoreMajor home care franchise network partner serving seniors through in-home care services.
- ComForCarecoreNational franchise network partner providing in-home care services across multiple locations.
- Comfort KeeperscoreInternational franchise network offering in-home care services.
- FirstLight Home CarecoreFranchise network providing quality home care services.
- Griswold Home CarecoreNational home care franchise with locations serving veterans and Medicaid recipients.
- Senior HelperscoreNational franchise network offering in-home care services for seniors.
- Homewatch CareGiverscoreInternational home care franchise network.
- Home HelperscoreNational franchise network providing in-home care and support services.
- Visiting AngelscoreOne of the largest national franchises providing in-home personal care services.
- Nurse Next DoorcoreFranchise network offering home care services with focus on高龄市场和个性化护理.
- Seniors Helping SeniorsminorNational franchise network with unique senior-to-senior care model.
- HomeWell Care ServicesminorHome care franchise providing in-home support services.
- Home InsteadcoreLarge international franchise network providing home care services for seniors.
- Right At HomecoreNational franchise network offering in-home care and assistance.
- A Place at HomeminorFranchise network providing in-home care services.
- QualicareminorNational home care franchise network.
- SYNERGY HomeCarecoreFranchise network providing comprehensive home care services.
- Home Care Association of America (HCAOA)coreLeading national association representing home care providers.
- National Association for Home Care & Hospice (NAHC)corePremier national organization representing home care and hospice providers.
- CareswitchcoreAI-powered home care operating system acquired by Paradigm in September 2025. Brings advanced AI capabilities and agentic claims processing to Paradigm's RCM platform. Co-founders joined Paradigm's executive team.
Scale indicators18 records
Recent moves7 records
Expansion highlights6 records
Paradigm Senior Services competitors and assessment
Company assessmentDirect peers
- Axxess: Axxess is a leading home health and hospice technology platform with built-in billing and RCM capabilities. It overlaps directly with Paradigm in serving home care agencies and competing for outsourced billing and operational workflow dollars.
- HHAeXchange: HHAeXchange is the dominant home care agency management and EVV platform, with direct billing connections to state Medicaid programs and MCOs. It is the most direct competitive threat as an incumbent AMS that could absorb the RCM layer Paradigm currently serves.
Broad incumbents
- WellSky: WellSky is a large, well-capitalized healthcare technology provider spanning home health, hospice, and post-acute care, with extensive RCM and analytics capabilities. It competes with Paradigm at the enterprise end of the home care market and could expand into the SMB billing segment.
- Netsmart: Netsmart provides technology and RCM services across post-acute and behavioral health, including home and community-based services. It overlaps with Paradigm in Medicaid billing and state EVV integrations, particularly through its Mobile Caregiver+ platform.
- Optum (UnitedHealth Group): Optum operates one of the largest healthcare RCM and payer-services platforms and already administers the VA Community Care Network through Optum and TriWest relationships. It is a strategic incumbent that could vertically integrate downstream billing services like Paradigm's.
Emerging players
- CellTrak: CellTrak provides home care scheduling, EVV, and visit verification software with growing RCM-adjacent functionality. It overlaps with Paradigm in serving home care agencies and integrating with state Medicaid systems, though its RCM depth is more limited.
- PlayMaker Health: PlayMaker Health offers CRM, marketing, and RCM technology for post-acute and home-based care providers. It competes with Paradigm in the home health billing and referral-to-revenue workflow, though with a narrower product surface.
- CareCentrix: CareCentrix manages home and community-based care services on behalf of health plans, with capabilities that intersect with Paradigm's payer-billing expertise. It represents an emerging competitive threat as payers expand into managing HCBS spend directly.
Others
- SwyftOps: SwyftOps is a HIPAA-compliant home care scheduling and management software vendor that is part of Paradigm's partner ecosystem. It is adjacent rather than directly competitive, but could potentially expand into RCM and erode Paradigm's third-party billing position.
- Sandata: Sandata is a leading state EVV aggregator and home care technology vendor used across multiple state Medicaid programs. It is a key integration partner for Paradigm, but its role in capturing visit-verification data gives it potential optionality to expand into billing services.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Paradigm Senior Services social profiles
Digital presenceParadigm Senior Services compliance and trust
Trust signalCompliance2 records
Paradigm Senior Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Paradigm Senior Services leadership team
Management profileNumber of profiles
Profiles12 records
Paradigm Senior Services subsidiaries and ownership
Company hierarchySubsidiaries1 record
Paradigm Senior Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Paradigm Senior Services M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Paradigm Senior Services
What does Paradigm Senior Services do?
Paradigm Senior Services provides an AI-powered revenue cycle management (RCM) platform purpose-built for home care agencies billing the U.S. Department of Veterans Affairs (VA) and Medicaid programs. The company handles the entire claims lifecycle for VA and Medicaid payers, including billing automation, authorization tracking, enrollment and credentialing, denial management, and revenue visibility. It also offers free expert growth coaching alongside the technology, and integrates with state-specific EVV aggregators across all 50 states.
Is Paradigm Senior Services a public or private company?
Paradigm Senior Services is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Paradigm Senior Services founded?
Paradigm Senior Services was founded in 2016. It employs 11 to 50 people.
Where is Paradigm Senior Services based?
Paradigm Senior Services is headquartered in Miami, United States, in the North America region.
How does Paradigm Senior Services make money?
Two revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are claims Processing Platform.
Who are Paradigm Senior Services's main competitors?
Direct peers on record are Axxess and HHAeXchange. Broad incumbents are WellSky, Netsmart and Optum (UnitedHealth Group). Emerging players are CellTrak, PlayMaker Health and CareCentrix. Others are SwyftOps and Sandata.
Does Paradigm Senior Services have an API?
No public API is recorded for Paradigm Senior Services.
What industry is Paradigm Senior Services in?
Paradigm Senior Services's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 518 and its SIC code is 7372.