Care Cap Plus

What Care Cap Plus does

Care Cap Plus, LLC is a healthcare fintech that operates a technology-driven patient payment plan and aged receivables recovery platform for U.S. hospitals and large medical practices. The company addresses the 90+ day self-pay responsibility bucket—a segment that traditional revenue cycle management teams typically deprioritize due to resource constraints—by combining an alternative credit assessment algorithm with multi-channel patient outreach (email, SMS, proactive phone calls) and a 12-month, zero-interest, zero-fee payment plan product. Patients with credit scores as low as 400 can be approved while the company reports sub-1% default rates, and providers receive 30% of the procedure cost upfront with the balance paid in monthly installments as patients pay, generating an 87% provider realization rate versus 86.5% reported for CareCredit.

The product is delivered through direct enterprise sales, the athenahealth Marketplace (May 2024), and self-serve inbound via website and a 1-800 call center. The company is HIPAA-compliant as a Business Associate, HFMA-membered, and BBB-accredited, and it operates across 15 U.S. states including California, Texas, Florida, and New York. Founded in 2018-2019 and privately held by co-founders James Giordano (CEO) and Betsy Giordano (COO), Care Cap Plus appears to be bootstrapped with no disclosed institutional funding and a headcount of 1-10.

Revenue is generated from provider servicing fees on payment plans and 90+ day A/R recovery engagements; pricing and contract terms are not publicly disclosed but involve providers paying a nominal servicing fee on top of the patient installment stream. Customer evidence centers on named enterprise hospital wins (Valley Hospital, Hudson Regional Hospital) and medical-practice wins (Virginia Eye Institute), with reported outcomes including a 75% reduction in hard debt collections at one provider and 90%+ patient referral intent for participating hospitals.

Name

Care Cap Plus

Legal name

Care Cap Plus, LLC

Website

https://carecapplus.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

1–10 employees

Short description

Care Cap Plus operates a healthcare payments platform that helps hospitals and large medical practices recover 90+ day self-pay receivables through zero-interest payment plans, multi-channel patient outreach, and an alternative credit-screening algorithm.

Ownership category

akta.pro rank

Product category

Healthcare Patient Financing and Receivables Management

NAICS

All Other Outpatient Care Centers (621498)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)

Keywords

• Patient financing services
• Healthcare accounts receivable
• Medical payment plans
• Self-pay recovery platform
• Interest-free medical credit

Headquarters

HQ city

Ponte Vedra Beach

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Provider Servicing Fees: Care Cap Plus charges healthcare providers a nominal servicing fee for managing patient payment plans. Providers receive 30% of the procedure cost upfront and the remaining balance paid in monthly installments over 12 months as patients pay. This replaces traditional attorney-based debt collection which costs significantly more.
2. A/R Recovery Platform Services: The company specializes in recovering aged patient self-pay revenue (90+ day receivables) that traditional RCM teams cannot prioritize due to limited resources, charging providers a servicing fee for this specialized recovery service.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

Care Cap Plus is a technology-driven patient financing and aged accounts receivable recovery platform for healthcare providers. Hospitals and large medical practices offer Care Cap Plus to patients as zero-interest, zero-fee payment plans for self-pay, elective, and out-of-pocket medical expenses, while Care Cap Plus helps providers recover 90+ day self-pay receivables through a proprietary alternative credit algorithm and multi-channel patient outreach (email, SMS, phone). Providers receive 30% of the procedure cost upfront with the remaining balance paid over 12 monthly installments as patients pay.

Product overview

Care Cap Plus is a unified patient financial engagement and A/R recovery platform that combines interest-free payment plan servicing for healthcare providers with a multi-channel patient communication system. The core Care Cap Plus Payment Plan Platform enables providers to offer patients zero-interest, zero-fee payment options for self-pay, elective, and out-of-pocket expenses, while the 90+ Day Self-Pay A/R Recovery Platform helps hospital systems and large medical practices recover aged receivables through compassionate, proactive patient outreach via email, SMS, and phone.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Cap Plus Payment Plan Platform A technology-driven platform enabling healthcare providers to offer zero-interest, zero-fee payment plans to patients for self-pay, elective, and out-of-pocket medical expenses. Features multi-channel patient engagement (email, SMS, proactive phone outreach), a patient payment portal supporting ACH, Visa, MasterCard, and Discover, automated receipts, recurring billing, and proactive engagement to reduce payment plan drop-offs.
• 90+ Day Self-Pay A/R Recovery Platform An accounts receivable recovery platform focused exclusively on 90+ day self-pay patient responsibility, helping hospitals and large physician enterprises recover cash from aged patient balances that traditional revenue cycle management teams cannot prioritize due to limited resources. The service complements internal billing and debt collection processes with compassionate, multi-channel patient outreach.

Quantifiable outcome

• 99%+ successful patient payments over 12-month payment plans
• +5 more outcomes

Named customers3 records

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• athenahealthcoreTechnology or Integration · 16 May 2024Care Cap Plus joined the athenahealth Marketplace program, making its patient payment solutions available to athenahealth's expansive network of healthcare providers. The integration is designed to increase patient pay and satisfaction through the marketplace listing.
• HFMA (Healthcare Financial Management Association)minorOthersCare Cap Plus joined HFMA, the industry's leading resource for healthcare finance. HFMA members strive to make healthcare finance more transparent through best practices, education, and innovation.
• BBB (Better Business Bureau)minorOthersCare Cap Plus maintains BBB accreditation as a financial services business, demonstrating commitment to ethical practices and consumer trust.
• SAHA (Strategic Health Alliance)minorStrategic or Co-development PartnerPreferred partner with Strategic Health Alliance, a healthcare professional association supporting member organizations.
• SFHHA (South Florida Hospital & Healthcare Association)minorOthersPartnership with South Florida Hospital & Healthcare Association supporting healthcare providers in the Florida region.

Scale indicators10 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• CareCredit (Synchrony Financial): CareCredit, owned by Synchrony Financial, is the dominant patient financing platform in US healthcare, offering credit cards for medical expenses at hundreds of thousands of providers. It is Care Cap Plus's most direct competitor; both offer patient payment solutions to healthcare providers, with CareCredit's incumbent scale contrasted against Care Cap Plus's higher acceptance rates and compassionate positioning.
• CommerceHealthcare: CommerceHealthcare, the healthcare payments division of Commerce Bank, provides patient financing, lending, and revenue cycle solutions to hospitals and health systems. It competes with Care Cap Plus in patient financing and serves similar healthcare provider customers but as part of a much larger banking institution.
• Parallon (HCA Healthcare subsidiary): Parallon provides end-to-end revenue cycle management services including patient access, billing, and collections for hospitals and physician practices. As an HCA subsidiary, it represents the in-house RCM incumbent that Care Cap Plus positions against for aged patient receivables.

Direct peers

• AccessOne: AccessOne is a healthcare-focused patient financing and payment solutions company that offers low- and no-interest payment plans to patients and recovers receivables for hospitals and health systems. It is one of the closest competitors to Care Cap Plus, serving a similar hospital customer base with comparable patient payment plan offerings.
• Bankers Healthcare Group: Bankers Healthcare Group provides financing solutions for healthcare providers and patients, including practice financing and patient lending products. It overlaps with Care Cap Plus in the healthcare financing space, though focused more on provider lending alongside patient financing.
• HPS/Health Payment Systems: Health Payment Systems provides patient financing and payment solutions tailored for self-funded employers and healthcare providers, including payment plan administration and A/R management. It overlaps with Care Cap Plus's patient payment plan and provider servicing model.
• MedCredit (Healthbridge Financial): Healthbridge Financial offers patient financing programs for elective and out-of-pocket medical procedures, serving dental, cosmetic, and other specialty practices. It directly competes with Care Cap Plus in patient payment plan servicing for elective healthcare procedures.
• ClearBalance Healthcare: ClearBalance provides patient-friendly payment plans and revenue cycle solutions for hospitals and health systems, focused on helping patients resolve out-of-pocket medical expenses. It directly competes with Care Cap Plus in the patient payment plan and aged A/R recovery space, serving similar hospital customers.

Emerging players

• Collectly: Collectly is a digital patient billing and payments platform for healthcare providers, focused on patient balances and aged receivables recovery through automated workflows. It overlaps with Care Cap Plus's patient payment and A/R recovery focus but is a venture-backed startup with broader product scope.
• Cedar (formerly VisitPay): Cedar is a well-funded patient financial engagement platform that modernizes the billing and payment experience for healthcare providers, including personalized communication and payment options. It competes with Care Cap Plus in the broader patient financial engagement category but with broader scope and substantial venture funding.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/in/james-giordano
• Xx.com/carecapplus

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Care Cap Plus