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CareBravo vs AlayaCare

AlayaCare gives you a platform and three AI agents. You still run the software. CareBravo delivers nine operational functions and 12 AI agents as completed work. Your team reviews output — not problems.

Software You Run vs Operations Delivered to You

AlayaCare is a well-built home care platform with a strong clinical foundation. They've added AI features that help your team work more efficiently — a scheduling agent that fills vacant visits, a verification agent that checks data quality, a care plan agent that drafts recommendations.

Those are useful features. But your team still operates the software. Your coordinator still manages the schedule. Your billing team still runs claims. Your compliance officer still handles audits. The AI assists — your team executes.

CareBravo works differently. The nine operational functions are delivered as completed work. Your team doesn't operate the software and receive AI assistance. Your team receives the operational output — shifts filled, EVV verified, claims checked, compliance confirmed — and reviews it.

How the Two Models Compare

AlayaCare
3 AI agents — each handling one independent task (vacant visit filling, visit verification, care plan drafting)
Your team operates the platform — AI assists with specific tasks, but your staff runs scheduling, billing, compliance, and coordination
Agents work independently — the scheduling agent can't coordinate with the compliance agent or the billing workflow
Flat monthly fee — you pay the same whether your agency grows or declines
Operational staff still required — your agency needs schedulers, billing specialists, and compliance officers to operate the platform
CareBravo
12 AI agents — each handling a specific operational function across scheduling, EVV, billing, compliance, credentialing, assessments, family communication, and more
Operations delivered as completed work — your team reviews clean output, not raw problems. Shifts already filled. EVV already verified. Claims already checked.
Agents coordinate across all 9 functions — scheduling feeds EVV, EVV feeds billing, billing feeds payroll, credentialing feeds scheduling. One connected system.
Revenue-aligned pricing — you pay a percentage of collected revenue. Only money already in your account. Your success and ours are the same number.
Grow without adding back-office staff — 100+ agencies grew revenue an average of 73% without adding operational hires

3 Independent Agents vs 12 Coordinated Agents

AlayaCare's AlayaFlow launched in October 2025 with three agents. Each performs a specific task well. But each works alone — the scheduling agent doesn't know what the billing workflow needs, and the verification agent doesn't coordinate with credentialing.

CareBravo's 12 agents operate across all nine functions in one connected system. When the shift-filling agent assigns a caregiver, credentialing has already been verified. When EVV is validated, the billing agent already knows. When an exception is resolved, the compliance trail is already logged. The difference isn't just the number of agents — it's whether they work together.

Operational Function
AlayaCare
CareBravo
Fill vacant shifts
✓ Agent
✓ Agent
Visit verification
✓ Agent
✓ Agent
Care plan recommendations
✓ Agent
✓ Agent
Claim denial prevention
— Manual
✓ Agent
Authorization hours monitoring
— Manual
✓ Agent
EVV exception resolution
— Manual
✓ Agent
Missed shift follow-up
— Manual
✓ Agent
Credential tracking and validation
— Manual
✓ Agent
Caregiver-patient matching
— Algorithm only
✓ Agent
Nurse voice-to-assessment
— Not available
✓ Agent
Family visit summaries
— Not available
✓ Agent
Document scanning and validation
— Not available
✓ Agent

Every AI decision in CareBravo is logged with full reasoning — what the agent decided, why, what data it used, and what it checked before acting. Critical decisions route to a human for approval. This audit trail is designed for Medicaid compliance review and state audits.

Every Agent. What It Does. Around the Clock.

Each agent handles a specific operational function — running continuously, logging every decision with full reasoning for compliance review. All 12 are included in Tier 2 and Tier 3. No add-ons. No per-agent pricing.

01

Vacant Visit Filler

Fills open shifts when caregivers call out. Finds a qualified replacement, sends the offer, confirms the assignment — before your coordinator arrives at the office.

02

Visit Verification

Matches EVV data to authorizations before billing. Validates clock-in/out times, GPS, and documentation against payer requirements.

03

Authorization Hours Monitor

Tracks utilization against authorized hours in real time. Alerts when revenue is at risk from under-utilization or approaching limits.

04

EVV Exception Resolver

Categorizes and auto-resolves common EVV exceptions — late clock-ins, GPS discrepancies, missing documentation — before they block billing.

05

Missed Shift Responder

Contacts no-show caregivers via voicemail and SMS. Escalates if no response. Triggers the Vacant Visit Filler if the shift needs coverage.

06

Claim Denial Preventer

Checks every claim against authorization, EVV, care plan, and caregiver credentials before submission. Problems caught before they become denials.

07

Certification Tracker

Monitors caregiver credentials continuously. Blocks non-compliant scheduling automatically. Flags expirations before they create compliance gaps.

08

Caregiver-Patient Matcher

Scores pairings based on skills, visit history, proximity, language, and client preferences. Better matches mean fewer cancellations and better care continuity.

09

Care Plan Recommender

Drafts care plans from assessment data for clinician review. Structured goals, interventions, and assessments — ready for the nurse to approve, not build from scratch.

10

Family Summary Generator

Sends weekly visit summaries to families automatically. Reduces inbound calls to your office and builds trust with the people who chose your agency.

11

Voice-to-Assessment Completer

Nurses speak their observations. The system fills the assessment form — not a transcript, actual structured form completion ready for review and sign-off.

12

Document Scanner & Validator

Caregivers scan certificates from their phone. The system extracts data, verifies against requirements, and flags issues before documents enter your files.

AlayaCare has 3 agents. CareBravo has 12. And the difference isn't just the count — it's that all 12 coordinate across one connected system. When the Vacant Visit Filler assigns a caregiver, the Certification Tracker has already verified credentials. When the Visit Verification agent clears EVV, the Claim Denial Preventer already knows. No handoffs. No gaps. No separate systems to reconcile.

The Real Question Isn't Which Software — It's Who Does the Work

AlayaCare is a strong platform. If your agency has dedicated operational staff — a scheduler, a billing specialist, a compliance officer — and you want AI to help them work faster, AlayaCare is a reasonable choice.

But if your agency needs the operational capacity without the proportional headcount — if you need the work delivered, not just better tools to do the work — that's a different model entirely. That's what CareBravo delivers.

Result
73% average revenue growth. No added back-office staff. 100+ agencies.
Because
Operational capacity no longer requires proportional headcount. 12 agents and nine functions scale with volume.
How
Autonomous Caring® — delivered through the Autonomous Care OS.

Tier 1 Alone Replaces AlayaCare — Plus the Tools It Doesn't Include

Set aside the 12 AI agents for a moment. CareBravo's entry-level tier — "You Run It" at 1.47% of collected revenue — includes all nine operational functions in one connected system with proactive error monitoring. No AI agents. No outsourced staff. Just a single platform that replaces your scheduling platform, EVV system, billing software, CRM, payroll file generation, documentation tool, applicant tracker, training system, and task management.

Most agencies running AlayaCare also run 3-5 other tools alongside it to cover the gaps. That's 3-5 separate logins, 3-5 separate invoices, and zero data flowing between them. When a caregiver's certification expires in your training system, does your scheduling software know? When a new referral lands in your CRM, does your scheduling queue update? When billing fails, does your project management track the resolution?

AlayaCare covers 5 of CareBravo's 9 functions natively. Here's the full comparison:

Function
AlayaCare
CareBravo Tier 1 (1.47%)
Scheduling
✓ Built-in
✓ Built-in
EVV & Compliance
✓ Built-in
✓ Built-in
Billing & Claims
✓ Built-in
✓ Built-in
CRM & Referrals
✓ Built-in
✓ Built-in
Payroll
→ Integration required
✓ Payroll-ready files + API integrations
Nurse Documentation
✓ Built-in
✓ Built-in
Caregiver Hiring
→ Marketplace add-on
✓ Built-in
Caregiver Training
→ Marketplace add-on
✓ Built-in
Project Management
✗ Not available
✓ Built-in

Payroll data must be exported and reconciled with an external processor. Hiring and training are marketplace add-ons, not integrated workflows. Project management doesn't exist — tasks generated from operational events go untracked or end up in spreadsheets and email threads.

In CareBravo, all nine functions share one data layer. A caregiver's expired certification blocks them from being scheduled — automatically. A billing exception generates a project management task — automatically. A new referral creates a scheduling request — automatically. And when payroll runs, the file is generated directly from scheduling and EVV data — overtime, variable pay, shift differentials already calculated and reconciled. No manual data entry. No spreadsheet reconciliation between systems. Every provider needs an external payroll processor like Gusto, Paychex, or Viventium — the question is whether the data arriving at that processor is clean or cobbled together from separate systems.

AlayaCare covers 5 of 9 functions natively. The other 4 require integrations, add-ons, or don't exist. CareBravo's Tier 1 covers all 9 in one connected system — at 1.47% of collected revenue — with proactive error monitoring across every function.

What AlayaCare Does Well

AlayaCare has a strong clinical foundation and a well-designed platform. Their conversational assistant, Layla, provides useful access to care plans and client profiles. AlayaFlow's per-action pricing model for AI agents is a thoughtful approach. They serve agencies that need a robust software platform to operate — and for agencies with full operational teams, it's a solid choice.

The question is whether your agency needs a better tool to operate — or whether it needs the operational work delivered. If your team is stretched, adding more software features doesn't solve the problem. Delivering the completed work does.

Flat Fee vs Revenue-Aligned

AlayaCare charges a flat monthly fee regardless of whether your agency is growing or declining. You pay the same amount whether your collections are up 40% or down 20%.

CareBravo pricing is a percentage of collected revenue — money that has already hit your bank account. If your collections are lower, your cost is lower. As your revenue grows, your cost grows proportionally — but your net gain grows faster because operational capacity scales without adding staff. Your success and ours are the same number.

You Run It
1.47%
of collected revenue
It Runs For You
2.97%
12 AI agents included
We Run It With You
4.47%
starting — human roles à la carte

Common Questions About Switching

AlayaCare is a home care software platform that your team operates, with three AI agents added for specific tasks like scheduling vacancies and visit verification. CareBravo delivers nine operational functions as completed work — your team reviews output, not problems. CareBravo includes 12 AI agents that coordinate across all nine functions, with every decision logged for compliance review. The core difference is the delivery model: AlayaCare gives you tools to run. CareBravo delivers the operational work already done.

Yes. AlayaCare launched AlayaFlow in October 2025 with three AI agents: a vacant visit scheduling agent, a visit verification agent, and a care plan recommendation agent. Each operates independently on a single task. CareBravo includes 12 AI agents that work across all nine operational functions — scheduling, EVV, billing, compliance, credentialing, assessments, family updates, and more — with coordinated workflows and full audit trails.

Yes. CareBravo's Parallel Promise means your team never operates blind. We set up your CareBravo account using data transferred from AlayaCare. While your agency continues running on AlayaCare, you can see how CareBravo's agents work on your actual data — real schedules, real authorizations, real compliance checks. On your go-live date, you make one clean switch. The cutover is necessary because caregiver EVV — required for Medicaid billing — can only run on one system of record. No implementation fees. No setup costs. See the Parallel Promise for the full process.

CareBravo was built specifically for Medicaid home care operations. Its pricing is based on collected revenue — you only pay on money already in your account. All nine operational functions and 12 AI agents are included at Tier 2, with every AI decision logged for Medicaid compliance review. 100+ agencies have grown revenue an average of 73% without adding back-office staff.

Every AI agent operates within healthcare-grade guardrails designed for Medicaid compliance. Actions that change data require independent authorization checks. Every decision is logged with full reasoning — what the agent decided, why, what data it used, and what it checked before acting. Critical decisions always route to a human for approval. The audit trail is designed for state Medicaid reviews and compliance audits.

Yes. CareBravo's entry-level tier — "You Run It" at 1.47% of collected revenue — includes all nine operational functions in one connected system: scheduling, EVV and compliance, billing, CRM and referral management, payroll file generation, nurse documentation, caregiver hiring, caregiver training, and project management. AlayaCare covers 5 of those 9 natively. The rest require separate integrations, add-on products, or don't exist. Even without a single AI agent, CareBravo replaces the fragmented stack of 3-5 separate tools most agencies run alongside AlayaCare — and every workflow proactively monitors for errors before they cost you money. No setup fees. No implementation costs. Revenue-aligned pricing means you only pay on money your agency has already collected.

CareBravo replaces up to 6-9 separate tools that most home care agencies currently pay for and operate independently: scheduling software, an EVV system, billing and claims software, a CRM or referral tracker, payroll file generation and processing, a documentation system, an applicant tracking system, a training platform, and project or task management tools. Even agencies running AlayaCare typically need 3-5 additional systems to cover the functions AlayaCare doesn't include. CareBravo covers all nine in one connected system — and because the data flows between them, you catch errors that siloed tools miss entirely.

See How 12 AI Agents Run Your Operations

Book a demo and we'll walk through how CareBravo delivers your specific workflows — scheduling, EVV, billing, compliance — as completed work, with full audit trails on every AI decision.

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