CareShield AI Information

CareShield is a SaaS company dedicated to combating (FWA) in healthcare, with a specialized focus on high-volume, low-dollar personal care and home health claims across the U.S. Having recently completed a nationwide proof of concept, CareShield successfully identified over $80M in prebill/prepay FWA edits and risk-scored claims using its proprietary platform—validating the urgent need for targeted solutions in this underserved claim category. With a post-pandemic shift toward aging in place and a surge in home-based care, CareShield’s mission is clear: safeguard Medicaid benefits by helping Managed Care Organizations (MCOs) detect and prevent FWA in personal care and homecare services—responsibly and effectively.