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Nascate has evolved from understanding the theoretical intersection of payers, providers, and patients to solving the practical challenges that enable Area Agencies on Aging to work together upstream and expand their collective value in healthcare. We recognized that the critical gap wasn't just fragmented data systems—it was the structural mismatch between payer networks that span multiple counties and AAAs that operate within individual counties. This divide prevents aging service providers from participating meaningfully in value-based care, despite their essential role in keeping seniors healthy and out of institutional settings. Our breakthrough insight: AAAs working together upstream can create unified networks that match the scale and scope of payer operations. Through the Healthy Aging IPA model, we enable AAAs to pool their expertise, standardize their data, and present a coordinated value proposition to healthcare payers. This collaboration transforms AAAs from isolated county-level providers into strategic partners in population health management. By creating unified member attribution across multiple counties and payers, AAAs can demonstrate their collective impact on healthcare outcomes while maintaining their community-focused approach. Our comprehensive platform combines secure data aggregation with strategic network development, project management, and compliance support. We deploy intelligent automation for administrative tasks, freeing care navigators to focus on relationship-building and personalized support—the human connection that makes aging services effective. Our New York State implementation demonstrates that when AAAs work together upstream, they don't just survive the shift to value-based care—they become indispensable partners in addressing the demographic wave reshaping American healthcare.

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William Kelly is the CEO of Nascate.

6 people are employed at Nascate.

Nascate is based in Superior, Colorado.

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