ExaCare AI, a startup automating the chaotic back-office of post-acute care, has secured a $30 million Series A. The ExaCare AI funding round, led by software giant Insight Partners, is a major bet on applying AI to one of healthcare’s most overlooked and overwhelmed sectors: skilled nursing and home care facilities.
The problem ExaCare is tackling is a messy, analog one. When a hospital wants to discharge a patient to a skilled nursing facility, it sends over a referral packet. According to ExaCare, these packets are often vast, unstructured digital documents—essentially a data dump of a patient's recent medical life. Admissions teams, already stretched thin, have to manually sift through hundreds of pages in minutes to decide if they can safely care for that person.
This frantic process means critical details, or “clinical deal breakers,” get buried. The result is a cascade of failures: slow response times, lost revenue for operators, increased wait times for patients, and severe staff burnout.
ExaCare’s existing platform, already in use at over 1,500 facilities, acts as an initial filter. It ingests the referral packets, uses AI to surface clinical risks and readiness signals, and standardizes the decision-making process. But with its new capital, the company is planning something far more ambitious.
An AI workforce for every care facility
ExaCare is moving beyond a single-point solution to build what co-founder and CEO Laird Russell calls an “AI operating system for all of post-acute.” The vision is to deploy a suite of specialized AI agents that work alongside human teams, handling the administrative grind so caregivers can focus on patients.
This new "workforce" will include:
- An Admissions Agent to triage referrals and recommend placements with a clear audit trail.
- A Reimbursement Agent to automate the labyrinthine process of medical coding and documentation to ensure facilities get paid correctly by Medicare, Medicaid, and private insurers.
- A Clinical Agent to pull a patient’s complete history from disparate sources, giving staff a full picture of their needs.
- A Survey Readiness Agent to proactively monitor for compliance risks and documentation gaps.
- A Documentation Agent to standardize notes and maintain clean records.
“Powerful AI agents will work alongside every team to turn scattered data into clear next steps,” Russell said in a statement. For Russell, the mission is personal. “I spent three and a half years with a brain injury in and out of medical care. Creating this new world is personal for me.”
The investment from Insight Partners signals a growing recognition of the acute need for this technology. “Post-acute providers operate under razor-thin margins and chronic staffing shortages, which have a real impact on health outcomes,” said George Mathew, Managing Director at Insight Partners. “ExaCare’s agentic AI platform is addressing this head-on.”
To guide this expansion, ExaCare has also brought on five new advisors from major operators in the space, including National Healthcare Associates and Ignite Medical Resorts, embedding deep industry expertise directly into its product development.
While many AI companies are building general-purpose models, ExaCare is betting that a purpose-built model trained specifically on the unique data and workflows of post-acute care will be the key to finally modernizing a critical part of the healthcare system that has long been left behind.
