For payors and providers
GUIDE participants · ACOs · MA plans · Rural health programs · Digital health

We are the boots on the ground.

Your program works on paper. Thalpos makes it work in the home. We deliver the in-home half of dementia and complex care programs under your clinical direction, with the credentialing, documentation, and infrastructure to hold up under audit.

Patients nationwide. One delivery layer.

The gap

The reimbursement exists. The delivery is the hard part.

Care management, navigation, upstream barriers, behavioral health integration, remote monitoring: the codes are there and most of them are permanent. What is missing is someone in the home who can actually produce the encounter, the historian, the device setup, the screens, the barrier documentation, and the follow-through. Telehealth-only providers cannot. Home care agencies are not built for the documentation. Thalpos does both halves.

What we deliver

What we operate.

GUIDE program delivery

Navigation, caregiver education and support, 24/7 access, respite, and the documentation that satisfies the model’s requirements.

Telehealth facilitation

We are in the home for the encounter: consent, vitals, screens, the independent historian, and a clinician on video who can complete a visit that would otherwise never happen.

Remote monitoring setup and support

Devices installed and taught in the home by trained staff under general supervision, with the reading compliance the codes require.

Home safety and upstream barriers

Falls risk, function, transportation, food access, home modification, benefits enrollment. The work itself, plus the documentation that makes it billable.

Respite

Credentialed Care Concierges in the home on a schedule, coordinated with the clinical plan.

Backup and urgent in-home coverage

Staffed coverage for unplanned events: caregiver breakdown, a family emergency, or a member at risk of an avoidable ER visit because no one is in the home. We answer, we dispatch, and we document.

Care management support

RNs who build and maintain the care plan, run the registries, and make the monthly contact, under your billing practitioner’s review and supervision.

Transitions of care

Post-discharge and the first 72 hours.

Readmission risk concentrates in the days immediately after discharge, in a home no one from your organization can see. Thalpos is there: someone arrives at the home, reconciles the discharge instructions against what is actually in the medicine cabinet, completes a safety walkthrough for the new level of function, books and confirms the follow-up visits, and stays in contact through the first 72 hours. Escalations go to your clinical team with documentation, not a voicemail.

We also accompany non-emergency medical transportation. A ride that arrives is not the same as a visit that happens. Our staff make sure the member gets there, gets through the appointment with someone who can answer the questions, and gets home with the plan captured and passed back to you.

Who we work with

Who partners with us.

GUIDE participants

Deliver the non-clinical requirements without hiring a field operation in every state.

ACOs and value-based groups

Fewer readmissions and avoidable ER visits, and someone in the home during the transition.

Medicare Advantage plans

A member benefit that reaches the home, improves experience, and reduces avoidable utilization.

State Rural Health Transformation programs

A model designed for the rural dual-eligible patient, where the nearest specialist is hours away and the encounter only happens if someone brings it.

Digital health companies

You have the clinicians and the software. We are the hands in the home that make your product work on the patients who need it most.

Rural

A rural model built around the visit that actually happens.

In rural markets we pair an in-home team with a clinician on video: full intake and consent, vitals, home safety assessment, depression and anxiety screening, cognitive screening as part of the annual wellness visit, and cellular monitoring installed and taught on day one.

The model covers both paths: patients whose cognitive screen is negative and patients where decline is detected, including the navigation work that only a documented cognitive diagnosis unlocks.

Why Thalpos

What makes this operate at scale.

Credentialing and multi-state compliance

Licensure, background checks, training, and contracts already built across our footprint.

Documentation built for review

Encounter records, program requirements, and billing support structured the way these programs get audited.

A network you do not have to build

Trained Care Concierges and contracted clinicians, recruited and managed by us.

One accountable partner

Not a vendor list. One contract, one escalation path, one team that answers for what happens in the home.

How we start

How we start.

1

Scope

We map your program requirements, your population, and where your delivery gaps actually are.

2

Pilot

A defined panel in one market, with agreed metrics and a fixed fee.

3

Operate

We staff, train, and run it, reporting into your clinical and compliance teams.

4

Expand

New markets and new lines as the model proves out.

Let us show you what this looks like in your market.

Tell us the program, the population, and the geography. We will come back with a delivery plan and a fee structure.