Direct Primary Care got the model right: a flat membership, no insurance maze, a clinician who's actually there. We rebuilt it for care at home — where the always-on part is AI, and the hands-on part is the people already on your block.
See how it worksHundreds of thousands of patients already pay a flat monthly fee straight to a primary-care practice — no insurance in the middle, no surprise bills, a doctor they can text. It works because it's simple and direct. We started there, and asked one question: what would it take to deliver that for someone aging at home — not just in a clinic?
A single doctor can't be reachable for 600 patients around the clock, and can't drive to every home. So we changed who does what.
The always-on layer a DPC doctor promises but can't physically be — Sage and clinical care pathways handle the check-ins, the monitoring between visits, the scheduling, the documentation, the 2 a.m. "is this normal?" A physician of record oversees and signs the decisions that matter. That leverage is what lets one physician stand behind a whole neighborhood — not just a panel of 600 individuals.
Sage + myon.clinic pathways · physician-attestedWhen a real human is needed in person, it isn't a clinician crossing town. It's someone already on your block: a trained neighbor for company and errands, or a CNA living nearby for hands-on care. Faster, warmer, and it keeps the money and the trust in the neighborhood instead of an agency.
neighbors · nearby CNAs · the time bankThe deepest version: a spare room becomes a home for a live-in, W-2 room-and-board caregiver — a CNA who lives with the person they care for, and from that base helps nearby neighbors too. One home becomes a small, staffed care hub on the block. It's how round-the-clock care becomes affordable and dignified — and how aging in place, and even recovering at home after the hospital, actually holds.
room & board · live-in CNA · the neighborhood hubFlat membership. No insurance billing. Pre-tax dollars. The same simplicity that made Direct Primary Care work, applied to care at home.
One flat fee covers your whole family's care coordination. Cancel anytime.
A physician's Letter of Medical Necessity makes membership and care hours HSA/FSA-eligible — illustrative savings at 32% tax rate including care hours. Actual savings vary.
W-2, plus equity in the cooperative. The neighbor doing the work owns part of it.
The membership doctors always wanted to offer — except the always-on part is AI, the hands-on part is your neighbor, and the whole thing is owned by the people in it.
Start with the person you love. The membership, the physician oversight, and the neighbor who shows up all grow from there.
How to read this page: we borrow the Direct Primary Care model — flat membership, no insurance billing, direct access. co-op.care provides physician-overseen home and companion care with AI coordination under that flat membership; it complements your existing primary care and insurance rather than replacing licensed primary care. Figures shown are typical/illustrative and depend on your plan and tax situation.