For European care + serious illness companies

You proved it in Europe. The US will pay to scale it.

America is aging fast, families are stretched thin, and payers already fund caregiver support. The funding is there. The hard part is reaching the right payers and providers. That is what 1A does.

Book a meeting → Take the Preflight Check
What you getBCN → USA
1 A payment pathway Which program or payer funds you.
2 Meetings with budget holders Warm, briefed and followed up.
3 A first US reference A pilot designed to convert.
01 · The opportunity

Demand is growing whether you enter or not.

63M

Americans caring for family. 1 in 4 adults, up 45% since 2015.

$1T+

Value of unpaid family care in 2024, more than all of Medicaid.

$27.5B

Medicare spending on hospice in 2024, nearly double 2015.

2030

The year every baby boomer is 65 or older, 1 in 5 Americans.

02 · The funding

Programs already paying for caregiver support.

There is no single national payer. Federal programs and each state fund care separately, so each one is its own entry point.

ProgramWhat it fundsFunding
Federal
GUIDE Dementia Model Medicare: monthly dementia care fee and caregiver training +$2,625/yr respite
Caregiver Training codes Medicare: clinicians bill for training family caregivers Billable since 2024
Family Caregiver Support Older Americans Act: respite and training through the states $209M · FY2026
Medicaid home care (HCBS) Care at home that keeps people out of facilities $115B · 2021
State examples
Washington · WA Cares First state long term care benefit (July 2026): respite and family pay Up to $36,500/person
California · CRC network 11 Caregiver Resource Centers serving 4.7M caregivers +$10M/yr, permanent
New York · Aging services Help at home (EISEP) and clearing caregiver waitlists $53M · FY2025-26
Louisiana · Dementia care Statewide dementia specialists for family caregivers $824K appropriated
03 · The challenge

A fragmented market. Every state, payer and provider network buys differently. Most European entrants stall here, on cold outreach and pilots with no path to a contract.

04 · How 1A helps

Relationships on both sides of the Atlantic.

Warm introductions, not cold outreach

National alliances (C-TAC, NPHI, HCCI) and the state hospice and palliative associations that reach every provider in a state.

US experience

Recent projects include Medicaid palliative care in six states, a California statewide coalition, and a state sponsored caregiver pilot in Louisiana.

A transatlantic team

Offices in Phoenix and Barcelona, and members of the Barcelona & Madrid Health Hub and Norrsken House Barcelona.

Flight Plan

The 1A Model, in four steps.

01
Landscape

Payers, providers and funding, by state.

02
Connections

Warm, briefed introductions.

03
Pilots

Pilots with a path to a contract.

04
Ongoing Partnership

Pipeline, events and sponsorships.

See the full model →
Clear for Takeoff

Is the US on your roadmap? Let's find your line.

Book a meeting →
hello@1aconsultingllc.com