The doctor's office that knocks on your door. In-home and virtual care for whole families on Medicaid - medical, behavioral, and social, all under one roof.
A nurse parks on a street in New Orleans, climbs a porch, and gets buzzed in. Inside, a toddler is due for shots, his mother is six weeks postpartum, and grandpa's blood pressure has been quietly drifting the wrong way for a year. One visit. Three patients. Nobody had to find a babysitter, take a bus, or miss a shift. This is Nest Health on a Tuesday.
Nest Health is a value-based care company, headquartered in New Orleans, that delivers primary, behavioral, and social care directly to families on Medicaid - in their homes and over video, around the clock. It is, by its own description, the first one-stop, whole-family model built for Medicaid households. The radical part is not the medicine. The radical part is the address.
"Nest is the first one-stop solution that brings medical, behavioral, and social care right to the family's door."
Roughly one in four Americans is on Medicaid. On paper they have coverage. In practice, a single mother working two jobs, with no car and three kids, does not have a free Tuesday morning to sit in a waiting room across town. So the well visit gets skipped. The depression goes unscreened. The chronic condition becomes an emergency. And the most expensive door in American healthcare - the ER - becomes the default front door.
Health plans knew this. Many simply could not reach their own members; for a large share of families, the plan had never made contact at all. The system was not short on coverage. It was short on showing up.
"Nest reached 75% of families their health plans had been unable to contact. Care that actually arrives is a different product than care that exists on paper."
Dr. Rebekah Gee had about as much establishment credibility as healthcare offers. A practicing OB-GYN, she ran the Louisiana Department of Health as its Secretary - the person responsible for an entire state's Medicaid program. She had seen, from the top, exactly where the system dropped people. In 2021 she co-founded Nest Health with Rebecca Kavoussi to catch them.
Their bet was contrarian and a little stubborn: the cheapest place to deliver good medicine is the place the patient already is. Send a clinician to the home, treat the entire household in one trip, fold in behavioral and social needs, and let Medicaid pay for it because - here is the unfashionable idea - it works out cheaper. Investors who fund such bets do not usually expect tenderness as a line item. Nest built it in anyway.
Co-Founder & CEO. Practicing OB-GYN and former Secretary of the Louisiana Department of Health.
Co-Founder. Both founders were named to Inc.'s 2025 Female Founders 500 list.
"They started a company by mothers, for families - and built it so a parent and a child can be seen in the same visit, in the same room."
Nest is not a single service with a clever logo. It is a stack of them, delivered to the doorstep and over video, at no additional cost to eligible families because their Medicaid plan picks up the tab.
Well visits for adults and children, plus chronic disease management - in the home.
Mental health counseling, trauma-informed care, and substance use treatment.
Prenatal and postpartum visits - 91% completed within 30 days of birth.
Family advocates who connect households to benefits and resources.
In-home immunizations and developmental screenings for kids and adults.
Round-the-clock telehealth and coordination through hospital transitions.
Warm stories are easy; sustainable economics are not. The reason Nest can keep knocking on doors is that the visits change the math. In partnership with AmeriHealth Caritas Louisiana and Blue Cross Blue Shield of Arizona Health Choice, Nest reports outcomes that read less like a brochure and more like an underwriting memo.
There is a quiet detail buried in the Arizona data that says more than any chart: 62% of patients who got a flu shot from Nest had skipped it the year before. Showing up did not just deliver care - it changed what people were willing to accept.
"Nest has demonstrated that bringing care directly into the home can help improve health outcomes and cost savings."
Nest puts its mission plainly: to nurture families by bringing convenient, compassionate healthcare into the homes of those who need it most. It is a sentence you could roll your eyes at, until you notice the company built its entire cost structure around meaning it. The whole-family visit is not a marketing flourish; it is the unit of work. The 2:1 payer return is what lets the compassion scale past a single grant cycle.
The vision is bigger than two states. Nest wants in-home, whole-family care to become a standard option for Medicaid families nationwide - not a pilot, not a charity, but a line item that pays for itself. The November raise is earmarked for exactly that: new geographies, new payer partnerships, and AI to automate the unglamorous care coordination that eats clinician time.
Nest raised its Series A in the middle of historic policy shifts around Medicaid - a moment when most companies in the category were busy hedging. Nest expanded instead. The wager is that when budgets tighten, the models that survive are the ones that can prove savings, not just intentions. A company that can show a payer a 60% drop in ER use and a 2:1 return is holding a strong hand in a hard game.
Back on that New Orleans porch, the nurse packs up. The toddler is current on his vaccines. The new mother got screened for postpartum depression without arranging childcare. Grandpa's blood pressure is finally on someone's radar. No ER trip, no missed shift, no waiting room. The visit ends the way it started: at home, where the family already was. That is the whole idea, and increasingly, the whole proof.
Video from Nest Health, plus the founder on the record.
Nest Health on YouTube Dr. Rebekah Gee - interviews In-home care, explained