# Paradigm Senior Services

> Paradigm Senior Services combines billing specialists and AI-enabled software to manage VA, Medicaid and other third-party payer revenue for US home care agencies. Its services cover enrollment, authorizations, eligibility, claims, denials and payment reconciliation, with fees tied to successfully paid claims.

- **Founded:** 2015
- **Headquarters:** Miami, United States
- **Founders:** Danny Shapiro (Co-founder and CEO), Steven Dunn (Co-founder; identified as President in company databases)
- **Products:** VA claims management, Medicaid claims management, Authorizations and eligibility, Revenue visibility, Provider coaching
- **Notable:** Company reports more than 4,000 providers served., September 2025 announcement reported over $1.6 billion in annual claims processing., Acquired Careswitch, announced September 16, 2025.

## Products & services

- **VA claims management** — Enrollment support through Optum or TriWest, referral and SEOC review, claims submission, denial management and reconciliation.
- **Medicaid claims management** — State and MCO enrollment, EVV matching, weekly eligibility checks, claims submission, appeals and payment posting.
- **Authorizations and eligibility** — Checks approved hours, rates, codes and coverage; monitors end dates and supports renewals.
- **Revenue visibility** — Claim-level reporting connects submitted and paid claims to shifts, clients, payers and authorizations.
- **Provider coaching** — Complimentary customer coaching includes a 12-week experience with six sessions and a business-specific plan.
- **VA Vault** — Public educational resource for providers navigating VA payer requirements.
- **Careswitch** — AI-powered home care operating system acquired by Paradigm; announced plans include integrating AI capabilities into RCM.

## Achievements

- Company reports more than 4,000 providers served.
- September 2025 announcement reported over $1.6 billion in annual claims processing.
- Acquired Careswitch, announced September 16, 2025.
- Company about page reports 87 million hours billed and more than $3.5 billion in provider claims paid; cumulative company-reported metrics.

## Latest updates

- **2025-09** — Announced acquisition of Careswitch to add AI capabilities to revenue cycle management.
- **2025-11** — Announced strategic partnership with Interim HealthCare for franchise VA and Medicaid billing.
- **2026-05** — Published guidance on VA authorization mismatches affecting certain non-Medicare-certified providers.
- **2026-07** — Published Medicaid policy commentary on Colorado cost-saving reforms and a potential change to the 80/20 rule; these are company publications, not confirmation of final policy changes.

## Links

- Website: https://www.paradigmseniors.com/
- LinkedIn: https://www.linkedin.com/company/paradigm-senior-services/
- Facebook: https://www.facebook.com/paradigmseniors

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Profile page: https://yespress.io/paradigm-senior-services
Published by YesPress — https://yespress.io
Last updated: 2026-10-24