Monetize the relationship
Navigator
A directory lists providers. A navigator knows why you need one. Every offer below was surfaced by a live signal in Eleanor's wellness record, and booking any of them writes back into her care plan.
This week the navigator would prioritise two things
Cover the evening — dinner and the medication that goes with it — and get the overnight path lit and railed. Together they address four of the five open alerts, for roughly $210 in the first week and $168 a week after that.
In-home care
Evening companion aide, 3 evenings a week
Blue Ridge Home Care · 4.8 ★
Two hours each evening covering dinner preparation, the evening medication, and company. Background-checked, MatrixCare-credentialed.
Matched because
Four skipped dinners and three missed evening doses in the same seven days
In-home PT assessment for the knee
Mountain Physical Therapy · 4.7 ★
Single visit assessment with a written home program. Reports back into the MatrixCare care plan.
Matched because
Walking pace down 19% with a known osteoarthritis diagnosis
Meal delivery
Add prepared dinners to the existing plan
MealTracker Fresh · 4.6 ★
Extends her current delivery from 5 to 12 meals a week. Same dietitian-approved, diabetes- and sodium-appropriate menus already in her plan.
Matched because
Protein intake 26g/day under target; kitchen activity down 59%
Transportation
Standing Thursday ride to First Methodist
GoGoGrandparent · 4.4 ★
Door-to-door, driver waits and returns. No smartphone needed — she can trigger it from the landline.
Matched because
Declined choir twice; loneliness screening moved to moderate
Ride to Tuesday sample collection
Asheville Medical Transit · 4.2 ★
Wheelchair-accessible if needed. Books against the existing appointment.
Matched because
Appointment already on the calendar with no transport attached
Home safety
Bathroom grab bars + hallway lighting
Asheville Aging-in-Place Co. · 4.9 ★
Half-day install. Motion-triggered floor lighting on the bedroom-to-bathroom path, which is where the overnight trips happen.
Matched because
3.4 overnight bathroom trips per night with slowed, hesitant gait
How this earns
Marketplace commission
A take rate on bookings placed through the navigator. Unlike the subscription, it scales with how much care the household actually needs — which rises exactly as the senior ages.
Attach rate to existing products
The meal-delivery offer is MealTracker. The navigator is the surface that sells more of what MatrixCare already operates, to a buyer the enterprise sales motion never reaches.
Signal for the DaaS pipeline
Which interventions families accept, and which ones actually move the wellness score, is a dataset nobody else has. That feeds the predictive analytics side of the business.
Build note. This is the one capability in the brief with no existing MatrixCare system behind it. Nutrition is MealTracker, monitoring is the Ambient OS, and engagement is Citus — but the navigator marketplace and the consumer billing rail underneath it are net-new build, including provider contracting, credentialing, and payouts.