Built for CMS GUIDE Model participants

Care navigation that actually gets done.

GentleNext is the software layer for CMS GUIDE dementia programs. Navigators spend their time with families, not documentation. Programs see every billable moment and every compliance attestation.

Navigator console showing a caseload alongside a calm family app card

Navigator console (left) + family PWA card (right). Real product screenshots on the features below.

Designed for GUIDE-participating programs

  • Your program here
  • Your health system here
  • Your FQHC here
  • Your aging-services org here

The GUIDE model is a huge opportunity. And a documentation tax.

Three groups feel it first.

Navigators burn out on documentation.

SOAP notes, tier changes, contact logs, training hours. Today the tools force them to type twice and leave the room feeling behind.

Families get portals, not partners.

Caregivers need one calm sentence at 2am, not a password reset. Hospital portals weren't built for the adult daughter handling everything.

Programs can't prove they earned their G-codes.

GUIDE billing hinges on documented contact cadence, attestations, and assessments that map to G-codes. Most teams reconstruct that evidence manually each quarter.

Software that respects both your navigators and your auditors.

Not a feature tour. Three moments the software was built around.

AI doc-assist

Draft in 2 seconds. Review in 20.

Every contact closes with a SOAP draft, ready for the navigator to edit. Banned-phrase guards keep clinical-advice language out. Every call is logged against the enrollment with prompt + model versions so a reviewer can retrace the decision two years later.

Playwright capture: /nav/enrollments/:id#ai-doc-assist
Family PWA

One card. One next step. No password.

Caregivers open the app at 2am. They see one calm sentence, one primary action. Large type, 56×56 tap targets, no streaks, no dark patterns, no red. Installable offline-first so the sentence still shows up when the WiFi doesn't.

Family PWA card on a phone mockup — one calm serif sentence and one action
GUIDE-billable by default

Every contact, every G-code, every attestation.

Eligibility checks at intake. Tier-aware contact cadence monitoring. Monthly DCMP billing that runs idempotently and exports to a CSV that matches the CMS-1500 specification. The quality-measure scorecard is always one click away.

Playwright capture: /nav/billing

Security & compliance

Everything you need for HIPAA is already on.

PHI never lands in a vendor log. Audit retention is seven years. Your CISO can walk a reviewer through the defense-in-depth without a demo.

Layered cards naming each compliance primitive in the stack: BAA, RLS, KMS, audit hash chain, session rotation
  • BAA

    Microsoft (Graph mail, Azure OpenAI), DigitalOcean Managed Postgres, DO Spaces.

  • Tenancy

    Row-Level Security on every tenant table, re-validated per request via a per-request tenant GUC.

  • Keys

    Per-program KMS-wrapped DEKs with lazy unwrap + 5-minute memory TTL + transactional rotation.

  • Audit

    SHA-256 hash-chained AuditLog with a verifier endpoint and per-field encrypted diff log.

  • Sessions

    Family magic-link sessions rotate on auth change; HttpOnly + SameSite=Lax + Secure in prod.

  • No third-party analytics on family surface

    No GA, no Mixpanel, no session replay. First-party telemetry only.

PMPM pricing aligned with your GUIDE attribution.

We charge per GUIDE-attributed beneficiary per month. Flat across tiers. Includes navigator training, launch support, and an initial curated community-resources library seeded for your state.

Pilot

Starter program

Up to 250 beneficiaries. 30-day onboarding. White-glove launch support from the team that wrote the platform.

$TBD per beneficiary per month

Scale

Multi-site health system

Several GUIDE programs on one tenant. Shared resource library. SCIM provisioning. Dedicated staging. Quarterly compliance reviews.

Custom

Tell us about your program

Real numbers once we know your beneficiary count + track (new or established).

Book a demo

30 minutes. We'll bring the scenarios.

We'll walk the navigator console with your expected tier mix, run the AI doc-assist on a realistic contact, and show you the quarterly reporting + billing export paths. You leave with a compliance brief you can forward to your CISO.

Response time
One business day.

We keep this to ourselves. No third-party analytics, no lead-enrichment services, no list rentals.