Engine Two of Work as Services

The Expertise Your Agency Needs. Without the Headcount.

Software alone cannot deliver outcomes. Only software plus human expertise can. Careonomy is the AI-Augmented Shared Expertise layer — trained specialists, augmented by the Autonomous Care OS, handling the exceptions that technology alone cannot resolve.

Average back-office savings per agency
$ 0 k
Exceptions that require human judgment
0 %
Knowledge continuity — no walkout risk
0 %

The Hiring Trap

You Can't Hire Your Way Out of the Back Office

Every care agency hires its own billers, compliance officers, schedulers. Each person serves one organization. When they’re stuck, they figure it out alone. When they leave, their knowledge walks out the door.

The Knowledge Walkout

Your billing specialist learns every payer quirk, every rejection pattern, every workaround for your state's Medicaid rules. Then she leaves. You start from zero. Again.

The Capacity Ceiling

One biller serves one agency. One compliance officer watches one facility. You pay $50,000+ per year for expertise that operates in isolation, solving the same problems every other agency solves alone.

The OS Isn't Enough

The Autonomous Care OS handles 95% of workflows. But when a claim needs a judgment call, when an audit requires interpretation, when a scheduling conflict defies algorithms — you still need expertise.

The Autonomous Care OS without human expertise is just better software.

Traditional outsourcing without the OS is just paying humans to do work machines should handle. Care agencies need both — and Careonomy delivers both.

The Complete WAS Architecture

The Brain + The Hands = Work as Services

Work as Services requires two engines operating as one. Neither is sufficient alone. Together, they deliver complete administrative outcomes with none of the administrative burden.

Engine One

CareBravo

The Autonomous Care OS

The brain that handles 95% of workflows automatically. Ambient capture, unified orchestration, exception-only surfacing. Documentation happens. Billing submits. Compliance generates. Without a human touching a screen.

Handles 95% of workflows → Zero screen time
+
Engine Two

Careonomy

AI-Augmented Shared Expertise

The hands that handle the 5% requiring genuine judgment. Trained specialists — billing experts, compliance officers, scheduling coordinators — augmented by AI, serving multiple agencies simultaneously. Enterprise expertise at a fraction of the cost.

Handles the 5% of exceptions → No in-house hires needed

What Careonomy Handles

The Expertise Layer for Every Back-Office Function

AI-augmented specialists managing the exceptions, edge cases, and judgment calls that the Autonomous Care OS surfaces for human resolution.

01

Revenue Cycle Expertise

AI-augmented billing specialists managing claims, denials, appeals, and revenue optimization. Every rejection pattern solved for one agency compounds across the network.

Traditional
1 biller / 1 agency / $50K yr
Careonomy
1 expert / 20 agencies / ~$3K yr
02

Compliance Expertise

AI-augmented compliance specialists navigating audits, regulatory updates, and certification management. Multi-state expertise shared across every agency in the network.

Traditional
Isolated knowledge / walkout risk
Careonomy
Networked intelligence / zero loss
03

Scheduling & Fulfillment

AI-augmented scheduling coordinators resolving the conflicts algorithms can't — the human judgment calls around caregiver preferences, client relationships, and emergency coverage.

Traditional
6 AM scramble / reactive
Careonomy
Proactive resolution / zero scramble
04

Credentialing & Readiness

AI-augmented specialists managing caregiver credentials, training compliance, and workforce readiness — ensuring your pipeline is always staffed and always compliant.

Traditional
Manual tracking / expired certs
Careonomy
Proactive alerts / always current
"SaaS vendors pretend the human layer doesn't exist. They sell you the software and leave you to figure out the rest. WAS doesn't pretend. WAS delivers both layers as one integrated service."

— The Care Manifesto™ by Anand Chaturvedi

Anand Chaturvedi

The Math That Changes Everything

From Isolated Overhead to Shared Infrastructure

The traditional model forces every agency to hire its own back-office staff. Careonomy turns that overhead into shared, augmented expertise — enterprise-quality at a fraction of the cost.

Traditional Model (Per Agency)
Careonomy WAS Model
1 biller @ $50K/yr salary + benefits
1 augmented expert serves 20 agencies. Your share: ~$3K/yr
1 compliance officer @ $55K/yr
1 augmented specialist covers 30 facilities. Your share: ~$2K/yr
1 scheduler @ $45K/yr
1 augmented coordinator optimizes 50 care teams. Your share: ~$1.5K/yr
Knowledge: isolated to your agency
Knowledge: networked across 200+ agencies
When they quit: start over
When anyone leaves: seamless continuity
~$150,000/yr in back-office overhead
~$6,500/yr in shared expertise

$143,500

Annual back-office savings per agency. Higher quality. Zero walkout risk. Knowledge that compounds with every problem solved across the network.

The Compounding Advantage

The Continuous Intelligence Flywheel

Every problem solved for one agency becomes intelligence available to every agency. This is not outsourcing. This is a knowledge network that compounds.

1

CareBravo surfaces an exception

The Autonomous Care OS handles 95% of workflows automatically. When it encounters a judgment call — an unusual denial code, a regulatory ambiguity, a complex scheduling conflict — it surfaces the exception to Careonomy.

2

Augmented experts resolve it

Careonomy specialists — augmented by AI workflows that handle research, data gathering, and routine decisions — resolve the exception in minutes, not hours. Enterprise-grade expertise, multiplied by intelligence.

3

Resolution becomes network intelligence

When the billing expert solves a tricky Medicaid rejection for Agency A, that solution immediately becomes available for Agencies B through Z. The pattern is encoded. The next occurrence is handled automatically.

4

CareBravo gets smarter

Data from Careonomy's managed services continuously improves the Autonomous Care OS. What was an exception yesterday becomes automation tomorrow. The 95% grows. The 5% shrinks. The flywheel accelerates.

Every problem solved once is solved for everyone.
This is labor arbitrage at infrastructure scale.

Implementation

Go Live in Weeks, Not Months

Careonomy integrates with your existing CareBravo deployment — or activates alongside a new implementation. No disruption. No retraining. No new workflows for your team.

Audit Your Back Office

We map your current back-office workflows, identify the expertise gaps, and calculate your current overhead — including the hidden cost of knowledge walkout.

Activate Shared Expertise

Careonomy specialists onboard to your agency's specific payer mix, compliance requirements, and operational patterns. AI augmentation calibrates to your workflows.

Outcomes, Not Overhead

Clean claims. Compliant records. Filled shifts. Managed credentials. Your back office runs on shared expertise. Your team runs the care.

Have Any Questions?

Frequently Asked Questions

What is AI-Augmented Shared Expertise in care?

AI-Augmented Shared Expertise is the human layer of Work as Services (WAS). Trained specialists — billing experts, compliance officers, scheduling coordinators — are augmented by AI workflows from the Autonomous Care OS. One augmented expert serves 20+ agencies simultaneously, delivering enterprise-level expertise at a fraction of the cost of in-house hiring. Knowledge compounds across the network: every problem solved for one agency benefits all agencies.

Traditional outsourcing sends work to humans who operate manually. Careonomy’s specialists are augmented by the Autonomous Care OS, which handles 95% of workflows automatically. Careonomy experts intervene only on the 5% of exceptions requiring genuine human judgment — resolving in minutes what manual processes take hours. The intelligence compounds: every resolution improves the system for all agencies on the network.

Software alone cannot deliver outcomes — only software plus human expertise can. When a billing claim requires a judgment call, when a compliance audit demands interpretation, when a scheduling conflict needs human resolution — these exceptions require trained expertise. The Autonomous Care OS without Careonomy is just better software. Careonomy completes the Work as Services promise.

A traditional in-house biller costs approximately $50,000 per year in salary and benefits, serving one agency. Through Careonomy’s shared resource model, one AI-augmented billing specialist serves 20+ agencies — your share is approximately $3,000 per year. The quality is higher because expertise is augmented by AI. The continuity is guaranteed because knowledge lives in the system, not in any single person’s head.

CareBravo is the Brain — the Autonomous Care OS that handles 95% of workflows without human involvement. Careonomy is the Hands — the AI-augmented experts who handle the 5% of exceptions. Together, they deliver complete Work as Services: all the administrative outcomes, none of the administrative burden. Data from Careonomy’s managed services continuously improves CareBravo’s intelligence, creating a compounding flywheel.

Careonomy is designed to operate as the expertise layer atop CareBravo’s Autonomous Care OS. The integration between the Brain and the Hands is what makes Work as Services complete. While Careonomy’s specialists can work with agencies during transition, the full WAS economics — the 95/5 split, the compounding intelligence, the zero-screen-time promise — require both engines operating together.

Stop Hiring Back-Office Staff You Can't Keep

See how AI-Augmented Shared Expertise can eliminate your back-office overhead while delivering higher quality, guaranteed continuity, and compounding intelligence.

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Bring Autonomous Care to Your Agency

See how CareBravo and Careonomy can remove back-office burden, reduce costs, and give your team back their time. Fill the form and our team will reach out shortly.