Investor One-Pager · 2026 Confidential
Investor One-Pager · 2026 Confidential
The only real
The only real
The only real
anti-fraud
anti-fraud
anti-fraud
platform for the home healthcare industry
platform for the home healthcare industry
platform for the home healthcare industry
The fraud-prevention architecture no competitor offers. This is the module that ends the billion-dollar phantom billing problem.
The fraud-prevention architecture no competitor offers. This is the module that ends the billion-dollar phantom billing problem.
Caregiver Verification
Caregiver Verification
Caregiver Verification
Caregiver Verification
The problem
The problem
Current EVV verifies the device. We verify the person at every shift.
Current EVV verifies the device. We verify the person at every shift.
The 21st Century Cures Act required Medicaid agencies to electronically verify every home care visit. The systems built to comply check six data points: who, what, when, where, type, and duration. None of them actually confirm a human being was in that home. A caregiver can clock in via GPS spoofing. A different person can show up. Or no one can show up at all — and the system still says "verified."
The 21st Century Cures Act required Medicaid agencies to electronically verify every home care visit. The systems built to comply check six data points: who, what, when, where, type, and duration. None of them actually confirm a human being was in that home. A caregiver can clock in via GPS spoofing. A different person can show up. Or no one can show up at all — and the system still says "verified."
Encore Care Pro EVV closes that gap with biometric dual-scan:
Encore Care Pro EVV closes that gap with biometric dual-scan:
Encore Care Pro EVV closes that gap with biometric dual-scan:
the caregiver's face and the patient's face, captured per visit, matched on-device, encrypted at rest.
the caregiver's face and the patient's face, captured per visit, matched on-device, encrypted at rest.
The Fraud Landscape
The Fraud Landscape
$14.5B
$14.5B
paid by New York for personal care services without required EVV verification
paid by New York for personal care services without required EVV verification
$1 Biliion+
$1 Biliion+
Estimated annual Medicaid losses from phantom billing in home care — visits billed for that never happened, or happened with the wrong caregiver, or happened in the wrong place.
Estimated annual Medicaid losses from phantom billing in home care — visits billed for that never happened, or happened with the wrong caregiver, or happened in the wrong place.
$1.13B
$1.13B
deferred from California Medicaid for "program integrity risk" in personal care
deferred from California Medicaid for "program integrity risk" in personal care
CMS, May 2026
298+
298+
personal care attendant fraud convictions
personal care attendant fraud convictions
Enforcement is accelerating
Enforcement is accelerating
The compliance pressure curve, 2024–2026
The compliance pressure curve, 2024–2026
Jan 2023
Jan 2023
Federal EVV mandate fully in effect for all Medicaid personal care and home health services. Failure to comply triggers reduced federal matching funds.
Federal EVV mandate fully in effect for all Medicaid personal care and home health services. Failure to comply triggers reduced federal matching funds.
Jan 2023
Jan 2023
NY State Comptroller reports $14.5B paid for personal care services without required EVV verification. State AG opens investigations.
NY State Comptroller reports $14.5B paid for personal care services without required EVV verification. State AG opens investigations.
Feb 2025
Feb 2025
CMS defers $259M in federal matching funds from Minnesota for inadequate fraud controls in home care. First such deferral in 60 years of Medicaid.
CMS defers $259M in federal matching funds from Minnesota for inadequate fraud controls in home care. First such deferral in 60 years of Medicaid.
Apr 2025
Apr 2025
CMS Administrator sends letters to all 50 governors demanding "swift" revalidation of providers at high risk of waste, fraud, and abuse. HHS OIG notifies all state AGs of expanded coordination.
CMS Administrator sends letters to all 50 governors demanding "swift" revalidation of providers at high risk of waste, fraud, and abuse. HHS OIG notifies all state AGs of expanded coordination.
May 2026
May 2026
CMS defers $1.13B from California for "significant program integrity risk" in personal care. Pattern of deferrals across states begins. CMS report on EVV data integrity expected mid-2026 — agencies without provable visit evidence face False Claims Act exposure (treble damages).
CMS defers $1.13B from California for "significant program integrity risk" in personal care. Pattern of deferrals across states begins. CMS report on EVV data integrity expected mid-2026 — agencies without provable visit evidence face False Claims Act exposure (treble damages).
WHY THIS MATTERS
WHY THIS MATTERS
Every home care agency in America needs a defensible visit-evidence package for their audit.
Every home care agency in America needs a defensible visit-evidence package for their audit.
State Medicaid Fraud Control Units now have explicit federal backing to pursue agencies whose EVV records can't withstand scrutiny.
State Medicaid Fraud Control Units now have explicit federal backing to pursue agencies whose EVV records can't withstand scrutiny.
Encore Care Pro’s anti-fraud EVV is the only platform that ships audit-grade biometric evidence from day one and the only one that can replay any visit with caregiver scan, patient scan, GPS, and timestamps in a
single evidence file.
Encore Care Pro’s anti-fraud EVV is the only platform that ships audit-grade biometric evidence from day one and the only one that can replay any visit with caregiver scan, patient scan, GPS, and timestamps in a
single evidence file.
What current EVV misses
What current EVV misses
How fraud slips through today's systems
How fraud slips through today's systems
Current EVV
Current EVV
Current EVV
Current EVV
Current EVV
(Sandata, HHAeXchange app login)
(Sandata, HHAeXchange app login)
(Sandata, HHAeXchange app login)
(Sandata, HHAeXchange app login)
App accepts spoofed coordinates.
Open-source tutorials available.
App accepts spoofed coordinates.
Open-source tutorials available.
App accepts spoofed coordinates.
Open-source tutorials available.
App accepts spoofed coordinates.
Open-source tutorials available.
App accepts spoofed coordinates.
Open-source tutorials available.
App login or PIN — anyone with credentials can clock in.
App login or PIN — anyone with credentials can clock in.
App login or PIN — anyone with credentials can clock in.
App login or PIN — anyone with credentials can clock in.
App login or PIN — anyone with credentials can clock in.
Patient presence never confirmed. Caregiver "visits" empty home.
Patient presence never confirmed. Caregiver "visits" empty home.
Patient presence never confirmed. Caregiver "visits" empty home.
Patient presence never confirmed. Caregiver "visits" empty home.
Patient presence never confirmed. Caregiver "visits" empty home.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Stolen device or credentials = stolen caregiver identity.
Image storage on server — vulnerable to manipulation.
Image storage on server — vulnerable to manipulation.
Image storage on server — vulnerable to manipulation.
Image storage on server — vulnerable to manipulation.
Image storage on server — vulnerable to manipulation.
GPS is one of three gates. Biometric scan required.
GPS is one of three gates. Biometric scan required.
GPS is one of three gates. Biometric scan required.
GPS is one of three gates. Biometric scan required.
GPS is one of three gates. Biometric scan required.
Caregiver face matched per visit on-device.
Caregiver face matched per visit on-device.
Caregiver face matched per visit on-device.
Caregiver face matched per visit on-device.
Caregiver face matched per visit on-device.
Patient face also scanned. No patient, no verification.
Patient face also scanned. No patient, no verification.
Patient face also scanned. No patient, no verification.
Patient face also scanned. No patient, no verification.
Patient face also scanned. No patient, no verification.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Biometric template tied to enrollment. Can't be transferred.
Embeddings only, never images. AES-256 at rest. Audit trail immutable.
Embeddings only, never images. AES-256 at rest. Audit trail immutable.
Embeddings only, never images. AES-256 at rest. Audit trail immutable.
Embeddings only, never images. AES-256 at rest. Audit trail immutable.
Embeddings only, never images. AES-256 at rest. Audit trail immutable.
Attack vector
Attack vector
Attack vector
Attack vector
Attack vector
GPS spoofing
GPS spoofing
GPS spoofing
GPS spoofing
GPS spoofing
Buddy punching
Buddy punching
Buddy punching
Buddy punching
Buddy punching
Phantom visit
Phantom visit
Phantom visit
Phantom visit
Phantom visit
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Identity theft
Tampering
Tampering
Tampering
Tampering
Tampering
How Encore Care PRO works
How Encore Care PRO works
3 Gates Anti-Fraud
Verification Model
3 Gates Anti-Fraud
Verification Model
Gate 1
Gate 1
Caregiver scan
Caregiver scan
Face capture on agency tablet at visit start. Matched against enrollment template on-device. No image leaves the device.
Face capture on agency tablet at visit start. Matched against enrollment template on-device. No image leaves the device.
Gate 3
Gate 3
GPS proximity
GPS proximity
Continuous geofence check throughout visit. Anomalies (drift, mid-visit departures) flagged for review.
Continuous geofence check throughout visit. Anomalies (drift, mid-visit departures) flagged for review.
Gate 2
Patient scan
Patient face capture confirms they were present. Optional skip with documented consent for sensitive cases.
Gate 2
Patient scan
Patient face capture confirms they were present. Optional skip with documented consent for sensitive cases.
THE VALUE
THE VALUE
Key Takeaways
Key Takeaways
Technical differentiation
Technical differentiation
Patent-pending biometric model
Patent-pending biometric model
The combination of per-visit capture, dual-face (caregiver + patient), on-device matching, embeddings only (no raw images), and direct tie to the EVV record is the patent filing.
The combination of per-visit capture, dual-face (caregiver + patient), on-device matching, embeddings only (no raw images), and direct tie to the EVV record is the patent filing.
Regulatory positioning
Regulatory positioning
Fully compliant
Fully compliant
Complete HIPAA compliance.
Direct transmission to Sandata and HHAeXchange. Audit-grade evidence packages ready for state AG or CMS review.
Complete HIPAA compliance.
Direct transmission to Sandata and HHAeXchange. Audit-grade evidence packages ready for state AG or CMS review.
Distribution advantage
Distribution advantage
Wraps existing tools
Wraps existing tools
EncoreEVV ships as a module of
Encore Care Pro or as a standalone biometric layer that augments existing EVV systems. Agencies don't replace HHAeXchange or Sandata. They add verification-grade evidence on top.
EncoreEVV ships as a module of
Encore Care Pro or as a standalone biometric layer that augments existing EVV systems. Agencies don't replace HHAeXchange or Sandata. They add verification-grade evidence on top.
