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Support Across Every Stage of Aging

Not a referral service  ·  Not a ratings site  ·  Your co-pilot for long-term care decisions

Long-term care is one of life’s hardest journeys. Dorthea guides you through every step.

Long-term care isn’t a single decision. It’s a journey that changes as health changes, as providers change, as finances shift. Dorthea guides families through every stage — from the first question through every transition that follows.

The Problem

Long-term care is one of life’s hardest journeys — and families navigate it alone

Long-term care decisions don’t only happen in hospital hallways. They happen at kitchen tables when a parent can no longer manage alone. In memory care waiting rooms when a diagnosis changes everything. In phone calls between siblings who live in different states and can’t agree. In the quiet realization, months after placement, that something has changed.

The system families are handed was never designed for them. Referral services appear after the crisis and disappear after the placement. Government ratings are outdated, gamed, and disconnected from daily care reality. Financial pathways — Medicaid, VA benefits, private pay — are scattered across agencies and attorneys. And nobody monitors what happens after placement, when care quality drifts and conditions change.

Dorthea works across the entire care journey — bringing structured guidance before placement, during transitions, and after — so no decision is made in isolation, and no change in care conditions goes unnoticed.

70%
of Americans turning 65 will need long-term care — most will navigate it without a guide
8–10 yrs
average duration of an Alzheimer’s care journey — with multiple care transitions along the way
72%
of long-term care placements are made within one week of a health crisis — with little or no prior planning

How Dorthea Works

Dorthea supports professionals and families at every stage of the journey

Step 01

Adaptive Assessment

Dorthea begins by understanding the full picture — medical needs, functional status, financial situation, family dynamics, and care preferences — through a guided, conversational intake.

Step 02

Real-Time Alignment

Our AI co-pilot maps care needs against financial realities and available options — surfacing Medicaid eligibility pathways, VA benefits, and care level recommendations before a crisis forces the decision.

Step 03

Continuous Support Loop

Dorthea doesn’t stop at placement. As health status, provider performance, and financial circumstances change over time, Dorthea detects the signals and guides families through re-evaluation — before a drift becomes a crisis.

Care Drift Engine  Patent Pending

Dorthea doesn’t stop at placement. Neither should you.

The care decision you made six months ago was right for that moment. Care is not static. Health changes. Providers change. Finances shift. Dorthea continuously monitors for the signals that tell you it may be time to look again.

Clinical Drift

Health Status Is Changing

Falls, hospitalizations, or functional decline may mean the current care setting can no longer meet your loved one’s clinical needs.

Provider Drift

The Facility Has Changed

Staffing turnover, management changes, or inspection citations can signal that care quality has shifted since placement. The facility that was right then may not be right now.

Experiential Drift

Something Feels Different

Declining responsiveness, changes in how staff treat your loved one, reduced communication — these experiential signals are real quality indicators, even when star ratings haven’t moved.

Financial Drift

The Financial Picture Is Shifting

Private pay resources running low, Medicaid eligibility approaching, or unexpected cost increases — Dorthea tracks the financial signals that change which options are viable for your family.

The Dorthea Closed Loop

Dorthea Care Drift Engine closed loop Three signal inputs — Copilot household signals, Index provider signals, Sensors device signals — feed into the Drift Engine, which triggers Copilot to guide the Family decision, which feeds back into the System. Signal inputs Copilot Household signals Index Provider signals Sensors Device signals Drift Engine Detects change Copilot Interprets implications Family New decision made System learns & monitoring resumes

Who We Serve

Built for every stakeholder in the care ecosystem

Long-term care is complex because it involves many people with different needs. Dorthea is designed to serve each stakeholder — with guidance tailored to their specific role in the journey.

Clarity and confidence during one of the hardest decisions of their lives

When a parent's health begins to decline, families are thrust into an unfamiliar landscape of care options, costs, and logistics — often without time to research. Dorthea provides structured, personalized guidance so families can act with confidence instead of panic.

  • Understand the difference between assisted living, memory care, and skilled nursing — and which fits your parent's needs
  • Navigate financial options — Medicaid, VA benefits, private pay, and long-term care insurance — before savings run out
  • Know the signs your parent needs help at home vs. a residential facility
  • Get a clear view of long-term care costs in your area, in plain language
  • Receive continuously updated guidance as your parent’s condition evolves
  • Already placed a parent and something feels off — Dorthea helps you assess whether it’s time to re-evaluate
Start your family’s assessment →

Empowering you to plan your own care, on your terms

More older adults are seeking to understand their options before a health crisis forces the decision. Dorthea helps you explore care options, understand costs, and access benefits you've earned — on your own timeline.

  • Explore long-term care options that help you stay independent as long as possible
  • Understand VA benefits including Aid & Attendance eligibility (updated 2026)
  • Find out what in-home care costs in your city or state
  • Evaluate whether assisted living is right for you — on your terms, not in a crisis
  • Access financial help for seniors living alone
Explore your options →

Higher-quality referrals from families who are already informed and financially qualified

Dorthea doesn't just send leads — it sends families who have already been assessed for care level fit and financial qualification. That means faster admissions, fewer surprises, and residents who are genuinely matched to your community.

  • Receive pre-qualified, care-level-matched referrals to increase census
  • Reduce time-to-move-in with structured intake summaries at first contact
  • Partner with Dorthea to attract best-fit residents for assisted living, memory care, or home health
  • AI-driven resident pre-screening reduces mismatched placements
  • Access families who are actively planning — not reacting to a crisis
Partner with Dorthea →

Faster intake, structured summaries, and intelligent placement guidance

For financial advisors, elder law attorneys, and care managers, Dorthea is an intelligent intake layer that accelerates assessment and surfaces insights your clients need — before you even meet with them.

  • Access long-term care planning tools built for professional advisors
  • Understand Medicaid asset protection strategies and VA Aid & Attendance eligibility rules for 2026
  • Receive structured care assessment summaries to streamline client intake
  • Position your practice at the forefront of AI for elder care client assessment
  • Connect clients to the right care options at the right financial moment
Elevate your practice →

Population health signal at intake — identifying care trajectories early

For managed care organizations and Medicaid payers, Dorthea provides the earliest possible signal about where a member is headed — enabling proactive intervention before avoidable utilization occurs.

  • Identify Medicaid vs. private pay pathways at the point of first contact
  • Reduce downstream healthcare utilization through early care trajectory identification
  • Improve population health management across the long-term care continuum
  • Access AI-driven insights for care coordination and managed care cost savings
  • Predictive analytics to flag members at risk of inappropriate care settings
Explore payer solutions →

Our Difference

More than a placement tool — your co-pilot for the entire long-term care journey

Traditional long-term care platforms stop at placement. Dorthea supports families before the first decision, through every transition, and after placement — continuously monitoring for the signals that indicate care conditions have changed.

The result is better initial decisions, fewer crisis-driven re-placements, higher-quality referrals for providers, and families who are never left without guidance when care evolves.

Traditional Referral
Dorthea
When they help
After crisis; placement only
Before, during & after placement
Financial guidance
Rarely addressed
Integrated from day one
Care decisions
Facility-driven
Needs-driven & adaptive
Post-placement support
None
Ongoing drift monitoring
Referral quality
Unqualified leads
Pre-assessed, level-matched
Financial options
Not addressed
Surfaced at first contact

Resources & Guidance

Answers to the questions families ask most

Long-term care planning is complicated. We believe every family deserves clear, unbiased answers — not sales pitches. These are the questions we hear most often.

Dorthea's AI co-pilot can answer hundreds of questions specific to your state, your parent's health status, and your financial situation.

Ask Dorthea your question →
Assisted living provides help with daily activities like bathing, dressing, and medication management in a residential setting, with a focus on maintaining independence. Skilled nursing facilities offer 24-hour medical care for individuals with complex health conditions. The right choice depends on your loved one's specific medical needs, cognitive status, and financial situation — Dorthea helps you assess all three.
Signs that memory care may be appropriate include repeated disorientation, wandering, inability to manage medications safely, behavioral changes related to dementia, and significant caregiver burden. Memory care communities offer specialized environments and trained staff. Dorthea's assessment walks through these indicators to help you understand what level of care is indicated — and what it typically costs in your area.
Medicaid coverage for home care and assisted living varies significantly by state. Many states offer Home and Community-Based Services (HCBS) waivers that can cover in-home aides or residential care for eligible individuals. Eligibility rules around income and assets are complex. Dorthea surfaces Medicaid pathways early — including look-back period considerations and asset protection strategies relevant to your state.
The VA Aid & Attendance benefit can provide significant monthly payments to veterans and surviving spouses who need help with daily activities. Eligibility is based on military service, medical need, and financial criteria — and the application process can be complex. Dorthea identifies VA benefit eligibility as part of its standard financial assessment, helping families access benefits they've earned.
Traditional referral services connect families with facilities after a placement decision is already underway — typically during a crisis. Dorthea works across the entire care journey: before placement to align care needs and financial options, during transitions to navigate logistics, and after placement through continuous monitoring of care conditions. When health status, provider quality, or financial circumstances change, Dorthea detects the signals and guides families through re-evaluation — so no care decision stays static when the situation has moved on.
Long-term care costs vary widely by region and care type. Nationally, in-home care averages $25–$35/hour, assisted living communities average $4,500–$7,000/month, and skilled nursing facilities average $8,000–$10,000/month. Memory care typically runs 20–30% higher than standard assisted living. Dorthea provides location-specific cost estimates and helps families understand their financial runway under different care scenarios.

Early Access

Ready for a co-pilot for the entire care journey?

Whether you’re just starting to research, facing a hospital discharge, questioning a placement you made six months ago, or planning ahead — Dorthea is built for your moment.

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