Hospital-grade observation. At home.
careib.io is the technology stack that lets home health agencies move patients out of the hospital into supported home environments — with directly observed therapy, vital sign telemetry, and documented compliance reporting that holds up to clinical scrutiny. Built by a 43-year healthcare-IT founder who has signed the BAAs from both sides of the table.
Marjorie V. — Tonight's clinical summary
Lisinopril 10 mg
BP 128 / 82 · 72 bpm
Metformin 500 mg
BP 152 / 94
Atorvastatin 20 mg
Built for the agencies and clinicians moving patients out of the hospital and into the home — to lower cost, increase patient satisfaction, and document outcomes that survive an audit.
The cost case writes itself.
Per-patient comparison of where care can be delivered.
$2,500
Hospital day
$400
SNF day
$150
Home health visit
$17
careib.io / day*
*DOT Clinical tier at $499/patient/month, ÷30 days. Designed to complement the home health visit, not replace it — fewer visits per week, with continuous documentation between them.
Everything a bedside nurse would document.
Continuously. Automatically. With clinical-grade evidence.
Conversation memory
The patient wears a SOC 2 + HIPAA certified Plaud recorder. Every conversation — with you, with family, with their PCP — is captured, transcribed, and filed into the patient's private open-brain.
Future events extracted
Appointments, lab draws, follow-ups, family visits — anything the patient or their providers mention is added to the patient's calendar automatically. Care coordination without phone tag.
Directly Observed Therapy
An Insta360 camera mounted at the medication station captures controlled video only during the dosing window. Combined with a smart pill dispenser, this is the documentation gold standard for compliance — the methodology TB programs and methadone clinics use.
Vital sign telemetry
Bluetooth and cellular blood pressure cuffs, glucometers, pulse-ox, and scales sync continuously. Out-of-range readings escalate immediately to the on-call clinician.
Medication compliance
WiFi/cellular pill dispensers (MOBI, MedReady) report dose events directly — no dependency on the patient's phone. Honest framing: dispensers detect removal; the camera confirms ingestion. Together they close the gap.
Daily clinical report
Every evening at 7 PM, a clean summary lands in the on-call clinician's inbox: anomalies first, vital signs trending, compliance log, notable conversations. Reply with a note and it's saved to the patient's record.
One platform. Twenty patients. Forty hours of nursing freed up per week.
careib.io doesn't replace home health visits — it documents what happens between them and lets your nurses focus their visits on the patients who actually need a hands-on assessment that day. The economics work out before you've reached your fifth patient.
See how it works for agencies →HIPAA, end-to-end. Not a marketing claim.
careib.io runs on a verified BAA chain at every layer of the stack: Plaud (SOC 2 + HIPAA certified) for audio capture, Supabase Team + HIPAA add-on for the patient open-brain, Google Workspace Business Plus + BAA for transcript ingestion, Vercel Pro + BAA for hosting, and a HIPAA-eligible email provider with BAA for clinical reports.
We sign the BAA with your agency. Your agency holds the home-care license. We provide the technology stack underneath. Clean lines. Clean audit trail.
Read the full compliance posture →Founded by a physician
careib.io is built by Nick Mackenzie, MD — founder of Monterey Medical Solutions Inc, which served hospital clients for 43 years (1982–2025) and signed dozens of BAAs across the entire HIPAA era.
This is not a tech startup pivoting into healthcare. It is a healthcare-IT product built by someone who has spent his career on the vendor side of the hospital purchasing relationship.
30 minutes, and you'll know if it's a fit.
We'll walk through your current home-care economics, show the platform end-to-end, and tell you within ten minutes whether careib.io will save your agency money or not. No pitch deck.