Nest Health

We're hiring a Regional Medical Director! This is a unique opportunity for an MD to step into a leadership role at a fast-growing company already delivering care in Arizona and Louisiana. You'll guide local clinical teams, work closely with our executive team and payer partners, and help scale impact for families on Medicaid. 📍 Remote w/ travel to markets 🔗 Job link in the comments 💬 Reach out or tag someone great

Proud to see Nest Health featured in this Health Affairs article exploring how Medicaid can reshape postpartum care to improve outcomes and reduce costs. The authors make a critical point: postpartum care in Medicaid has historically been limited and fragmented, despite the high risk of maternal mortality and serious health complications in the year after birth. Extending postpartum coverage is a step forward, but coverage alone doesn’t guarantee access to the kind of care families actually need. That’s where models like Nest come in. The article lifts up our work in Louisiana as a national example of how in-home, whole-family care can deliver better outcomes. By bringing medical, behavioral, and social care into the home, we’re closing gaps, building trust, and preventing crises before they happen. As Medicaid turns 60, states across the country are under pressure to cut costs. But this is exactly the kind of investment that should be protected, because it works. Better postpartum care doesn’t have to cost more. In fact, when done right, it saves. Read the full article at the link in comments.

When I served as Secretary of Health in Louisiana, we were preparing to implement Medicaid work requirements. We ran the numbers. We reviewed national outcomes. We listened. And ultimately, we decided not to move forward. When we looked at the data, here's what we found: 👉 Most Medicaid enrollees were already working. And those who weren’t were often facing serious physical or mental health challenges. Taking care away from them won't get them back to work faster. 👉 No state that implemented work requirements saw an increase in employment. See the latest NPR article on the consequences in Georgia and Arkansas. 👉 Louisiana’s projected cost to build and manage the system was almost $90M, more than any savings from coverage losses. If work requirements helped people move out of poverty, the conversation would be different. But the data is clear. They don’t. And I even understand the instinct. Many Americans believe everyone should contribute. I share that belief. But I also know I haven’t walked in everyone’s shoes. Denying health care as punishment doesn’t help people get healthy or employed. It just makes things worse. As a physician, mother, and policymaker, I cannot support a policy that withholds preventive care from families under the guise of personal responsibility. It’s immoral and it's ineffective policy. If these policies are going forward anyway, we should at least demand better. Here are a few considerations: 🔹 Do not waste public dollars on fragmented, proprietary tech systems -- this would be a major boon to companies like Deloitte, not to the health of Americans 🔹 Use existing data instead of building bloated new bureaucracies, and make it open source 🔹 Align work requirements with genuine job training, education, and support -- proven ways to reduce poverty The current rules target parents of children over 14. Imagine trying to reenter the workforce after more than 14 years at home, without any resources. In Louisiana, we worked with community and technical colleges to build real pathways to employment. These efforts should be the floor. I’ve had encouraging conversations with Republican Senate staff who say they want a smarter, more humane approach...who agree with some of these principles. If that’s true, now would be the time to prove it. 🔗 Link to article in comments.

"Healthcare is a right. In the richest country on earth, we shouldn't deny it to anyone for any reason. But Medicaid isn't working as well as it should. And the fact that we have 46% of kids who don't get care...maybe we oughta start paying for things like Nest." New episode drop: Don Berwick & Dr. Kedar Mate of Turn on the Lights sat down with Nest Health Founder & CEO Rebekah E. Gee MD MPH to talk about the future of family health, starting with care that begins at home. In the episode, she shares: 💗 Why maternal health outcomes in the U.S. remain among the worst in the high-income world 🏠 How bringing care into the home changes everything for families on Medicaid 👪 Why whole-family care, not point solutions, is the path forward 📝 Thoughts on the #OBBB on the eve of Medicaid's 60th Anniversary Link to full episode in comments. IHI

When I served as Secretary of Health in Louisiana, we were preparing to implement Medicaid work requirements. We ran the numbers. We reviewed national outcomes. We listened. And ultimately, we decided not to move forward. When we looked at the data, here's what we found: 👉 Most Medicaid enrollees were already working. And those who weren’t were often facing serious physical or mental health challenges. Taking care away from them won't get them back to work faster. 👉 No state that implemented work requirements saw an increase in employment. See the latest NPR article on the consequences in Georgia and Arkansas. 👉 Louisiana’s projected cost to build and manage the system was almost $90M, more than any savings from coverage losses. If work requirements helped people move out of poverty, the conversation would be different. But the data is clear. They don’t. And I even understand the instinct. Many Americans believe everyone should contribute. I share that belief. But I also know I haven’t walked in everyone’s shoes. Denying health care as punishment doesn’t help people get healthy or employed. It just makes things worse. As a physician, mother, and policymaker, I cannot support a policy that withholds preventive care from families under the guise of personal responsibility. It’s immoral and it's ineffective policy. If these policies are going forward anyway, we should at least demand better. Here are a few considerations: 🔹 Do not waste public dollars on fragmented, proprietary tech systems -- this would be a major boon to companies like Deloitte, not to the health of Americans 🔹 Use existing data instead of building bloated new bureaucracies, and make it open source 🔹 Align work requirements with genuine job training, education, and support -- proven ways to reduce poverty The current rules target parents of children over 14. Imagine trying to reenter the workforce after more than 14 years at home, without any resources. In Louisiana, we worked with community and technical colleges to build real pathways to employment. These efforts should be the floor. I’ve had encouraging conversations with Republican Senate staff who say they want a smarter, more humane approach...who agree with some of these principles. If that’s true, now would be the time to prove it. 🔗 Link to article in comments.

𝗛.𝗥.𝟭 𝗶𝘀 𝗿𝗲𝘀𝗵𝗮𝗽𝗶𝗻𝗴 𝗠𝗲𝗱𝗶𝗰𝗮𝗶𝗱. 𝗡𝗲𝘀𝘁 𝗶𝘀 𝗯𝘂𝗶𝗹𝘁 𝘁𝗼 𝗴𝘂𝗶𝗱𝗲 𝗽𝗹𝗮𝗻𝘀 𝗮𝗻𝗱 𝗳𝗮𝗺𝗶𝗹𝗶𝗲𝘀 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘅𝗶𝘁𝘆. What's coming? More frequent eligibility checks. New work requirements. More chances for coverage to lapse. Not because families are ineligible. Because the system will be harder to navigate. Nest was built for this moment. We meet families at home, where real-life decisions are made, where paperwork is sent, and where the red tape shows up first. We help them stay enrolled, supported, and connected to care. For families failed by a fragmented system, Nest delivers. For Medicaid plans under pressure to improve outcomes and reduce churn, we deliver too.

When Heydi, a mom of four, welcomed Nest Health into her home, she gained more than care. She gained a team that supports her and her children, and stands beside her as a parent. We deliver medical, behavioral, and social care to the entire family, in the place they feel most at ease. That’s the power of whole-family healthcare, right at home. #LifeintheNest

Comprehensive care at home. Whole families. Real results. With AmeriHealth Caritas Louisiana, we delivered medical, behavioral, and social care to thousands of their member families in our first year of partnership. The outcomes say it all: ★ ER visits went down ★ Vaccination rates doubled the state target ★ 91% of postpartum visits completed within 30 days ★ 2:1 return on investment This is what happens when care meets families where they are. Full release here: https://lnkd.in/e6nJz8F5

AZ Blue is bringing in the Nest Health team to serve families with Medicaid coverage in Maricopa and Mohave counties. Many families do not have easy access to care. Some may not have a car, live near a clinic, or have help with their kids. This new in-home option helps better meet that need by bringing medical, mental, and social care to their door. Read more: https://bit.ly/4lgoBOx

We're proud to announce our partnership with Blue Cross Blue Shield of Arizona Health Choice to bring in-home, whole-family care to 18,000 Medicaid members across Maricopa and Mohave counties. 🌵 In Maricopa County, families face long waits, crowded clinics, and a fragmented system that's hard to navigate, especially while managing work, childcare, and transportation barriers. 🏜️ Mohave County highlights the rural healthcare crisis. Families often travel long distances for basic care, with few local providers and limited transit options. Combined with the state's healthcare workforce shortages, access becomes nearly impossible for many. Our teams will meet families where they are, delivering medical, behavioral, and social care in the home. With Medicaid under growing financial pressure and federal scrutiny, partnerships like this are essential. They help families stay connected to high-quality care while helping states manage costs. This partnership marks a meaningful milestone as Nest expands beyond Louisiana and deepens our commitment to radically accessible care for families across the country. Full press release in comments.