Skip to main content
UCLA-3 · PHQ-2/9 · GAD-7 Screening
HIPAA-eligible AWS Infrastructure
MA SSBCI Evidence Package
988 Crisis Protocol · Consent-First
AI Companion — Senior Living  ·  MA SSBCI  ·  Medicaid MCO

The AI Companion
Senior Living & Health Plans
Actually Buy.

Warm daily companionship for isolated seniors — paired with validated loneliness screening, care-gap closure, and payer-grade outcome reports. The deliverables your team needs. The presence your residents deserve.

$1,608/beneficiary/yr — estimated extra Medicare spend driven by social isolation (AARP/Stanford). The cost your plan is already carrying — before a single companion check-in.
Payers & Health Plans → Request a Pilot See Pricing

Want to meet the companion first? Meet Lumiere, our AI companion →

Primary Buyers MA Plans, Medicaid MCOs, AAAs, PACE
Validated Instruments UCLA-3 · PHQ-2/9 · GAD-7
Infrastructure HIPAA-eligible AWS — BAA available

The Payer ROI Case

Isolation is a $6.7 billion
line item on your claims data.

Health plans don't buy "less loneliness" — they buy Stars lift, care-gap closure, and reduced avoidable utilization. These are the publicly sourced numbers that drive the conversation. We cite each figure honestly.

$6.7B
estimated extra Medicare spend per year driven by social isolation — largely avoidable hospitalizations and skilled-nursing use.
Source: AARP Public Policy Institute / Stanford analysis (publicly reported). Sector-level estimates, not our program outcomes.
$1,608
additional estimated cost per socially isolated beneficiary per year — the gap a companion intervention can close against even a $48/mo PMPM.
Source: AARP Public Policy Institute / Stanford (same analysis). Per-beneficiary figure cited publicly by AARP. Not a guarantee of savings.
1 in 4
adults 65+ are estimated to be socially isolated (NASEM). More than one-third of adults 45+ report feeling lonely — a population-scale risk in your MA book.
Source: NASEM Consensus Study Report on Social Isolation and Loneliness; AARP summary (publicly available). Population-level estimates.

Framing note (honest): Isolation drives ER visits, readmissions, SNF admissions, depression, and cognitive decline. The path to ROI for a plan is not a randomized trial — it is a claims-based analysis after 6–12 months showing movement in the right direction. This is exactly the evidence Papa and Pyx Health bring to their plan contracts. We build toward the same artifact: validated screening deltas + care-gap closure + engagement data.

For Families

Caring for a parent who's alone
more than you'd like?

You can't be there every hour. But a warm, patient companion who checks in on your parent every day — and quietly lets you know if something seems off — can help bridge those gaps.

This is for you if: your mom or dad lives alone (or mostly alone), and you carry that quiet worry — are they eating? Are they lonely? Would they say if something was wrong? You can't quit your job or move in. But you can give them someone to talk to every day.

Boojee Companion's Care Mode is built exactly for this: your parent gets a warm, conversational companion who checks in daily, remembers what they talked about last time, and gently asks how they're doing. You're set as their caregiver — so if the companion notices something concerning, you get a quiet heads-up. No alarm system. No clinical apparatus. Just warm company and a little peace of mind — for both of you.

Meet Lumiere, the companion →  — try her yourself before setting her up for your parent.

A warm daily companion for your parent Voice and text, remembers their name and last conversations, checks in each morning. Friendly, patient, never rushed — there for them even when you can't be.
You're notified if something seems off You're set as the caregiver in Care Mode. If the companion picks up on repeated low mood or concerning language, you get a gentle alert — before a small problem becomes a crisis call.
Memory — she knows who your parent is The companion remembers your parent's name, interests, and previous conversations. Every check-in feels like catching up with someone who genuinely cares, not answering a survey.
Works on a tablet, phone, or computer No new device to buy, no complicated setup. If your parent has a browser, they're ready. Simple to start — and we'll walk you both through it.
988 Crisis support built in If your parent ever expresses something serious, the companion immediately surfaces the 988 Suicide & Crisis Lifeline and raises an alert to you. This is a hard requirement in how we've built Care Mode — not an afterthought.
A supplement, not a replacement This is wellness companionship — warm, consistent, genuinely helpful. It is not a medical service, a monitoring device, or a substitute for your visits or professional care. It's there between your visits. An honest companion who shows up every day.
What this is: wellness companionship and connection — a warm AI companion your parent talks to daily, in their own voice and style, with gentle check-ins on how they're feeling and a caregiver alert if something seems off. No clinical apparatus, no BAA, no diagnostic claims.

What this isn't: a medical service, a clinical monitoring system, a diagnostic tool, or a replacement for professional care or family visits. The companion doesn't diagnose anything, doesn't replace a doctor, and isn't a 24/7 emergency response service. For emergencies, call 911. For crisis support, 988 is always there.

Pre-launch note: We are in early access — no outcome data yet. We won't promise results we haven't measured. What we will promise is honest, warm, consistent company for your parent, and a quiet signal to you if something seems worth a call.
Family / At-Home
$48

per parent / month

Indicative pricing — we're in early access. No commitment now; tell us you're interested and we'll reach you first when we open family enrollment.

  • Daily companion check-ins for your parent
  • Persistent memory — she remembers them
  • You as designated caregiver — alerts go to you
  • Works on any browser (tablet, phone, desktop)
  • 988 crisis support built in
  • Gentle setup walkthrough
Meet Her & Set Up Care → Just Meet Her First Get Early Access

For your family — stay in the loop

Tell us a bit about your situation. We'll reach you first when family enrollment opens — no commitment, no pressure. Two-business-day response.

By submitting this form, you consent to receive email follow-up from Boojee Estate about family companion access. Reply STOP to opt out at any time.

Want to try the companion now? Meet her here →

Questions? care@boojee.estate

Questions families ask

Real questions from adult children caring for aging parents — answered honestly.

Does my parent have to be good with technology?

Not really. The companion runs in a regular web browser — nothing to download, no app store, no new device required. If your parent has a tablet, phone, or computer they already use, they're set. She communicates with voice, so your parent can mostly just talk to her rather than type. You (the caregiver) set things up — we'll walk you through it, and the first session with your parent can be as gentle as you make it. The honest caveat: if your parent has never used a web browser before, there will be a short learning curve, and you may want to sit with them the first couple of times. Once they're comfortable, it's very simple.

What if my parent doesn't want it — or is resistant?

This is opt-in, and it works best when your parent is genuinely open to it. We'd encourage you to frame it gently: she's a companion they choose to talk to, not a monitoring device or an alarm system. Some parents warm up once they try it; others aren't interested, and that's okay — this isn't surveillance, and we won't recommend pressuring anyone into it. If your parent is resistant, the honest answer is that this probably isn't the right fit right now. The companion is most valuable when someone actually looks forward to talking to her.

Is my parent's conversation private?

Yes, with honest caveats. Conversations are stored so the companion can remember your parent between sessions — that memory is what makes it feel like a real relationship rather than a cold Q&A. The infrastructure is built on HIPAA-eligible AWS services (the same services used by healthcare providers). Consent is captured explicitly before anything is stored — your parent agrees to what's collected. As the designated caregiver, you're set up to receive alerts if something seems concerning. We are wellness companionship, not a clinical system — what's stored is conversation context and wellness check-in data, not a medical record. We are not HIPAA certified (no such certification exists), and a formal BAA is only part of our health-plan contracts, not the family tier. If that level of clinical-grade privacy is what you need, please contact us to discuss your situation.

What exactly would I be notified about?

Two things. First, if your parent misses a few check-ins or their mood seems consistently low across conversations, the companion will surface a gentle flag — a heads-up that something might be worth a call from you. Second, and most importantly: if your parent ever uses language that suggests a crisis or self-harm, the companion immediately surfaces the 988 Suicide & Crisis Lifeline (call or text 988) to your parent and sends a CRISIS-level alert to you. That's a hard rule in how we've built this — not a judgment call. Beyond those two things, you decide how to respond. The companion is not a medical monitor — she can't call 911 on your parent's behalf, and a welfare check or emergency should still go through normal channels (a neighbor, a call, 911). She's an early-warning signal and a warm daily presence, not a safety net that replaces human judgment.

Is this medical care? Does it replace visits or professional help?

No — and we want to be clear about this. Boojee Companion is wellness companionship. She is a warm, consistent presence between your visits and your parent's other human contact. She does not diagnose anything, does not provide medical advice, and is not a substitute for your parent's doctor, a therapist, or your own visits. Think of her as a daily friendly check-in, not a clinical intervention. If your parent has medical, mental health, or care needs that require a professional, please make sure those are covered by the right people. The companion is a supplement — something to help with the loneliness and isolation that happens between the moments of real human care, not a replacement for them.

What does it cost?

The indicative price for the family tier is $48 per parent, per month. We say "indicative" because we're in early access — pricing may adjust before we open family enrollment. There's no commitment required now; the form above puts you on the early-access list. We'll reach you first when family enrollment opens and confirm the final price before anything starts. No surprise charges, no locked-in contracts at sign-up.

Is it available now?

Not yet for families — we're in early access. We are building toward family enrollment and want to do it right: genuine warmth, honest setup, and a companion that actually shows up for your parent every day. We have no enrolled family members yet and no outcome data to share. What we do have is the companion herself — you can meet her now and get a feel for how she talks. If you'd like to be first when family enrollment opens, the form above is the right move. We'll reach out with details, no pressure, before anything opens.

What We Measure & Report

The outcome artifacts
your plan's bid file needs.

CMS's CY2025 SSBCI rule requires plans to show evidence that a supplemental benefit is "reasonably expected to improve or maintain health or overall function." Here is the evidence we build for you.

Screening

Validated Screening Instruments

Public-domain instruments delivered conversationally at intake and on a rolling schedule. Pre/post deltas computed per member for your outcome report. No license fees — all freely usable in practice.

  • UCLA-3 — industry-standard loneliness screen (Pyx uses this at onboarding). Scored 3–9; positive screen at 6+.
  • PHQ-2 / PHQ-9 — depression screen. PHQ-2 positive triggers the full 9-item. Item 9 triggers immediate escalation.
  • GAD-7 — generalized anxiety screen. Pairs with PHQ-9 in the outcome report.

These instruments screen and track — they do not diagnose. All elevated results route to human escalation. This is not a medical device.

Care Gaps

Care-Gap Closure & Stars Lift

Proactive nudges toward the plan quality measures that actually move your Star rating and close AWV/HRA gaps in your claims data. This is the core lever Papa uses in its plan contracts.

  • Annual Wellness Visit (AWV) reminder and completion tracking
  • Health Risk Assessment (HRA) nudge
  • Covered preventive screening reminders (flu, colonoscopy, mammography)
  • Medication adherence check-ins (documented in the outcome report)
Reporting

Engagement & Outcome Reports

The standing report your plan submits in its SSBCI evidence bibliography and Stars/CAHPS story. Delivered monthly for operational tracking; quarterly clinician-grade summary for the plan file.

  • Members enrolled / activated / retained
  • Engagement frequency and streak (daily/weekly check-in rate)
  • UCLA-3 and PHQ-9 pre/post deltas
  • Care-gap actions triggered and completed
  • Escalations raised, handled, and resolved
  • SDOH / Z60.2 flags captured for plan documentation
Escalation

24/7 Human Escalation & Crisis Protocol

A hard payer procurement requirement. The companion detects risk language and routes to a human immediately — not a ticket queue. Crisis handling (988 / emergency services) is documented and auditable.

  • Automatic escalation on PHQ-9 item 9 > 0 (self-harm thoughts)
  • Crisis resource delivery: 988 Suicide & Crisis Lifeline (call or text)
  • Staff/caregiver alert with conversation context
  • Full audit log of every escalation event
  • Caregiver dashboard: view alerts →
SDOH

SDOH / Z-Code Capture

Structured detection of social-determinant risk during conversation. Handed to the plan or clinician for documentation — Z-codes support encounters and enrich risk/HEDIS picture but are not a payment source on their own.

  • Z60.2 — Problems related to living alone (requires documented unmet need)
  • Z55–Z65 social determinant family for food, transport, housing risk
  • Exported in the outcome report for clinician/plan documentation
Engagement

Proactive Daily Check-Ins

The companion initiates conversation — it does not wait for the member to ask. High daily interaction rate is the engagement proof plans require (ElliQ's program cites ~30 interactions/day, 6 days/week as its benchmark in the NYSOFA program report).

  • Companion-initiated morning and evening check-ins
  • Persistent per-member memory (last topics, preferences, milestones)
  • Medication and appointment reminders woven into conversation
  • Engagement streak tracked and reported to plan

ElliQ engagement figure is from the NYSOFA program impact report (vendor/program survey data, not a peer-reviewed RCT). Cited for context, not as our result.

The Program

From signed agreement to
outcome report in 90 days.

1

Intake & Baseline

Consent collection, UCLA-3 and PHQ-2 baselines for enrolled members. Care-gap data pulled from plan's eligibility file.

2

Companion Launch

Custom companion name, voice, and conversation context configured for your population (MA chronically ill, HCBS waiver, PACE, etc.).

3

Rolling Engagement

Daily proactive check-ins, care-gap nudges, and re-screens at 30 and 60 days. Escalations handled in real time.

4

Outcome Report

90-day payer report: UCLA-3 and PHQ-9 deltas, engagement stats, care-gap closures, SDOH flags — formatted for your bid file.

We are in pilot stage. We have no enrolled members yet. We are building this program to be payer-ready from the ground up — not retrofitting a consumer product. The outcome dashboard, escalation protocol, and reporting format are designed for the plan procurement checklist, not for optics. We're looking for one or two plan or AAA partners to run the first 90-day pilot and generate real outcome data together.

Trust & Compliance Posture

Built to the payer
procurement checklist.

Every item below maps to something a plan's compliance team will ask before signing. We say what we have and what is in progress — no false claims.

Trust & Evidence Center
HIPAA-eligible — BAA Available AWS Lambda · DynamoDB · Bedrock · Polly
Consent-First Architecture No health data written without explicit consent
988 Crisis Protocol · Mandatory Escalation PHQ-9 item 9 triggers immediate human alert
General-Wellness / Non-Device FDA general wellness posture memo available
Full Audit Logging Every health-data action timestamped
SOC 2 — In Progress Architecture designed for Type I controls
HIPAA-eligible Infrastructure — BAA Available Lambda, DynamoDB, Polly, and Bedrock are all AWS HIPAA-eligible services. We say "HIPAA-eligible" because compliance is a program, not a product feature — a signed AWS BAA is required before real PHI is stored. BAA available on Enterprise and health-plan contracts.
Crisis Protocol — 988 + Human Escalation Explicit flow: risk language or PHQ-9 item 9 trigger → immediate 988 Suicide & Crisis Lifeline referral + human alert. Documented. Every escalation logged to the audit table. This is non-negotiable for a behavioral-wellbeing product.
Consent-First Architecture No health data is written without explicit user consent. Consent is recorded, timestamped, and gated by the API — not assumed. Consent withdrawal is documented (purge workflow planned for production).
General-Wellness / Non-Device Posture We are a general-wellness companion, not an FDA-regulated medical device. Per FDA's General Wellness guidance (Jan 6, 2026): we screen, track, and connect to humans. We do not diagnose, treat, or name conditions as findings. A general-wellness posture memo is available for plan compliance teams.
Full Audit Logging Every health-data action — consent grant, screening submission, alert creation, acknowledgment — is written to a tamper-append audit table with actor, timestamp, and detail. Required for plan oversight and breach response.
SOC 2 — In Progress SOC 2 Type I is on our roadmap for the first payer contract. We do not have it yet and we will not claim otherwise. Our AWS architecture (scoped IAM, DynamoDB encryption, audit logging, HIPAA-eligible services) is designed to pass Type I controls.

Clinical governance note: A named clinical advisor (MD or LCSW) will govern screening thresholds and escalation rules before we enroll real members. This is a payer procurement requirement we are actively building toward. Clinical advisor is not yet on retainer — we are forthright about this because plan compliance teams will ask.

Programs & Pricing

Transparent pricing for
senior living & care operators.

Three clear tiers — $48 per resident, $998 community pilot, $2,998 enterprise. No per-seat surprises, no locked-in minimums at pilot stage. Health plans and MA/Medicaid payers: pricing is PMPM by enrolled population — request a plan briefing.

Per Resident

$48

per resident / month

Add-on / flexible

  • 24/7 AI companion access
  • Daily proactive check-ins
  • Medication & appointment reminders
  • Conversation logs
  • No staff dashboard
  • No outcomes reporting
Inquire
Most Popular

Community Pilot

$998

per month — up to 25 residents

Up to 25 residents

  • Everything in Per-Resident
  • Concierge onboarding (2 weeks)
  • UCLA-3 + PHQ-2/9 baseline screening
  • Monthly outcomes report
  • Staff escalation + alert dashboard
  • Dedicated program contact
Request a Pilot →

No long-term contract required at pilot stage. Pilot scoped on a discovery call.

Enterprise

$2,998

per month — up to 100 residents

Up to 100 residents

  • Everything in Community Pilot
  • Business Associate Agreement (BAA)
  • Custom escalation workflow
  • Quarterly outcomes review call
  • Multi-community rollout support
  • Custom companion persona
Request Enterprise
Health Plans & Payers

Payer / MA / Medicaid MCO

PMPM

quoted by enrolled population

MA SSBCI · Medicaid HCBS · PACE

  • Everything in Enterprise
  • SSBCI evidence bibliography package
  • Claims-based ROI model
  • Stars/HEDIS + care-gap reporting
  • SDOH / Z-code capture for plan file
  • RTM/CCM data-export (Phase 2)
Request Plan Briefing →

Apply for a Pilot

Start the conversation —
pilot, payer, or provider.

Operators, community providers, and AAAs: use this form. Health plans and MA/Medicaid payers: the Payer Brief has the right form for you (SSBCI package, PMPM model, compliance posture).

Request a Pilot Program

Fill in what you know. We'll work out the rest on a short discovery call. Two-business-day response.

By submitting this form, you consent to receive email and phone follow-up from Boojee Estate about this inquiry. Reply STOP to opt out at any time.

Health plan or payer? View the Payer Brief →

Prefer email? care@boojee.estate

Frequently Asked

Questions from plan teams
and care operators.

How does a health plan actually pay for this?

The model is a vendor contract — the plan pays a per-member-per-month (PMPM) fee, similar to how Papa and Pyx Health are contracted across 70–100+ MA plans respectively. We are a supplemental/value-added benefit, not a billed medical service. Medicare Advantage plans can include us under SSBCI (Special Supplemental Benefits for the Chronically Ill) or standard supplemental benefits. Medicaid MCOs contract us as an HCBS-adjacent support. PACE programs can bundle us under their capitation. We do not bill CPT codes ourselves — a clinician-billed RTM/CCM pathway is a Phase 2 option for provider-group partners.

Is this HIPAA compliant?

We say "HIPAA-eligible" deliberately. The AWS services underlying Companion Care — Lambda, DynamoDB, Polly, Bedrock — are covered under Amazon's HIPAA BAA program. Full HIPAA compliance is a program, not a product feature: it requires signed BAAs, staff training, and policies on both sides. A signed AWS BAA must be executed before we store real PHI — we have not done this yet for production. On our Enterprise and health-plan contracts we execute a BAA with your organization. We will not claim "HIPAA certified" because no such certification exists.

What does the CY2025 SSBCI evidence requirement mean for us?

Since CY2025, CMS can deny an MAO's bid unless the plan demonstrates with an evidence bibliography that an SSBCI benefit is "reasonably expected to improve or maintain the health or overall function" of chronically-ill enrollees. We build the artifact for that bibliography: validated screening (UCLA-3, PHQ-2/9) with pre/post deltas, care-gap closure data, engagement metrics, and escalation outcomes. This is not peer-reviewed RCT evidence — we do not claim that. It is impact-survey and engagement evidence, the same category of evidence ElliQ, Papa, and Pyx use in their plan contracts today.

Is this a medical device? Does it require FDA clearance?

No. We operate in the FDA "general wellness" lane per the agency's Jan 6, 2026 guidance on low-risk general wellness products. We do not diagnose, treat, or name conditions as findings. We screen, track, engage, and connect members to qualified humans when a screen is elevated. This design choice (the companion always routes to a human for clinical interpretation) keeps us wellness-exempt and simultaneously satisfies the payer's crisis-escalation requirement. A general-wellness posture memo is available for your compliance team.

Do you have clinical results yet?

No — we are in pilot stage with no enrolled members. We will not fabricate outcomes or claim results we have not measured. The evidence we cite for sector ROI ($6.7B isolation cost, $1,608/beneficiary) comes from AARP Public Policy Institute / Stanford analysis, publicly reported. The engagement benchmarks we reference (ElliQ 95%/80% loneliness-reduction, Pyx 2.5:1 ROI) are those vendors' own program impact reports — not our results, and not peer-reviewed RCTs. We cite them as market precedent for the category, labeled as such. Our first pilot will generate the first real data point for this program.

What screening instruments do you use and why those?

We use UCLA-3 (the 3-item Loneliness Scale, Hughes et al. 2004), PHQ-2 / PHQ-9 (Kroenke, Spitzer, Williams), and GAD-7 (Spitzer et al. 2006). All three are public domain and freely usable in practice without license fees — important for a scalable PMPM model. UCLA-3 is the instrument Pyx Health uses at onboarding and is the recognized standard for loneliness screening in health plan contexts. PHQ-9 is the behavioral health screen CMS recognizes for Stars/HEDIS quality measures. GAD-7 pairs with PHQ-9 in the quarterly outcome report.

What is your crisis protocol?

Any conversation containing risk language, or a PHQ-9 with item 9 (self-harm thoughts) scored above zero, triggers immediate escalation. The companion delivers 988 Suicide & Crisis Lifeline information (call or text 988) to the member and raises a CRISIS-severity alert to the caregiver/clinical dashboard in real time. Every escalation is audit-logged. A human reviews every crisis-flagged conversation. This is a hard design requirement, not an optional feature.