Nest Health

Nest Health is a value-based healthcare practice that delivers medical, behavioral and social care to entire households enrolled in Medicaid, combining in-home visits with virtual care. Rather than treating individuals through separate pediatric, adult and mental health providers, Nest harmonizes a single care plan across moms, dads, babies, children and teens living in the same home, with longitudinal in-home visits aligned to ages and stages of development.

Services span primary care, pediatrics, urgent care, vaccinations, prenatal care, chronic condition management (asthma, diabetes, autism, depression), mental health support and substance use treatment and medication, virtual therapy, preventive education and coaching, care coordination with specialists, and social support delivered by Family Advocates who help with housing, food, utilities, employment resources and paperwork. A 24/7 Nest Family Care Line provides clinical advice, and the practice offers evening, weekend and same- or next-day appointments. Care teams are local and include nurse practitioners, physicians, midwives, physician assistants, therapists, nurse care managers and family advocates. Services are provided at no additional cost to families covered by participating Medicaid managed care plans, because they are part of existing insurance benefits.

Founding story

Nest Health was founded in 2021 in New Orleans by Dr. Rebekah Gee, a practicing obstetrician-gynecologist, mother of five and former Louisiana Secretary of Health, together with Rebecca Kavoussi, former president of Landmark Health. Gee observed during her tenure as state health secretary how transportation, childcare and time-off-work requirements kept Medicaid families from completing recommended visits, and built the company to bring integrated care into the home for every family member.

Business model

Nest contracts with Medicaid managed care organizations under value-based arrangements, taking on risk in Medicaid contracts; families covered by participating plans pay nothing additional because Nest's services are delivered as part of their existing health plan benefits.

Revenue comes from payer partnerships with Medicaid managed care organizations rather than patient fees, structured around value-based care contracts.

Traction

Nest reports serving families across Louisiana and Arizona, including a value-based partnership with AmeriHealth Caritas Louisiana covering 7,500 members in greater New Orleans and a partnership with Blue Cross Blue Shield of Arizona Health Choice covering more than 18,000 Medicaid members in Maricopa and Mohave counties. Reported outcomes include a 2:1 ROI for payer partners, an NPS of +98, engagement with 75% of families for whom the health plan had no working phone number, a 60% reduction in emergency room utilization validated by a third party, a 55% reduction in payer churn, vaccination rates at twice the Louisiana state target, and 62% of Arizona patients receiving a flu shot who had not received one the prior season.

Latest developments

In November 2025 Nest closed its Series A at more than $22.5 million, adding Socium Ventures, Amboy Street Ventures, Impact America Fund, Hopelab, University Growth Fund and Luminary Impact Fund, with Socium Ventures joining the board. Proceeds are earmarked for expanding family-focused clinical products, applying AI to automate care workflows, and growing in current states and new geographies through existing and additional payer partnerships. The company has also launched in-home prenatal services and plans to expand substance use disorder treatment, chronic disease management and behavioral health pathways.