RIPPL Care

Rippl Care, Inc. (Rippl) is a Seattle-based, technology-enabled provider of specialized dementia and senior mental health care. Its model combines a clinical network — advanced nurse practitioners, licensed social workers and community health workers — with a proprietary technology platform, delivering care largely virtually while maintaining an in-home "ground" team. Core service components described by the company at launch were 24/7 crisis behavioral support for patients and families, care navigation and coordination, specialized medication management for patients with multiple chronic conditions, and psychotherapy for both patients and family caregivers, with remote patient monitoring planned as a later addition.

The company's stated objective is to help seniors living with dementia remain at home and avoid emergency department, hospital and post-acute utilization. By the time of its 2026 acquisition, Rippl described personalized and proactive care plans, medication assessments, and 24/7 access to care navigators and licensed clinicians, operated in coordination with the Alzheimer's Association. Although dementia and neurocognitive conditions were the entry point, management said the specialized team and psychiatric services were intended to extend to broader senior mental health needs such as depression and anxiety.

Rippl is headquartered at 2825 Eastlake Avenue East, Suite 230, Seattle, Washington 98102. In February 2026 it was acquired by Harbor Health, an Austin, Texas-based primary and specialty care clinic group and health insurance company, and its platform is being folded into Harbor Health's condition-focused care pathways.

Founding story

Kris Engskov, a former Clinton White House staffer and 16-year Starbucks executive, became president of Bellevue, Washington-based senior living operator Aegis Living in 2019 and left in September 2021 to start a then-unnamed startup, motivated by how often residents with dementia-related behavioral symptoms were sent to the emergency room despite on-site clinical staff. He co-founded Rippl with Inca Dieterich (also reported as Inca Coman), an ARCH Venture Partners associate/venture partner, and the company was incubated within ARCH Venture Partners. Robert Nelsen, managing director at ARCH, is also identified as a co-founder. The name reflects the intent to create a "ripple" that draws more people into senior mental health care.

Business model

Rippl delivers clinical services to seniors with dementia and related mental health conditions, largely via telehealth supplemented by in-home visits, supported by an internally built technology platform intended to increase clinician productivity and enable clinicians to work at the top of their license. Following the Harbor Health acquisition, the platform operates as one of the acquirer's condition-focused care pathways alongside pathways for diabetes, hypertension and chronic pain.

At launch the company began on a fee-for-service basis while building its first clinical network, with a stated ambition to move to value-based, outcomes-based contracting and to work with Medicare Advantage plans, accountable care organizations and other risk-bearing entities. As of the 2026 acquisition announcement, Rippl services were being provided to Medicare Advantage members and to seniors covered by traditional Medicare through CMS' GUIDE program.

Traction

Public sources report that Rippl grew from pre-service in late 2022 to serving multiple states by 2026, working in coordination with partners such as the Alzheimer's Association and serving Medicare Advantage members and traditional Medicare beneficiaries through CMS' GUIDE program. No patient counts, revenue or outcome figures are disclosed in the sources.

Latest developments

Harbor Health announced on February 10, 2026 that it had acquired Rippl; terms were not disclosed. Rippl's investors — Kin Ventures, ARCH Venture Partners, General Catalyst, GV (Google Ventures), F-Prime Capital, JSL Health and Mass General Brigham Ventures — made a new commitment to the combined company. Harbor Health, founded in 2022 and having raised $130 million in September 2025 and acquired 32 VillageMD clinics in 2025, plans to scale the dementia platform as part of its condition-focused care pathways.