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AICareMatch

AI-Driven Mental Health Matching Platform

Making Mental Health Care Accessible

Piyush Gade, Founder

RISE Demo Day • October 2025

The Crisis: A Perfect Storm

Mental health care in America faces three interconnected crises creating a $1T+ annual economic burden

😰 DEMAND CRISIS

52M

U.S. adults with mental illness (SAMHSA 2023)

🚧 Unmet Need

2-4 month wait times, cost barriers, lack of provider knowledge

💰
45.8% cite cost concerns
❓
29.2% don't know where to find providers
🚧
24.9% face stigma/access barriers

😓 SUPPLY CRISIS

250K

Projected provider shortage by 2030

🔥 Provider Burnout

60% burnout rate among mental health providers

📄
30-40% of time spent on admin documentation
💸
Low reimbursement rates
❌
High patient no-show rates

🎯 MISMATCH CRISIS

$1T+

Annual economic burden from inefficiency

⚠️ Inefficient Care

Patients matched with wrong providers → frivolous visits

🔀
Psychiatrists treating all conditions (not specialized)
❌
Mismatched therapy approaches → ineffective treatment
💸
Wasted visits, prolonged suffering
💬

"It has been very hard to find someone who will provide the right evidence-based therapy for my son in NYC."

— PhD Psychologist, Director of Mental Health Center

💬

"It would be a dream come true if a platform could reduce our administrative burnout."

— Geriatric Psychiatrist, New York City

💬

"I was prescribed incorrect care. I need someone with experience treating first responders."

— First Responder, Customer Discovery Interview

Our Solution

AICareMatch: HIPAA-compliant marketplace connecting patients with tailored mental health providers

🧠

AI Matching

Connects patients with optimal providers based on specialty, insurance, availability

💰

Cost Transparency

Real-time out-of-pocket calculation before booking (deductibles, copays, coinsurance)

📈

Shortage Forecasting

Predicts provider shortages using HPSA/MUA scores for workforce planning

⚡

Admin Automation

Reduces provider burnout by 60% through automated documentation

🛡️

HIPAA-Telehealth Parity Laws-Licensure

Compliant cross-state virtual care with automated licensing checks

❤️

Social Responsibility

Accessible to pregnant women, first responders, senior citizens

Reduces wait times 50% • Eliminates surprise billing • Bridges gaps for underserved populations

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch
🤔

Welcome! Let's find you the right care.

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch

What brings you here today?

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch

Have you sought therapy for this before?

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch

What's your budget per session?

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch

Matched Providers (3 found)

👨‍⚕️
Dr. Sarah Johnson, PhD
Depression specialist • 12 years exp.
⭐⭐⭐⭐⭐
(47)
💰 $35 copay after insurance
📅 Tomorrow 2pm
👩‍⚕️
Dr. Michael Chen, MD
Psychiatrist • CBT
⭐⭐⭐⭐⭐
(89)
💰 $40 copay after insurance
📅 Thursday 10am

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Patient Experience Demo

Watch how Sarah finds her perfect therapist in under 2 minutes

🧠
AICareMatch
✅

Ready to book with Dr. Sarah Johnson?

Session type: Initial consultation (50 min)
Date & time: Tomorrow, 2:00 PM EST
Format: Telehealth (secure video)
Your cost: $35 (after insurance)

You'll receive a secure video link 15 min before

6-Step Intelligent Flow

1️⃣ Condition Awareness

"Do you know your condition?" If no → "How are you feeling?"

2️⃣ Select Condition

Choose from Depression, Anxiety, PTSD, or describe symptoms

3️⃣ Treatment History

"Have you sought therapy for this before?" Helps refine matching

4️⃣ Budget & Insurance

Set out-of-pocket range and insurance status

5️⃣ Browse Providers

See specialists within budget, ratings, schedules

6️⃣ Connect & Book

Select provider, view real costs, book instantly

Provider Experience Demo

See how Dr. Kim manages her practice effortlessly

🧠

Provider Dashboard

Welcome back, Dr. Kim

Matched Patients (3)
👤
Sarah M. - Depression
98% match • Insurance verified
👤
Michael T. - Anxiety
94% match • Insurance verified
👤
Jennifer L. - PTSD
91% match • Insurance verified
Today's Schedule
4 appointments confirmed

Automated Workflow

Step 1: AI Matching

3 pre-qualified patients matched to your specialty

Step 2: Auto-Documentation

All intake forms pre-filled and verified

Step 3: One-Click Schedule

Automated appointment booking and reminders

Step 4: Telehealth Ready

HIPAA-compliant video sessions

Step 5: AI Notes

Auto-generated session documentation

Provider Experience Demo

See how Dr. Kim manages her practice effortlessly

🧠

Provider Dashboard

Welcome back, Dr. Kim

Matched Patients (3)
AI-matched to specialty
Auto-Documentation
✅
Insurance verified (Aetna PPO)
✅
Intake forms complete
✅
Medical history imported
✅
Templates ready

Automated Workflow

Step 1: AI Matching

3 pre-qualified patients matched to your specialty

Step 2: Auto-Documentation

All intake forms pre-filled and verified

Step 3: One-Click Schedule

Automated appointment booking and reminders

Step 4: Telehealth Ready

HIPAA-compliant video sessions

Step 5: AI Notes

Auto-generated session documentation

Provider Experience Demo

See how Dr. Kim manages her practice effortlessly

🧠

Provider Dashboard

Welcome back, Dr. Kim

Schedule Updated
📅 Sarah M.
Tomorrow, 2:00 PM EST
Auto-reminder sent ✓
🔔 Notifications
Calendar invites sent
SMS reminders scheduled
One-click scheduling saved 15 minutes

Automated Workflow

Step 1: AI Matching

3 pre-qualified patients matched to your specialty

Step 2: Auto-Documentation

All intake forms pre-filled and verified

Step 3: One-Click Schedule

Automated appointment booking and reminders

Step 4: Telehealth Ready

HIPAA-compliant video sessions

Step 5: AI Notes

Auto-generated session documentation

Provider Experience Demo

See how Dr. Kim manages her practice effortlessly

🧠

Provider Dashboard

Welcome back, Dr. Kim

Telehealth Ready
🎥
Video link generated
Secure HIPAA-compliant session
🔒
End-to-end encryption
Compliant with all regulations
✅
Patient notified
Link sent 15 min before session

Automated Workflow

Step 1: AI Matching

3 pre-qualified patients matched to your specialty

Step 2: Auto-Documentation

All intake forms pre-filled and verified

Step 3: One-Click Schedule

Automated appointment booking and reminders

Step 4: Telehealth Ready

HIPAA-compliant video sessions

Step 5: AI Notes

Auto-generated session documentation

Provider Experience Demo

See how Dr. Kim manages her practice effortlessly

🧠

Provider Dashboard

Welcome back, Dr. Kim

AI Session Notes
📝
Auto-documented
Session transcribed & summarized
⏱️
60% time saved
From 30 min to 12 min documentation
✅
Ready for review
Structured clinical note generated

Automated Workflow

Step 1: AI Matching

3 pre-qualified patients matched to your specialty

Step 2: Auto-Documentation

All intake forms pre-filled and verified

Step 3: One-Click Schedule

Automated appointment booking and reminders

Step 4: Telehealth Ready

HIPAA-compliant video sessions

Step 5: AI Notes

Auto-generated session documentation

Market Opportunity

Total Addressable Market (TAM)
$92.14B
U.S. Behavioral Health Market (2025)
Market Breakdown:
• All mental health services nationally
• Outpatient + inpatient + digital platforms
• CAGR: 5.3% through 2032
• Driven by rising anxiety/depression prevalence
Serviceable Addressable Market (SAM)
$500M
NY State Digital Mental Health
Calculation Method:
• NY = 6% of U.S. market (20M population)
• NY behavioral health: ~$5.5B annually
• Digital segment focus: matching + telehealth
• State investment: $218M (2025) validates opportunity
Serviceable Obtainable Market (SOM)
$5M
Year 3 Revenue Target
Path to Capture:
• Start: Upstate NY (Albany, 1M pop)
• Expand: NYC (8.5M pop)
• Partnerships: 5-10 hospitals initially
• 1% market penetration = $5M ARR
• Revenue: subscriptions + transaction fees

Growth Drivers

📈
Telehealth Explosion
50% post-COVID increase, 42% visits now virtual
🏢
Corporate Wellness
$92B market, 15% CAGR, $4:1 ROI
⚖️
Parity Law Enforcement
Federal/state mandates accelerating
📊 Market Sizing Methodology
TAM Approach:
Industry research (SAMHSA, market reports) for total U.S. behavioral health spending
SAM Approach:
NY state proportion (6%) × digital health segment focus
SOM Approach:
Bottom-up: partner hospitals × 1% penetration × revenue per user
NY State Investment
$218M announced in 2025 for mental health improvements

Traction & Validation

👥

25+

Customer Discovery Interviews

🏥

LOI

Albany Med and OMH Partnership

🛡️

C Corp

Incorporated Sept 2025

Strategic Partnerships

🏥 Albany Medical Center and OMH

Pilot launch Q2 2025 with 150+ providers for initial validation

💻 Epic Systems

EHR integration partnership providing access to 250M patient records

🔬 SUNY-IBM Collaboration

Watson AI partnership for advanced matching algorithms (7.5% revenue royalty)

💼 Gusto Payroll

Distribution partnership for corporate wellness onboarding and employee benefits integration

Note on Epic Partnership: While Epic integration provides 250M+ patient reach, our platform is EHR-agnostic with Cerner/AllScripts alternatives. Epic enhances but doesn't define our strategy.

Why We Win

🎯 Only Complete Solution

AI matching + cost transparency + forecasting + automation + telehealth

Competitive Landscape

Feature AICareMatch Teladoc BetterHelp Hims & Hers AI-Only Platforms
Specialized AI Matching ✅ ❌ ❌ ❌ ⚠️
Cost Transparency ✅ ❌ ❌ ⚠️ ❌
Provider Burnout Reduction ✅ ❌ ❌ ❌ ❌
Underserved Population Focus
(First responders, pregnant women, seniors)		 ✅ ❌ ❌ ⚠️ ❌
Senior-Friendly Interface ✅ ⚠️ ⚠️ ❌ ❌
Hybrid Care Options
(Telehealth + In-Person flexibility)		 ✅ ⚠️
Telehealth only		 ❌ ❌ ❌
HIPAA Compliance & Data Privacy
(No third-party data sharing)		 ✅ ❌
*Data shared		 ✅ ⚠️ ❌
Human-Touch Care ✅ ✅ ✅ ✅ ❌

*Note on Teladoc: Recent class action lawsuit alleges Teladoc shares telehealth user data with Facebook and other third parties without proper consent, raising serious HIPAA compliance concerns. AICareMatch maintains zero third-party data sharing policy.

🔐 Our Defensible Moats

Proprietary matching algorithms + cost transparency IP + Epic/hospital partnerships + provider network effects + HIPAA-first architecture

18-24 Month
Lead Time to Replicate

Revenue Model

👤

Patient Premium

$20/mo
  • ✓ Priority matching
  • ✓ Cost simulations
  • ✓ Appointment tools
👨‍⚕️

Provider

$99-199/mo
  • ✓ Patient inquiries
  • ✓ AI documentation
  • ✓ Analytics
🏥

Hospital

$1K+/mo
  • ✓ Bulk onboarding
  • ✓ EHR integration
  • ✓ Forecasting
🏢

Corporate

$15-25/emp/yr
  • ✓ Employee access
  • ✓ ROI tracking
Year 1 Revenue
$285K
1K users, 50 providers
Year 2 Revenue
$2.1M
15K users, 300 providers
✅ BREAK-EVEN ACHIEVED
Year 3 Revenue
$8.5M
150K+ users, 1.2K providers
245% CAGR • 75%+ Gross Margin • 18:1 LTV:CAC • Break-even Month 18
💡 Investor Highlight: 18:1 LTV:CAC ratio (3.6x above 5:1 benchmark) + <5% monthly churn = highly efficient, sticky business model

Roadmap to Scale

Months 1-6
Pilot Launch
  • ✓ Albany Med and OMH pilot
  • ✓ Epic integration (single hospital)
  • ✓ 1K patients, 50 providers
  • ✓ 500 matches
  • 💰 $127K revenue
Months 7-18
Regional Expansion
  • • Expand Epic to 5-10 NY hospitals
  • • 15K users
  • ✅ Break-even
  • 💰 $1.2M revenue
Months 19-36
Multi-State
  • • PA, NJ, MA, CT, VT
  • • PSYPACT enrollment
  • • 150K+ users
  • • 20 hospitals
  • 💰 $8.5M revenue
Year 3+
National Scale
  • • Epic App Orchard national listing
  • • Series A funding
  • • Multi-state licensing complete
  • • $100M+ valuation
📋 Multi-State Licensing Strategy: Year 1-2 limited to NY (providers need only NY licenses). Year 3+ expansion leverages PSYPACT for psychologists (30+ states) while psychiatrists obtain individual state licenses. Automated compliance checks ensure all providers are properly licensed in patient's state.

Defensible IP Strategy

Our intellectual property position creates sustainable competitive moats

🔐

Core IP Ownership

  • ✓ Founder-owned algorithms from published research (sentiment analysis, market prediction models)
  • ✓ Trade secret protection for matching engine and cost calculation methods
  • ✓ Proprietary cost transparency calculations integrating mental health parity law compliance
  • ✓ SUNY Tech Transfer confirmed: Published papers and code developed without university resources are founder-owned IP
🤝

Strategic Partnerships

  • ✓ SUNY-IBM: 7.5% revenue royalty for facilitation access; no IP transfer; commercial rights retained
  • ✓ Epic Systems: Non-exclusive integration partnership; no IP transfer; 10-15% revenue share on Epic-sourced patients (standard)
  • ✓ All vendor agreements preserve full commercialization rights
  • ✓ Clean cap table for acquirers; royalties transfer in M&A

🛡️ Protection Plan

Provisional patents filed for cost transparency methods integrating parity law compliance after achieving product-market fit (Month 12-18) to avoid premature disclosure

📋 Licensing Ready

Matching algorithms can be licensed to non-competing healthcare verticals (e.g., chronic disease management, elder care) as secondary revenue stream

🚀 Exit Clean

Zero IP encumbrances; SUNY royalty (conditional on active facilitation) transfers to acquirer; no blocking rights; streamlined M&A due diligence

🔒 Comprehensive IP Safeguards

Trade Secrets: NDA with all employees/contractors, restricted code access, regular security audits, no GPL-licensed dependencies (source code is a trade secret)
Trademarks: "AICareMatch" USPTO filing (Month 3), logo and tagline protection
Copyrights: In the process of registering all software code, website content, marketing materials with USPTO
Freedom to Operate: Patent landscape analysis completed; no infringement risk identified

The Team

PG

Piyush Gade

Founder (92%)
  • • PhD Economics (SUNY Albany)
  • • Health economics & ML expertise, research on sentiment analysis, telehealth parity laws

Advisory Board (4% equity reserved)

Finalized (Anonymous): Startup commercialization
MC : Hospital Admin, Albany Med
HIPAA Specialist (TBD): Healthcare attorney, HIPAA, telehealth parity, licensure compliance
AI/ML Specialist (TBD): Algorithm optimization, scalability architecture
JG

Justin Giordano

RISE Fellow
  • • Customer Discovery Support
DB

Dharani Bhumireddy

RISE Fellow
  • • Customer Discovery Support

The Ask

$1.5M
Seed Round
18-24 month runway to break-even

Use of Funds

MVP Development $500K
Epic integration, AI algorithms, HIPAA infrastructure
Market Launch $400K
Albany Med pilot, provider recruitment, marketing
Team Expansion $350K
CTO, clinical advisor, compliance officer
Operations & Legal $250K
IP protection (patents, trademarks), insurance, compliance audits

Milestones

Year 1: $285K
1K patients, 50 providers, Albany Med pilot validated
Year 2: $2.1M
15K users, 5-10 hospitals, break-even achieved
Year 3: $8.5M
150K+ users, multi-state expansion, Series A ready
⚡
Perfect Timing
Post-COVID telehealth adoption, parity law enforcement
🎯
Proven Demand
25+ customer discovery interviews, Albany Med LOI
🚀
Exit Potential
Teladoc, Epic, UnitedHealth, Amazon strategic acquirers
🧠

AICareMatch

Making mental health care as accessible as booking a ride

Contact
Piyush Gade
Founder
express@aicarematch.tech
518-360-7855
Learn More
aicarematch.tech
Let's transform mental healthcare together
Join us in preventing 10,000+ suicides annually and supporting millions of families
40% reduction in ED psychiatric boarding 50,000+ mothers reached by Year 5 25,000+ first responders supported
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