This Entrepreneur Will Pay You To Provide Home Care For Your Loved Ones - Forbes

What the report says

Forbes reported that Havi Nguyen, the 26-year-old founder of San Francisco startup Abby Care, is building a business around helping relatives and friends become paid in-home caregivers through Medicaid programs. The company trains eligible family caregivers, employs them, receives Medicaid payments through insurers and pays wages for care they may already be providing. In Colorado, Forbes said the pay is at least $20 an hour.

The article centers partly on Jesse Vega and Deaunda Lira, a Colorado Springs couple who turned to Abby Care after Jesse’s epilepsy made full-time support necessary and Deaunda left a medical billing job to care for him. Forbes said they learned about the company in December 2025 through a disability resource program. Abby Care provides online lessons, in-person training such as CPR and Heimlich instruction, nurse-supported care plans, and an app for time sheets, charting and questions to an AI medical assistant.

Nguyen’s background is central to the company’s origin. Forbes reported that she grew up in Baytown, Texas, helping her immigrant parents at their nail salon and handling Medicaid paperwork for her family. After studying computer science at Columbia and working in tech and therapy services, she began Abby Care about five years ago after seeing gaps in arranging home care for autistic children.

Forbes said Abby Care operates in eight states, including Colorado, Pennsylvania, New Jersey and Florida, and recorded $15 million in revenue last year. Investors including Sequoia Capital, Thrive Capital and Khosla Ventures have put in $45 million, most recently at a $225 million valuation. The broader issue is large: Forbes cited AARP estimates of 59 million U.S. adult family caregivers in 2024, many unpaid, while noting Abby Care’s dependence on Medicaid policy creates regulatory risk.