15d • General discussion
Invent & Wander — a lens I think Carewell needs
I’ve been sitting with an idea from Invent & Wander that feels especially relevant to what we’re doing inside Carewell.
The core concept is simple, but uncomfortable:
Build for where the world is going — not for where it currently is. And make decisions today that you won’t regret in 5–10 years.
When I apply that lens to healthcare (and especially home-based care), a few things become very clear.
Where healthcare is actually moving
Not hypothetically. Practically.
• Care is moving out of hospitals and clinics and into homes
• Families and caregivers are becoming the real decision-makers
• Post-hospital recovery is longer, messier, and less supported than systems admit
• Workforce shortages are structural, not temporary
• Outcomes matter more than volume — but most models still sell volume
If you’re building anything in this space and still optimizing for: “more visits,” “better scheduling,” or “full calendars,” you’re probably building for a model that’s already aging.
A reframing that’s been helpful for me
We’re not in the caregiver business. We’re not even in the rehab business.
We’re in the business of:
• reducing fear after discharge
• restoring confidence at home
• guiding recovery when people feel overwhelmed
• supporting caregivers who don’t feel equipped
That shift changes everything:
How you design programs
How you communicate
How you price
How you scale
How you decide what not to do
A question for the group: If you fast-forward 5 years and look back, what would you regret not building sooner?
• Systems?
• Education for caregivers?
• Better handoffs after hospital discharge?
• Hybrid or assistant-supported care models?
• Clear recovery pathways instead of open-ended treatment?
This group exists because we believe care can be delivered better, smarter, and more human.
Let’s build for that future — not just survive the current one.
Curious to hear how others here are “inventing and wandering” in their own work.
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Invent & Wander — a lens I think Carewell needs
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