Guaranteed

# Guaranteed: AI-Powered End-of-Life Care Platform

High-Level Overview

Guaranteed is a healthcare technology company specializing in serious illness and end-of-life care management.[1][2] Founded in August 2022 by Jessica McGlory, the company operates an AI-enabled platform that connects patients and families with palliative and hospice care services, serving Medicare and Medicaid populations.[1] Rather than operating as a traditional hospice provider, Guaranteed functions as a care navigation and eligibility detection platform that partners with payors and providers to improve outcomes for seriously ill patients nearing end-of-life.[2]

The company addresses a critical gap in healthcare: the difficulty of identifying patients who need serious illness care at the right time and guiding them through complex end-of-life decisions.[2] Guaranteed's integrated model combines algorithmic risk stratification with a high-touch care team trained in end-of-life healthcare dynamics, positioning itself at the intersection of value-based care and patient-centered outcomes.[2]

Origin Story

Guaranteed emerged from founder Jessica McGlory's personal experience with loss. McGlory launched the company two years after her father passed away, driven by a mission to improve the end-of-life care experience.[1] The startup began operations in California in August 2022 and has since expanded to serve patients across five counties in the Los Angeles region, with plans to extend into Pennsylvania.[1]

The company's early validation came through strategic investment from SCAN Group, a California-based Medicare Advantage organization, which recognized Guaranteed's vision of creating a tech-enabled platform that treats patients and families as a unit of care.[1] This investment, announced in September 2023, positioned Guaranteed within a broader ecosystem of mission-aligned healthcare innovations.

Core Differentiators

• AI-Driven Eligibility Detection: The platform uses past medical history and algorithmic analysis to flag members at risk and identify good candidates for serious illness programs, with physicians kept in the decision loop.[2]

• Family-Centered Care Model: Unlike traditional hospice approaches, Guaranteed emphasizes engagement with both patients and their loved ones, recognizing that family members are integral to end-of-life care decisions.[1]

• Curated Provider Network: The company uses a custom algorithm to hand-select and validate hospice care providers, matching patients to providers that align with their cultural needs and preferences.[2]

• 24/7 Integrated Support: Dedicated support teams serve both healthcare practices and patients, providing expert guidance through the most vulnerable periods.[2]

• Continuous Prognostication: The platform and care team continuously reassess patient needs throughout their service period to ensure timely transitions to appropriate levels of care.[2]

Role in the Broader Tech Landscape

Guaranteed operates within the growing convergence of value-based care, AI-enabled healthcare, and serious illness management—sectors gaining momentum as payors and providers seek to improve outcomes while reducing costs at end-of-life.[2] The company's emergence reflects broader healthcare trends: the shift toward preventive and proactive care models, the integration of technology into traditionally high-touch clinical domains, and the recognition that end-of-life care represents both a clinical and financial opportunity for health systems.

The timing is significant. As Medicare Advantage organizations like SCAN Group expand their service portfolios to address aging populations, companies like Guaranteed fill a specific niche where technology can enhance rather than replace human expertise. The platform's focus on family engagement and care navigation addresses a documented gap in the healthcare system—many patients and families lack guidance during serious illness transitions.

Quick Take & Future Outlook

Guaranteed is positioned to scale within the value-based care ecosystem, particularly as Medicare Advantage plans and integrated delivery systems prioritize serious illness programs. The company's early validation from established healthcare organizations suggests strong product-market fit, though its growth will depend on expanding geographic reach beyond California and Pennsylvania and demonstrating measurable improvements in patient outcomes and cost reduction.

The broader trajectory suggests that end-of-life care technology will increasingly become a strategic priority for health systems seeking to differentiate in value-based arrangements. Guaranteed's combination of algorithmic intelligence with clinical expertise—rather than pure automation—may define a sustainable model for serious illness care in an era where both efficiency and compassion matter to patients, families, and payers alike.