Caily: Building the Future of Family Health, Rethinking Coordinated Caregiving

"The thing that keeps me up at night is connecting everything," Wynter told us early in our partnership. "I know we're going to have this app and this website, but then we've got like 50 other systems that need to talk to each other."

Caily needed to integrate with EHR systems for medical records, subscription platforms for billing, communication tools for family coordination, and analytics platforms for business insights. Without an internal IT team, they needed a development partner who could navigate these integrations while serving as strategic technology advisors.

Most apps target a specific demographic. Caily needed to work equally well for a 30-year-old managing their parent's care from their iPhone and an 80-year-old care receiver checking in on an iPad. The interface had to be powerful enough for complex care coordination yet simple enough that technological barriers never prevented someone from participating in their own care.

Here's what makes Caily different: most caregiving solutions exclude the care receiver entirely. Family members coordinate "around" them rather than "with" them. Caily's core innovation, giving care receivers meaningful control over their own care coordination, introduced permission complexities that traditional patient portals don't face. How do you build a system where someone can choose to share their mood with their daughter but not their son? Where they can participate in care discussions without feeling surveilled?

From the start, Caily’s infrastructure was developed with future readiness in mind. If the platform ever expands into more regulated environments or involves clinical professionals, it’s already on a path that could support higher standards. This early attention to compliance reflects Momentum’s approach to building systems with long-term responsibility in mind.

We chose Rails for its rapid development capabilities and PostgreSQL for complex relationship modeling between care receivers, caregivers, and the intricate permission systems that make Caily's approach possible.

Flutter enabled us to deliver consistent experiences across both platforms while reducing development complexity, which was critical for a startup that needed to prove market demand quickly.

A responsive web interface ensures full platform access from any device, particularly important for users who prefer desktop interactions or need larger screens for easier navigation.

End-to-end encryption, granular access controls, and comprehensive audit logging protect sensitive family health information while preparing for future regulatory requirements.

We integrated with leading EHR systems used by tens of thousands of healthcare organizations, including Nextgen, Veradigm, AllScripts, Altera, AthenaHealth, Cerner, and Epic. This allows care recipients to pull in existing health data securely and efficiently—without needing to switch systems or enter it manually.

Unified subscription management supporting both individual family plans and future enterprise offerings, with seamless billing across mobile and web platforms.

Cloud hosting with automated scaling ensures platform reliability during peak usage while maintaining cost efficiency for a growing startup.

We built onboarding workflows that help families establish care circles without feeling like they're setting up a medical device. Care receivers can choose their participation level—from full involvement to selective sharing—while ensuring caregivers have the information they need.

Rather than clinical assessments, we created mood tracking and health monitoring that care receivers complete independently, sharing insights with their support network without feeling like they're being monitored or judged.

Secure storage for medical records, insurance information, and care instructions that families can access when needed, with clear permissions so care receivers control who sees what.

Communication tools that keep all caregivers informed while allowing care receivers to participate in conversations about their own care, fostering collaboration rather than exclusion.

A shared calendar combining medical appointments, medication reminders, and daily habits tracking that care receivers can manage independently or collaboratively, depending on their preferences.

Direct connections with major healthcare systems so families can access medical information within Caily's platform rather than logging into separate portals or calling doctor's offices.

Cross-platform billing that supports both individual family validation and future B2B expansion, with seamless user experience regardless of how they subscribe.

Wynter's biggest worry was systems integration, and for good reason—caregiving families typically juggle dozens of disconnected tools. We solved this by building APIs that connect Caily with EHR systems, communication platforms, and business tools, creating a unified experience that eliminates the data silos that make caregiving coordination so frustrating.

Healthcare applications often feel clinical because of security requirements. We implemented enterprise-grade protection—encryption, access controls, audit logging—that operates invisibly, maintaining the warm, family-focused experience that makes Caily effective while preparing for future HIPAA compliance.

Our cross-platform architecture ensures that whether someone checks care updates on their smartphone during lunch, reviews schedules on a laptop, or completes daily check-ins on a tablet, everyone accesses the same real-time information through interfaces optimized for their comfort level and device preferences.

The biggest technical challenge was building permission systems that give care receivers meaningful control without creating coordination chaos. We developed sophisticated but invisible access controls that let care receivers choose what to share with whom, while ensuring family members have the information they need to provide effective support.