About info@pixelsanddots.com April 3, 2026

Our Story

A human problem needed a human solution.

In 2019, Council on Aging (COA) saw a growing challenge across home- and community-based services: demand for care was increasing, the workforce was shrinking, and more people were looking for flexible self-directed options that could help them stay supported at home.

This was not just a system issue. It was a human one.

COA recognized that self-directed care was growing in popularity, but barriers such as paperwork, long enrollment steps, and limited personal networks still made it hard for many people to find and hire the support they needed.

From 2020 to 2022, the team moved from concept to development, using technology and lessons from gig economy platforms to build a simpler, more connected way for participants, caregivers, and programs to find one another and stay aligned.

AddnAide launched in Cincinnati in 2022, expanded to Dayton from 2022 to 2024, and in 2026 is ready to scale based on strong performance in visit completion, EVV, matching, and retention.

2019
Why We Built It

In 2019, COA saw increasing demand for care, a shrinking workforce, and growing interest in self-directed care. AddnAide was created to help connect more people to reliable support at home.

2020–2022
Concept to Development
From 2020 to 2022, the team moved from concept to development, applying technology and gig-economy lessons to create a connected platform for participants, caregivers, and programs.
2022–2024
AddnAide is Live
AddnAide launched in Cincinnati in 2022 and expanded to Dayton over the next two years, increasing access to self-directed care through participating programs.
2026
Ready to Scale
In 2026, AddnAide is ready to scale, building on strong performance in visit completion, EVV compliance, matching, and retention across participants and caregivers.

By the Numbers

AddnAide is designed to improve access to care, strengthen connections, and support better outcomes for both individuals and caregivers. We track performance to ensure the platform is working in real-world conditions and delivering meaningful results.

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Visit Completion Rate
% of scheduled visits are completed as planned.

Reliability & care delivery

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EVV Compliance
% of electronic visit verification submissions are accepted and compliant.

Compliance & audit readiness

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Match Rate
% of participants are matched with a caregiver within the first 60 days.

Participating program result

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Participant Retention
% of participants remain active at 6 months or longer.

Participant engagement

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Caregiver Retention
% of caregivers remain active at 6 months or longer.

Caregiver retention

Results may vary by program, region, and participant needs.

The Innovative Approach

Why this work matters.

Empower Individuals & Families

More people deserve meaningful choice in who supports them and how they receive care. AddnAide keeps individuals, families, and their entire care team connected and informed in one place.

Support & Grow the Care Workforce

Caregiving should be accessible, flexible, and rewarding for everyone willing to do it. AddnAide gives care providers control over their schedules while integrated payroll and visit verification give employers and programs the confidence that care is happening where and when it should be.

Strengthen Program Oversight

Programs can expand access without sacrificing accountability when they have the right tools. AddnAide provides real-time reporting and utilization data so program administrators can monitor outcomes, track compliance, and make informed decisions about the people they serve.

Simplify the Process for Everyone

Self-directed care should not be complicated. AddnAide reduces paperwork, streamlines enrollment, and connects participants, caregivers, and programs through one simple platform so everyone can focus on what matters most.

Built by COA to solve real challenges in connecting people to care.

Making care work better, together.

Whether you’re looking for care, work, or a better way to support your program, the AddnAide team is here to help.

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