Beora
Y Combinator · S26
Consumer Health
A second brain for behavioral health

Disconnection drives risk.
Connection drives recovery.

Always-on AI agents, built on the lived experience of recovery, delivering continuous care to the people who need it most.
Beora 02 — The moment
02:34 AM · TUESDAY

The cocaine is on the counter.

The therapist's office is closed. The sponsor isn't picking up. The crisis line will route you through a triage script for forty minutes.

This is where behavioral health actually happens. And this is where it fails.

Beora 03 — The problem
The system is built backwards

Behavioral health is fragmented, episodic, and absent in the moments that decide outcomes.

~50M
U.S. adults with a mental illness or substance use disorder
60%
relapse within a year of completing treatment
9–5
when care is available — but recovery happens at 2 AM

The category has tried apps, hotlines, telehealth, EHRs. None of them solve the actual gap: the long, lonely hours between appointments.

Beora 04 — The insight

Relapse is part of the disease.
Connection shortens it.

— What the field gets right, and the software gets wrong.

We can't prevent relapse — the field has known this for decades. What we can do is shorten it. The damage compounds in the disconnection: hours that become days, shame that piles up, a slip that becomes a hospitalization. Beora is the persistent, always-on connective tissue that finds a person in those moments and pulls them back into care.

Beora 05 — The foundation
The 12 Dimensions

Wellness isn't one thing. Neither is the intelligence that supports it.

Beora is organized around twelve dimensions of human life. Each routes to a best-in-class specialist agent — Harvey for legal, Claude for Healthcare, our native Spirit Pharmacist for medication interactions.

Together, every conversation feeds one continuously-synthesizing wiki: a second brain that learns who you are and gets sharper with every interaction.

Like Cursor for behavioral health — the best agent for the moment at hand, orchestrated into a single experience.

01
Recovery
& Sobriety
Pathways
02
Mental
& Emotional
Woebot
03
Physical
Fitness
Future Coach
04
Nutrition
Foodvisor
05
Sleep
& Rest
Rise
06
Cognitive
Health
BrainHQ
07
Spiritual
& Contemplative
Spirit Pharmacist
08
Relationships
& Family
Paired
09
Financial
Wellness
Cleo
10
Career
& Purpose
Coach Marlee
11
Legal Affairs
Harvey
12
Medication
& Care
OpenMed AI
All routes feed one wiki A second brain — patient-controlled, portable, consent-scoped.
Beora 06 — Two surfaces, one engine
The product

Two agents. One foundation. Built for the consumer; proven in the clinic.

Beora · Consumer
Beora
For anyone in recovery
A single concierge agent, pinned to the top of your messaging app, that knows you, your goals, and your support network. It's the friend at 2 AM who actually picks up.
Skills the agent draws on
  • Concierge. Scheduling, transport, meds, logistics
  • Peer Support. Distress detection, sponsor escalation
  • Engagement & Incentive. Streaks, rewards, healthy nudges
Beora · Pro
Beora Pro
For facilities & care teams
The same agent surface, expanded for clinical use. Care-team coordination, EMR integration, HIPAA-compliant escalation, and AI-generated briefings — not raw data dumps.
Pro adds
  • Multidisciplinary Team Agent. Doctors, advocates, clinicians, all coordinated
  • EMR integration. Kipu and other systems of record
  • Risk surfacing. Earlier intervention from real signals
Beora 07 — Beora consumer
One agent, three skills

Always pinned. Always with you.

Concierge
The front door. Schedules, transportation, medication logistics, broadcasts from the people you trust. The friction-killer that gets the user in the door.
Peer Support
Always-on, nonjudgmental. Trained on lived experience and recovery models. Detects distress signals in the conversation and quietly opens a channel to a human peer or sponsor when it matters.
Engagement & Incentive
Healthy behavior across the 12 dimensions becomes a streak, a nudge, a token. The system that quietly rewards you for showing up to the things that work.
B
PINNED · BEORA
Beora Concierge
"Yoga is at 3 — want me to book the ride?"
CONVERSATIONS
JS
Jordan (Sponsor)
good check-in today, proud of you
🏠
House Activity
Reminder: dinner at 6:30
MA
Maria (Advocate)
Your appointment is confirmed
🌅
Morning Meditation
7am in the garden
Beora 08 — Beora pro
Beora Pro · Clinical

The care team, finally on the same page.

Pro routes the right signal to the right person. Clinicians get briefings, not raw data. Advocates get context. The patient gets continuity.

  • AI-generated briefings for clinicians, not raw conversation logs
  • Risk-signal surfacing from biometrics, conversation, and missed appointments
  • EMR integration with Kipu and the systems facilities already trust
  • HIPAA-compliant escalation routing across roles
  • Admin dashboard for menus, schedules, staff roster, escalations
The strategic point

Pro is what we built first.
Consumer is what scales.

We started inside a residential facility because that's where the data, the supervision, and the safety net live. Once the agents are trustworthy in the highest-stakes context, opening to consumers becomes a distribution problem, not a research problem.

Beora 09 — How it works
A single message at 2:34 AM

"I picked up. It's on the counter."

T+0s
Message sent
Patient → Beora
T+0.4s
Intent detected
Crisis classifier triggers; safety protocol engaged
T+1s
Care team paged
On-call advocate gets accept/decline ping
T+2s
Sponsor pinged
From the patient's emergency contacts
T+15s
Group chat opens
Patient, advocate, sponsor — together, in seconds

This isn't a mockup. It's the live flow running in our pilot today. The engine — XMTP messaging, intent classification, escalation routing — is built and shipping.

Beora 10 — Where we are
Traction

Live in pilot. Talking to patients. Routing real escalations.

  • Pilot facility RedDoor · Los Angeles
  • Setting Residential behavioral health
  • Status Live
  • Next Consumer onboarding · Summer '26
Built on
— XMTP messaging
— Anthropic Claude API
— Native iOS (SwiftUI)
— PostgreSQL
— Node.js / Railway
— EMR (Kipu) integration
Already shipped
Single-tab inbox · pinned agent · inline action buttons (XIP-67) · markdown rendering · zero-crypto-UX onboarding · escalation routing · three-tier admin dashboard
Beora 11 — Market & monetization
Market & Monetization

We sell outcomes. Payors buy them.

Government and commercial payors are absorbing $290B/yr of behavioral health failure. The episodic model can't individualize and can't follow patients home — and disconnection is what lets a slip turn into a hospitalization, a lost job, a custody loss. Payors are moving to value-based contracts that pay for shortening that arc. We deliver them — for the population the playbook hasn't reached: recovery.

Primary · Payor
Value-based contracts
PMPM + shared savings on outcomes
  • CMS Innovation in Behavioral Health (IBH) Model · 2025–2032
  • State Medicaid & Managed Care Organization VBC contracts
  • Commercial payor risk-based arrangements
Delivery · Provider
Per-seat at treatment centers
Recurring B2B · sticky integrations
  • Beora Pro embedded into Kipu + multidisciplinary care team
  • Operator ROI: ~1 staff shift saved per week
  • Treatment center is the channel — not the customer
Distribution · Consumer
Beora Concierge — free
Cost = customer acquisition
  • Given away at recovery conventions, pre-installed at facilities
  • Sticky features: meeting finder, sobriety tracker, journal, urge support
  • Wiki seeds → premium agent upsell post-discharge
Proof · Talkiatry
−68% hospitalizations
−32% ED visits
−$700 PMPM total cost of care
a16z-led Series C · matched cohort vs in-network peers · proves VBC psychiatry pencils.
Proof · Spring Health
1.9× ROI Year 1
2.0× ROI Year 3
JAMA Network Open · peer-reviewed
Industry-first net ROI performance guarantee · $1,070 net savings per participant Y1.
Beora · The extension
Relapse can't be prevented — only shortened
Disconnection is what fuels the damage
The playbook works for episodic mental health. Beora extends it to recovery — by closing the gap between a slip and a return to care, the gap where the damage compounds.
Federal tailwinds EO 14379 "Great American Recovery Initiative" (Jan '26) · CMS IBH Model 2025–2032 (5 new states June '26) · BH Core Set Measures define the outcomes (2025) · All Medicaid → VBC by 2030
Beora 12 — Why now
Why now

Three curves are converging — for the first time.

Beora 13 — Team
The founders

We're the only team that's lived this from every side.

Alex Shohet
Founder & CEO
In recovery since 1987. Built three tech companies and three behavioral health treatment centers. Knows the patient seat, the operator seat, and the founder seat — by walking all of them.
Matt Meakin
Co-founder · Product & Engineering
Lived experience. Builder. Shipped Rocky (treatment center onboarding) and the Sober app. Currently building the Beora iOS client and the agent runtime.
Travis
Co-founder · Business & Growth
The bridge into facilities, payors, and community. Carries the consumer-meets-clinical conversation into rooms where it actually closes.

We've been the patients. The operators. The builders. All of it.

Beora 14 — The vision
What we're building

An operating system for continuous care.

Every person in recovery has a Beora.
Every facility runs on Beora Pro.
The two halves close the loop.

The ask
Y Combinator, S26.
Help us turn a working pilot into a category.