About Care Cap Plus

A different perspective on a growing challenge.

Founded in 2018, Care Cap Plus was built around a simple idea: improving financial outcomes and preserving the patient experience should not be competing priorities.

As patient financial responsibility continued to grow, healthcare organizations faced increasing pressure to improve recovery performance while navigating more complex insurance scenarios, staffing constraints, and evolving reimbursement challenges. Traditional solutions often forced providers to choose between resource-intensive internal processes and collection-focused recovery models.

Care Cap Plus was designed to bridge that gap.

As a privately funded company, we had the flexibility to invest the time necessary to build the business the right way. Rather than rushing to market, we spent years developing our proprietary technology platform, refining workflows, and designing a concierge service model built specifically for the unique challenges of patient financial responsibility, insurance recovery, Coordination of Benefits (COB), newborn enrollment, and reimbursement resolution.

We drew on decades of experience in specialty finance, healthcare reimbursement, litigation finance, business process design, and technology development to create a model that combines financial expertise, intelligent process design, and meaningful human engagement.

Today, Care Cap Plus serves as a specialized extension of hospital revenue cycle teams, helping providers recover more revenue while preserving dignity, trust, and long-term patient relationships.

Guided by the Golden Rule, we remain committed to a belief that continues to shape every process, every technology investment, and every patient interaction:

Better patient experiences and better financial outcomes can, and should, go hand in hand.

Our Philosophy

Technology powers the process. People drive the results.

Technology is essential to what we do, but it is not who we are.

Our proprietary platform automates workflows, identifies reimbursement opportunities, improves account prioritization, and creates operational efficiency behind the scenes. It allows us to manage highly complex patient responsibility and insurance-related challenges at scale.

But technology alone does not resolve patient financial challenges.

That is why every account is supported by dedicated account ownership, real conversations, and meaningful human engagement. Every patient has a knowledgeable advocate who is focused on understanding their situation, identifying solutions, and helping them move toward resolution.

No bots.
No automated call centers.
No endless transfers.

Just experienced professionals helping patients navigate balances, insurance issues, COB challenges, and reimbursement opportunities while helping healthcare organizations recover revenue that might otherwise be lost.

Meet the Founders

Different backgrounds. One shared belief. This is our promise.

James and Betsy Giordano, Co-Founders of Care Cap Plus

James Giordano

Chief Executive Officer & Co-Founder

A Harvard College graduate, Jim has spent his career building and leading financial organizations across Wall Street, specialty finance, and healthcare-related businesses. His experience includes leadership roles at Bear Stearns, Merrill Lynch, Lehman Brothers, Barington Capital Group, and Commonwealth Associates, as well as helping pioneer the litigation finance industry.

Drawing on decades of experience solving complex financial challenges, Jim helped create Care Cap Plus to bring financial expertise, innovation, and a more effective recovery model to healthcare. His vision continues to shape the company's focus on improving financial performance while preserving patient trust.


Betsy Giordano

Chief Operating Officer & Co-Founder

A former consultant with Andersen Consulting (now Accenture), Betsy specializes in business process design, technology innovation, and operational excellence.

As the architect of Care Cap Plus's proprietary technology platform and service model, Betsy has helped create a unique approach that combines intelligent workflows, advanced analytics, and concierge-level patient advocacy. Guided by the Golden Rule philosophy, she is passionate about helping health systems improve financial outcomes through meaningful human connections while ensuring patients feel supported, respected, and heard.

Our Mission

Recover Revenue. Preserve Relationships.

To help healthcare organizations recover more revenue through financial expertise, intelligent process design, innovative technology, and meaningful human connection while ensuring every patient is treated with dignity, compassion, and respect.