Built This Week/Guests

Guests

Arun Kalaiselvan

Arun Kalaiselvan co-founded Arya Health, a workforce platform for in-home healthcare whose AI scheduling agent finds eligible caregivers and calls them to fill open shifts.

Arun Kalaiselvan is the co-founder and CTO of Arya Health, a workforce management platform for in-home healthcare. Arya handles scheduling agents, employee onboarding, credentials and compliance: the work office managers do that nobody thinks about. Arun joined us with Arya's principal architect Anand Chandrasekaran in Episode 24 (December 12, 2025).

What Arya Health does

Arya's foot in the door is scheduling. Arun's example at 20:23: an agency manages 100 nurses and one calls in sick. Someone has to find that nurse's shifts, then find people who are available, nearby, current on credentials and a fit for the patient. That can take two to three hours per shift.

Arya already knows all of that. Its AI phones eligible caregivers, tells them a patient's shift opened up, offers a bonus and fills it on the spot. Arun said this has meant close to a 10% average increase in revenue for existing customers. One customer's CEO told them Arya filled about 12 pediatric shifts over a weekend that would otherwise have gone unfilled.

Key ideas from the conversation

  • Security first, then AI (09:52). About 70% of Arya's infrastructure is self-hosted. The rest is mostly phone and SMS vendors under HIPAA-specific agreements, and every customer's data is stored separately.
  • AI only through the cloud providers (11:00). Arya talks to Anthropic models through AWS Bedrock and to Gemini through Google Vertex AI. Those contracts are what make HIPAA-compliant workflows possible.
  • A 6x AI bill (14:33). Arya's last bill came in about six times what they expected. The cause was not a new customer: a change in how long their Lambda held its connection to Anthropic, on calls that write human-readable shift details for text messages.
  • No long-term memory, by design (17:21). Arya allows no long-term memory on prompts, so every LLM query carries all its own context and exclusion rules.
  • Tiers of eligible caregivers (25:35). Arya's eligibility scoring produces tiers. For an urgent shift, the top tier gets the first calls, then it works down. Next up is routing caregivers so they spend less time behind the wheel.
Our last bill was about six x for what we would expect it to be because there was a change in Anthropic and how much time it took our Lambda to actually have that connection open with Anthropic.

— Arun Kalaiselvan, Episode 24

So we've stopped talking about shifts. We're talking about people now.

— Arun Kalaiselvan, Episode 24

That reframing changes scheduling itself. Instead of grabbing an open shift, a caregiver can take a patient every Monday for the rest of their care period. Arun said Arya is now building care teams rather than filling shifts.

What we built for the episode

Sam built an AI start-of-care packet generator with Arya in mind. It turns an unstructured hospital discharge summary into a care plan, a four-week schedule by discipline, matched clinicians and drafted outreach. He got a PRD from ChatGPT, pasted it into Google AI Studio with Gemini Pro and had it working in about 30 minutes.

Arun said it got the disciplines right: skilled nursing, occupational therapy, physical therapy and home health aide. Anand said it already captured something planned for Arya's fourth version; the gap was that the real process is not real time.

On Cursor and Google

In the news segment, Arun said Arya ran a six-month enterprise pilot with Cursor about two years earlier. It introduced more issues into their code base than it solved, so they switched to Copilot; Anand added that Cursor is much more mature now. Arun also called Google "the silent killer," saying Arya is all in on the Gemini team. More from the show on this topic: AI in healthcare.

FAQ

Who is Arun Kalaiselvan?

Arun Kalaiselvan is the co-founder and CTO of Arya Health. He met Arya's principal architect Anand Chandrasekaran at NYU, they worked at the same companies for years, and he previously worked in blockchain.

What does Arya Health do?

Arya Health is a workforce management platform for in-home healthcare. It covers AI scheduling agents, employee onboarding, and credential and compliance management, so office managers can focus on revenue-generating work.

How does Arya Health use AI in a HIPAA-compliant way?

Arun says Arya only uses AI through its cloud providers under contract: Anthropic models through AWS Bedrock and Gemini through Google Vertex AI. About 70% of its infrastructure is self-hosted and each customer's data is kept separate.

How does Arya Health fill open home health shifts?

When a caregiver calls out, Arya already knows who is available, nearby and credentialed. It ranks eligible caregivers in tiers and has AI phone them, sometimes with a bonus offer, to fill the shift right away.