Creating Digitally Connected Teams that Deliver Best Possible Outcomes


Deliver easy to use, collaborative and integrative technical solutions to improve interdisciplinary team learning and collaboration, with purpose and full compliance to deliver highest quality care to patients and their families.

We are a WHY Organization!

We are a healthcare innovation, mission-driven company that envisions to solve teamwork barriers for physicians, practitioners and other administrative leadership in healthcare systems. Our Chief Medical Officer, Dr. Arif Nazir an experienced physician and medical director in the post-acute setting struggled to keep a seamless connection with his facility leadership regarding key activities such as facility quality assurance, staff education and many other critical tasks. As a result his team missed many opportunities to enhance the care for their patients.
Soon he realized that challenges he faced were not unique, and were just a fraction of many other challenges that other healthcare teams faced. Particularly, in the post-acute settings where complex patients require a multi-faceted efforts to successfully achieve their health goals, this is a significant barrier. From lack of understanding of their roles to lack of competent mentors and miscommunication with skilled facility leaders, medical directors face many challenges to fully engage in high quality care provision in their facilities.
Dr. Nazir shared his frustrations with Bharath Bynagari, a successful healthcare innovator and the CEO of MavenSphere—a company that has solved many other healthcare challenges. Together they embarked on this mission to solve the teamwork challenge faced by healthcare teams and the result is an innovative program CAREASCEND—a digital nudge platform to enhance teamness among physicians, practitioners and healthcare administrators.
CAREASCEND is powered by MavenSphere in collaboration with Signature HealthCARE and is endorsed by AMDA, the Society of Post-Acute Care and Long-term Care Medicine.

Leadership Team

Arif Nazir, M.D.
Chief Medical Officer & Co-Founder
Bharath B. Reddy Bynagari, M.S.
Chairman & CEO, Co-Founder


Betsy Wade, MPH, CHC, CNA.
Kathy Gallin


Joseph Steier
CEO and Co-Founder – Signature HealthCARE
Arif Nazir, M.D.
Chief Medical Officer & Co-Founder
Bharath B. Reddy Bynagari, M.S.
Chairman & CEO, Co-Founder

Ready to ascend to new levels of Quality Care and Teamwork?