care.coach has developed an Internet-based care coaching platform to provide 24x7 psychosocial and healthcare support for high-risk older adults in a highly engaging and cost-effective way. With care.coach, patients can talk with a captivating avatar (dog or cat) that serves as the face for care.coach's team of specially trained health advocates. The platform engages and coaches patients to improve self-management of chronic conditions, and provides compassionate, psychosocial support. Conversations of a clinical nature are automated through software algorithms that implement clinical best practices, as well as reporting and alerts to stakeholders such as clinicians, caregivers, and family members. Because it is driven by real people, the platform works with any level of technology and cognitive ability.