For nearly 20 years, we have acted as agents for smart change, forging holistic relationships with payors to create a more seamless process, improve patients’ outcomes, drive leading-edge solutions and offer significant savings.
Our deep level of experience, combined with our innovative products and services, can lower costs while delivering better outcomes for your members.
We have been managing care to the home for nearly 20 years. Our broad experience with health plans and deep knowledge allows us to deliver better programs that meet the individual needs of health plans and patients.
We belong to the National Health Care Anti-Fraud Association, the leading organization focused on the fight against healthcare fraud. We share their mission to protect the public by increasing awareness and improving the detection, investigation and prosecution of healthcare fraud and abuse.
In the last year, CareCentrix has implemented a number of key programs that were instrumental to improving patient outcomes and saving substantial costs for health plans…
Our HomeSTAR program has reduced all-cause
hospital readmissions by up to 27% and up to 50%
for targeted diagnoses, saving our clients more than
$2.50 per member per month.
CareCentrix’s approach is designed to provide Care Coordination and Care Management services facilitating a seamless transition from high-cost settings to the home for Commercial, Medicare and Medicaid members. This budget positive program provides support for patients and their families in every step of the healing process, including hands on nursing care, nurse coaching and management of appropriate medical services, equipment and supplies.
The estimated annual savings nationwide by ensuring patients are serviced in the most appropriate, lowest-cost setting is:
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$50B could be saved annually by ensuring patients are serviced in the most appropriate, lowest-cost setting. Leveraging the home when appropriate – through programs such as the HomeSTAR® transition of care program, Wound Care, Infusion Management, Sleep Management Solutions, Home Nursing and others – can drive significant financial savings to your bottom line. Explore our Areas of Excellence.
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