The CareCentrix Model
CareCentrix empowers health at home by simplifying care coordination and home benefit management. We combine HomeFirst Analytics and personalized care to deliver the right services at the right time from hospital to home. CareCentrix enables seamless transitions of care, breaking down barriers to improve outcomes, lower total cost of care, deliver member and provider satisfaction, enhance quality of care, and guarantee savings.1
CareCentrix and Walgreens, are connecting care through the home and community to transform the healthcare landscape, making care more accessible, efficient, and personalized. Together, we are paving the way for healthier communities where better outcomes and cost savings are within reach for everyone.
Solutions to simplify care coordination and home benefit management
CareCentrix empowers health at home for Medicare Advantage, Medicaid and Commercial plans, as well as at-risk hospital and physician-based organizations.
Identify the best path of care and create discharge recommendations for members discharging to home, with an emphasis on home-first care delivery and preferred providers. For appropriate members in PAC facilities, optimize length of stay and transitions home.
Coordinate and monitor the member’s transition home to reduce unnecessary hospital readmissions.
In-home palliative support for members with serious illness, and their caregivers.
Facilitate access to a high-quality network of nursing, physical, speech, occupational therapy, medical social workers, and home health aides.
DME Navigator is a comprehensive solution that optimizes benefit management.
Provide flexible solutions to optimize access and coordination of infusion therapy for members at home.
Sleep testing and PAP therapy adherence support for members with sleep-disordered breathing.
How CareCentrix Does It
Analytics-driven personalized care plans
The pace and interest of moving care to the home is increasing
- 95% of people over the age of 55 prefer to receive services in the comfort of their home as they age2
- The average cost of a hospital readmission is 12.4% higher than the average cost of the original hospital admission.3
- 34% of home health services have reported delayed start of care4
“With the help of CareCentrix’s advanced analytics, BCBS was able to make home the center of patient care for our members. The CareCentrix team worked seamlessly with our providers to create programs that not only improved care quality, but also lowered costs. Through scalable solutions, CareCentrix was able to continually find new ways to break down silos across the continuum of care to identify and capture savings BCBS could count on.”
Method Matters
At CareCentrix, we believe empowering health at home is central to improving outcomes and delivering the right care. CareCentrix serves as the extension into the home, providing insights and solutions to enable successful care-at-home strategies.
Changing the way care is delivered begins with making the home more accessible and personalized.
- HomeFirst Analytics – proactively identify gaps in care, assess risks for readmissions, and connect members to the right support at the right time
- Personalized, Compassionate Care – engagement and support for members and caregivers throughout the journey
- High Quality Providers – network management that goes beyond just having adequate coverage to improve quality of care for more effective outcomes
The CareCentrix Savings Guarantee
CareCentrix solutions come with a financial guarantee that scales by membership growth. For nearly 30 years, our approach not only saves costs but also maintains high-quality care.
HomeFirst Analytics
+ Personalized Care at Home =
Guaranteed Savings & Satisfied Members