The CareCentrix Model

CareCentrix empowers health at home through care coordination and value-based benefit management. Our home-centered approach combines HomeFirst Analytics and personalized care to deliver the right care at the right time from hospital to home. CareCentrix is a single platform that connects the last mile of care for healthcare organizations to improve outcomes, lower total cost of care, deliver member and provider satisfaction, enhance Stars and HEDIS® measures, and guarantee savings.

<em>HomeFirst Analytics</em>
HomeFirst Analytics View
Value-Based Networks
Value-Based Networks View
Whole-Person Care Paths
Whole-Person Care Paths View
Optimized Member Engagement
Optimized Member Engagement View
Stars Enhancement and Guaranteed Savings
Stars Enhancement and Guaranteed Savings View

CareCentrix empowers health at home for Medicare Advantage, Medicaid and Commercial plans, as well as at-risk hospital and physician-based organizations.

Home-Centered Care Coordination

Post Acute Care: Site Optimization
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Establish the best path of care for discharge decisions with a home-first bias, to return members to wellness.

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Post Acute Care: Readmissions Management
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Identification and coordination of clinical and non-clinical needs for successful recovery.

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Serious Illness Care at Home
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Support members with serious illness by addressing medical, emotional and social needs to improve outcomes.

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LTSS Home & Community Connections
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Connecting members requiring LTSS to the appropriate services to support independence and care goals.

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Value-Based In-Home Benefit Management

Home Health
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Facilitates access to quality, real-time member support and care in the home.

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Durable Medical Equipment
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Support recovery by access, coordination, and management of DME and supplies.

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Home Infusion
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Enables the home for convenient, outcomes-based infusion therapy.

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Home Sleep & Respiratory
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Home diagnostic-to-therapy adherence for sleep disordered breathing and respiratory management.

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How CareCentrix Does It

Analytics-driven personalized care plans

HomeFirst Analytics, our predictive analytics platform delivers insights to coordinate care for members from hospital to home; optimizing care transitions, quality, and timeliness of care.

Did you know?

  • 80% of patients discharged to a skilled nursing facility could have had the same or better outcomes at home1
  • 53% of members experience medication errors and discrepancies following a hospital discharge2
  • 33% of members engaging with our program are in need of non-clinical services post-acute discharge3
Janine Douglas
VP of Operations
Blue Cross Blue Shield

“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.”

Janine Douglas
VP of Operations
Blue Cross Blue Shield

Method Matters

Empowering health at home is central to delivering value-based care. With in-market clinical teams and value-based provider networks, CareCentrix simplifies the management of quality home-centered care.

Changing the way care is delivered by, making the home more accessible and personalized

  • HomeFirst Analytics – proactively identify clinical and non-clinical needs, assess risks for readmissions, and connect members to what they need when they need it
  • Home Insights – AI-generated clinical alerts and value-based home networks closes gaps in care
  • Personalized Connections – multi-modal communication platform improves engagement and support for members and caregivers

The CareCentrix Savings Guarantee

CareCentrix serves as the extension into the home for health plans and at-risk provider groups, providing you with last mile visibility to deliver and consult on value-based care at-home strategies. Our partnership is based upon rapid implementation, easy integration, and operational excellence and execution. Paired with our whole-person care coordination and value-based in-home benefit management, we know what matters most and guarantee results.

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HomeFirst Analytics
+ Personalized Care at Home =


Guaranteed Savings and Happy Members

Sources:
1. Based on CareCentrix data analysis 2022   2. NCBI. Prevalence and Nature of Medication Errors and Medication-Related Harm Following Discharge from Hospital to Community Settings. 2020