Home Health & Home DME

We never lose sight of the fact that patients never lose sight of home.

The Challenge

Post-acute care is interconnected. Reducing costs in one area, without careful planning, can have unanticipated impact in another area. Reducing over-utilization of Skilled Nursing Facilities (SNFs), for example, must be augmented by carefully managed home care to result in lower readmissions.

An approach that integrates Home Health & Home DME is important to connect care across the post-acute care continuum – but many health plans do not have the resources to connect the silos that exist on a patient’s post-acute care journey.

man playing boardgames
  • Home Health expenditures are expected to grow to $157B by 20221

  • Demand for Home DME is estimated to reach $43B by 20192

  • Waste and abuse is growing in these categories as well – estimated at $1.5B – $5B each year3

The CareCentrix Approach

CareCentrix provides scalable solutions for cost-effective, patient-centered Home Health & Home DME through a national provider network of over 8,000 locations.  Our program helps connect the silos that currently exist on a patient’s post-acute care journey and allows them to heal where they want to be: at home.

The CareCentrix Home Health & Home DME approach:

  • Uses a “home first” methodology when possible, supports patients with the services they need to heal, and reduces risks attributed to institutional settings
  • Contracts and credentials with over 8,000 provider locations, including for durable medical equipment, home health services, home infusion nursing, and orthotics/prosthetics/supplies
  • Provides URAC-accredited utilization management and support through highly trained nurses and clinical teams
  • Reduces the risks and costs of fraud, waste, and abuse
  • Validates that patients receive the care they need to – by calling them 24 hours after care was expected to start
nurse with elderly patient


  • Provides expertise and experience

    • Coordinated more than 1 million home health visits in 2016, and more than 4 million orders for home medical equipment
  • Delivers care on time

    • CareCentrix meets the start-of-care date over 99% of the time
  • Coordinates services and eliminates silos

    • The average patient leaving the hospital may need between 3 and 4 services delivered in the home, usually provided by different agencies
  • Reduces fraud, waste, and abuse

    • CareCentrix estimates up to 10% of current spend may be detected as fraud, waste, or abuse

Need expertise to manage Home Health or Home DME?


  1. Centers for Medicare and Medicaid Services, Office of the Actuary.
  2. http://www.harriswilliams.com/sites/default/files/industry_reports/DME%20Industry%20Update.pdf
  3. http://www.bio-medicine.org/medicine-technology-1/NICB-Report-On-Durable-Medical-Equipment-Fraud-30000-2/