Reduce total cost of care and better engage members

The healthcare industry is evolving. The emphasis on whole-person care, technology, and addressing gaps in fragmented member care have all led to a shift in the preferred site of care—the home. Home-based care can be used for personalized care, reducing hospital readmissions, improving satisfaction, and lowering total costs of care.

CareCentrix serves as a trusted partner, offering a collaborative approach for care transformation with a growing range of solutions that can be optimized for the home. Our home health network provides nationwide coverage, and we currently have 19M lives under management.

Our solutions reduce total cost of care and deliver guaranteed savings, seamless implementation, and enhance CMS Stars and HEDIS® measures. We can manage your entire population, including Medicare Advantage, Medicaid, Commercial, and at-risk physician and hospital groups.

CareCentrix Results

0 90-day Hospital Readmission Reduction1
0 Member Satisfaction2
0 Total Cost of Care Reduction1

CareCentrix collaborates with MA Plans to deliver innovative home solutions to improve quality of care and control costs. Our solutions positively impact CMS Star ratings and HEDIS® measures to improve reimbursements and drive the most competitive plan offering for MA members.

Key Value Drivers:

  • $6 PMPM in post-acute SNF annual savings
  • 22% reduction in hospital readmissions1
  • 95% improved medication reconciliation
  • 97% member satisfaction2
  • 15% savings through value-based networks
  • 3:1 ROI for Serious Illness Care at Home solution
  • Enhanced Stars ratings via Transitions of Care

Guaranteed savings that can be integrated into your bid2

CareCentrix collaborates with Medicaid Managed Care Plans to maximize in-home care for members. By customizing each approach to meet state level guidelines, we engage members, close gaps in care, and manage value-based provider networks to drive financial and quality outcomes.

Key Value Drivers:

  • Guaranteed savings, allowing for budget predictability
  • Risk-based arrangements
  • Whole-person health and SDoH focus
  • 22% reduction in hospital readmissions1
  • 97% member satisfaction2

35% of discharged members have non-clinical needs

CareCentrix partners with commercial health plans to offer a range of home-centered care coordination solutions and value-based in-home benefits. Improving home health access for commercial members can greatly improve health outcomes, drive down the cost of care, and support growth for ASO, fully-insured, and self-insured groups.

Key Value Drivers:

  • 20% post-acute total cost of care reduction
  • 25% fewer days in SNFs
  • 3:1 ROI for Serious Illness Care at Home solution
  • 30% annual savings with home sleep and respiratory solution
  • 97% member satisfaction2
  • 23% of states with in-market clinical teams

Value-based home health network across providers, DME, and infusion

CareCentrix collaborates with at-risk physicians and hospital groups to determine appropriate post-acute discharge providers and locations, improve patient engagement, and improve health outcomes in the home.

Key Value Drivers:

  • HomeFirst Analytics for whole-person needs and care pathways
  • Proactive patient engagement and monitoring
  • 15% of care redirected from SNF to home
  • 22% reduction in hospital readmissions1
  • 3:1 ROI for Serious Illness Care at Home solution

76% of Medicare Advantage readmissions are avoidable

Empower more health at home with our solutions.

1. Costs & Outcomes Assessment of Post-Acute Care Intervention. Avalere. 2021  2. Based on CareCentrix data analysis 2022  3. 2020, 2021 program wide results replicate JPM study financial outcomes  4. Measure Specifications: Potentially Preventable Hospital Readmission Measures for Post-Acute Care. 2015