Home Health
network of home health services for
better outcomes and lower costs.
Managing home health care requires a comprehensive approach and continuous innovation.
From staffing shortages to rising costs, managing total cost and quality of home health care can be challenging. With the demand for home health services surging, projected to reach over $176 billion by 2032, the stakes are high.1 However, common challenges persist:
- 34% of home health services experience delayed starts of care.2
- Delayed starts of care increase the risk of rehospitalization or emergency department visits by 12%.2
- Inefficient utilization management often results in unnecessary home health visits and longer durations of care, which contribute to higher healthcare costs.
At CareCentrix, we understand these challenges and provide a proven solution powered by advanced analytics, a robust provider network, and expert clinical oversight.
Our personalized approach to home health.
Imagine a Home Health solution that coordinates on-time starts of care, improves member outcomes, and reduces costs, all while streamlining access to quality home health services.
Our approach begins with a high-performing network of carefully selected providers. Paired with proprietary analytics, we connect data and insights to match members to the right provider, evaluate the optimal level of services needed, and coordinate timely delivery of care.
We coordinate services in the home to address the clinical and non-clinical needs for each member, including:
- Skilled nursing
- Physical, occupational, and speech therapies
- Medical social workers
- Home health aides
Program Results
In addition to savings, health plans see a wide array of benefits:
- Reduced overall home care costs and total medical expenses
- Reduced administrative burden associated with network management and clinical services
- Improved member engagement and satisfaction
- Reduced unnecessary readmissions
The CareCentrix Advantage
Delivering appropriate, coordinated, and timely access to quality home health services for improved outcomes.
Utilization Management
Ensures appropriate utilization of services that are in line with applicable coverage guidelines.
High-Quality Provider Network
Comprehensive national coverage, delivered through a robust provider network with curated state/regional options, including rural areas.
Member & Provider Support
Provide service validation and dedicated support to improve engagement, outcomes, and overall satisfaction.
Case Staffing
Leverage proprietary analytics to ensure cases are assigned to the optimal provider.
Claims Support
Claims support that results in faster processing, improved accuracy, and fewer denials.
FWA & Claims Payment Integrity
Expanded mechanisms to support compliance, mitigate billing errors, and secure savings.
Ready to improve member outcomes and optimize costs?
We’re here to answer any questions you have and discuss how partnering with CareCentrix can enhance your home health strategy.
Connect with Us