The Challenge

Diagnose and proactively manage sleep and respiratory conditions at home

Approximately 70 million Americans suffer from sleep disorders. In addition, 80% have moderate or severe Obstructive Sleep Apnea (OSA), which often goes undiagnosed.(2) The cost of untreated sleep apnea can also increase the risk of costly health complications such as hypertension, heart disease, diabetes and depression. Diagnosis can require high cost sleep facilities, and even once diagnosed, fewer than 50% of members adhere to their sleep therapy.

Improve member adherence to therapy with our Home Sleep iComply program.

A comprehensive sleep therapy and respiratory management program benefits health plans by:

  • Optimize the site of sleep tests
  • Increasing therapy adherence with daily monitoring and proactive member engagement
  • Preventing unnecessary overutilization of sleep and respiratory supplies
  • Ensuring on-time starts

Program Results

Up to 0 Annual Savings1
0 Sleep Diagnostic Testing Completed in the Home
0 Member Satisfaction1

Our Approach

As the first sleep benefits manager in the industry, CareCentrix empowers the home with a whole person “diagnosis-to-therapy” approach that addresses four key issues impacting sleep therapy and respiratory management today — care setting, member adherence, high supply cost and network management.

When appropriate, CareCentrix facilitates at-home sleep testing, closely managing members to follow-through, which greatly improves test completion rates and turnaround times for OSA diagnosis and access to therapy.

Our data-driven sleep management adherence program, iComply, has a team of respiratory therapists and sleep medicine physicians to monitor proper adherence and utilization. We apply real-time data from the member’s PAP device to validate usage to advance treatment by collaborating with providers to improve therapy success. We review our device pipeline to recommend alternative therapies and technology to support members who may still struggle with compliance to help them achieve restful sleep.

The CareCentrix Value

CareCentrix collaboratively works with providers, payors and members to ensure a high level of support throughout treatment, resulting in a 30% improvement in therapy adherence.4

  • Coordinate the member journey from home-based diagnosis through sleep therapy management
  • Optimize sleep test site of service
  • Facilitates remote monitoring to ensure clinical success
  • Increase therapy adherence through an integrated technology-driven member engagement program
  • Ensure members are set-up in the home by the required start-of-care date and validates that the services are in place

Strategies That Work. Savings You Can Count On.

1. CDC. Sleep and Sleep Disorders   2. Frost & Sullivan. Hidden Health Crisis Costing America Billions. 2016   3. McKinsey and Harvard Medical School  4. 2023 CareCentrix book of business performance data. Actual results will vary depending on program.