CareCentrix

CareCentrix operates as a home care coordination and benefit management company serving health plans, payers, and health systems across the United States and Canada. The company focuses on managing transitions from hospital to home through its proprietary HomeBridge platform and analytics-driven approach called HomeFirst Analytics. With nearly 30 years in operation, CareCentrix coordinates multiple service lines including durable medical equipment (DME), home health, home infusion, sleep management, and post-acute care.

The company's operational model centers on provider network management, care path optimization, and member engagement strategies designed to reduce hospital readmissions and total cost of care. CareCentrix offers solutions with financial guarantees that scale by membership growth, positioning itself as an extension of health plans' capabilities into the home setting. Their approach combines proactive risk identification, real-time provider insights, and coordination across both clinical and non-clinical services.

CareCentrix emphasizes site optimization for post-acute care, with particular focus on shifting care delivery to lower-cost home settings while maintaining quality standards. The company manages specialized programs including oncology at home for immunotherapy infusions and palliative support for seriously ill members.

Organizations should consider CareCentrix when they need a comprehensive home care benefit manager that can deliver guaranteed cost savings while coordinating multiple service lines. The company's 30-year track record and financial guarantees provide risk mitigation for health plans implementing or expanding home-first strategies.

CareCentrix excels in situations where payers need to reduce post-acute spending through provider network optimization, care path standardization, and proactive readmissions prevention. Clients can expect a managed services engagement model with dedicated care coordination teams and analytics reporting on utilization, quality, and financial performance.

CareCentrix operates exclusively in healthcare, specifically focusing on post-acute and home-based care coordination for health plans and payers. The company demonstrates deep healthcare expertise through HIPAA-compliant operations, BAA availability, and specialized programs addressing specific clinical populations including oncology patients, sleep disorder patients, and seriously ill members requiring palliative support.

Their healthcare specialization extends to managing complex benefit categories including DME, home infusion therapy, and home health services that require clinical oversight, provider credentialing, and integration with medical management workflows. The company's analytics identify members at risk for readmission and coordinate both medical services and social determinants of health interventions.

The ideal CareCentrix client is a health plan, Medicare Advantage organization, or integrated health system with 50,000+ covered lives seeking to reduce total cost of care through home-first strategies. Best-fit clients have readmission challenges, high DME costs, or post-acute utilization patterns they want to optimize through expert benefit management and care coordination rather than building internal capabilities.