Caret Health

Caret Health provides a technology-enabled care coordination platform designed for ACOs, health plans, physician networks, and rural healthcare organizations. The company combines remote patient engagement technology with centralized clinical team operations to help healthcare organizations improve quality measures and manage value-based care contracts. With over 20 years of experience in clinical pathways development, the leadership team focuses on creating customized intervention programs.

The platform operates through a combination of advanced analytics, patient communication technology that adapts to individual comprehension levels, and care coordination services. Programs can launch within 30 days of BAA approval and are designed to integrate with existing clinical workflows. The company serves Medicaid, Medicare, and commercial patient populations across both rural and urban environments.

Documented outcomes include an average 367% annual quality increase, 67-86% decrease in hospitalizations and readmissions, 50% average reduction in cost of care, and 50% increase in value-based revenue. The company reports 60-70% patient engagement rates in Medicaid and Medicare populations.

Choose Caret Health if your organization participates in value-based care arrangements and struggles with quality measure performance, care gap closure, or patient engagement rates. The platform excels in situations where traditional care coordination approaches fail to reach vulnerable or geographically dispersed populations.

Expect a hybrid solution combining technology with managed clinical services rather than a self-service software platform. The company's experience with clinical pathways means programs come pre-configured for common quality measures, enabling faster time-to-impact than building care coordination capabilities internally.

Caret Health exclusively serves healthcare organizations managing value-based care arrangements including Medicare Shared Savings Program ACOs, Medicare Advantage plans, Medicaid managed care, and commercial value-based contracts. The platform addresses healthcare-specific challenges including HEDIS and quality star ratings improvement, CMS quality measure reporting, risk adjustment documentation, and chronic condition management.

The company demonstrates deep expertise in healthcare compliance with BAA execution, HIPAA-compliant communications, and integration with clinical data systems. Leadership includes physicians with backgrounds at DaVita and Optum, bringing clinical pathway development experience specific to complex chronic disease management and population health stratification.

ACOs, Medicare Advantage or Medicaid managed care plans, CINs, and rural health networks with 5,000+ attributed lives managing quality-based contracts. Organizations facing challenges with care gap closure, hospitalization rates, or quality star ratings who need a managed service rather than internal staff expansion. Best fit for groups serving high-risk, complex, or hard-to-reach patient populations.