CareCentrix

JSON twin: https://www.healthaidb.com/software/carecentrix.json

Company Name

CareCentrix

Product URL

https://www.carecentrix.com

Company URL

https://www.carecentrix.com

Categories

• clinical Care
• administrative Operations
• patient Facing
• diagnostic Support
• care Coordination
• home-based Care
• post-acute Care
• palliative Care
• durable Medical Equipment
• Clinical
• Administrative
• Diagnostic
• Home Health
• Sleep Management
• Home Infusion

Summary

CareCentrix is a home-centered care company that simplifies care coordination and home benefit management, enabling health at home through personalized services and analytics-driven solutions.

Description

CareCentrix offers a comprehensive suite of home care solutions, including post-acute care optimization, readmissions management, palliative support, home health services, durable medical equipment (DME) management, home infusion, and sleep management. Their proprietary HomeBridge® platform provides real-time insights to coordinate care, improving clinical, non-clinical, and financial outcomes. The company serves over 16 million members through a national network of approximately 6,700 provider locations, focusing on whole-person care to enhance continuity and reduce unnecessary hospital readmissions. CareCentrix is a wholly owned subsidiary of Walgreens Boots Alliance.

Api Available

unknown

Certifications

• HITRUST CSF Certified
• NCQA Accreditation (Utilization Management)
• URAC Accredited (Utilization Management)

Company Founding

1996

Company Offices

• United States

Compliance

• HIPAA
• HITRUST CSF
• NCQA
• URAC

Customers

• Blue Cross Blue Shield
• CVS Health
• OptumCare
• Vainshtein Nursing Corporation Services
• Plum Benefits
• UL Services
• AcceliNURSE
• Maxim Healthcare Services
• Pharmaceutical Consulting
• Included Health
• Change Healthcare Physician Group Management Services
• Esvyda Inc.

Data Residency

United States (US-hosted)

Data Standards

• HL7 v2
• FHIR

Deployment Model

• SaaS

Features

• Care coordination and care management
• Home health referrals and network management
• Durable medical equipment (DME) benefit management (DME Navigator)
• Home infusion coordination
• Sleep testing and PAP adherence management
• Post-acute care site optimization
• Readmissions management and transition monitoring
• Palliative support program
• Member engagement and outreach
• Provider network optimization and preferred provider matching
• Utilization management and authorization workflows
• Scheduling and logistics for in-home services
• Benefits verification and eligibility checks
• HomeFirst analytics and outcomes reporting
• Claims and billing coordination support
• Quality measurement and reporting
• Patient consent and authorization management

Id

SW1044

Integration Partners

• Change Healthcare
• Optum
• CVS Health
• Vainshtein Nursing Corporation Services
• Plum Benefits
• UL Services
• AcceliNURSE
• Maxim Healthcare Services
• Pharmaceutical Consulting
• Included Health
• Esvyda Inc.

Integrations

• Medullan
• Walgreens Boots Alliance

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb
• consumer

Optional Modules

• HomeFirst Analytics
• HomeBridge®

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA) available
• Patient authorization/consent management
• Privacy notices and rights (Notice of Privacy Practices)

Product Code

SW1044

Product Name

CareCentrix

Ratings

• 3.4 out of 5 (Change Healthcare Physician Group Management Services) - G2
• 3.9 out of 5 (OptumCare) - G2
• 4.5 out of 5 (Vainshtein Nursing Corporation Services) - G2
• 4.5 out of 5 (Plum Benefits) - G2
• 4.0 out of 5 (CVS Health) - G2
• 4.3 out of 5 (UL Services) - G2
• 4.8 out of 5 (AcceliNURSE) - G2
• 1.5 out of 5 (Maxim Healthcare Services) - G2
• 5.0 out of 5 (Pharmaceutical Consulting) - G2
• 4.0 out of 5 (Included Health) - G2

Regions Available

• United States

Related Urls

• https://elion.health/products/carecentrix

Release Year

2009

Security Features

• Encryption (in transit and at rest)
• Role-based access control (RBAC)
• SSO/SAML support
• Audit logging
• Multi-factor authentication (2FA)

Specialties

• Post-acute Care
• Readmissions Management
• Palliative Care
• Home Health
• Durable Medical Equipment
• Home Infusion
• Sleep Management

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• patients
• health plans
• health systems
• providers
• caregivers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• CareCentrix has significantly improved our home care coordination, leading to better patient outcomes.
• The platform's analytics-driven approach has streamlined our processes and reduced costs.
• CareCentrix's provider network is extensive, ensuring timely and quality care for our members.
• The integration with our existing systems was seamless, enhancing our operational efficiency.
• Their customer support is responsive and knowledgeable, addressing our concerns promptly.
• CareCentrix's solutions have been instrumental in reducing hospital readmissions.
• The user interface is intuitive, making it easy for our staff to navigate and utilize effectively.
• Their commitment to quality care aligns with our organization's values and goals.
• CareCentrix's services have been a valuable asset in managing our home health programs.
• The data insights provided have been crucial in making informed decisions for patient care.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "CareCentrix",
  "company_name": "CareCentrix",
  "product_url": "https://www.carecentrix.com",
  "company_url": "https://www.carecentrix.com",
  "related_urls": [
    "https://elion.health/products/carecentrix"
  ],
  "product_code": "SW1044",
  "summary": "CareCentrix is a home-centered care company that simplifies care coordination and home benefit management, enabling health at home through personalized services and analytics-driven solutions.",
  "description": "CareCentrix offers a comprehensive suite of home care solutions, including post-acute care optimization, readmissions management, palliative support, home health services, durable medical equipment (DME) management, home infusion, and sleep management. Their proprietary HomeBridge® platform provides real-time insights to coordinate care, improving clinical, non-clinical, and financial outcomes. The company serves over 16 million members through a national network of approximately 6,700 provider locations, focusing on whole-person care to enhance continuity and reduce unnecessary hospital readmissions. CareCentrix is a wholly owned subsidiary of Walgreens Boots Alliance.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "care Coordination",
    "home-based Care",
    "post-acute Care",
    "palliative Care",
    "durable Medical Equipment",
    "Clinical",
    "Administrative",
    "Patient-facing",
    "Diagnostic",
    "Care Coordination",
    "Home Health",
    "Post-acute Care",
    "Palliative Care",
    "Sleep Management",
    "Home Infusion",
    "Durable Medical Equipment"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "consumer"
  ],
  "target_users": [
    "patients",
    "health plans",
    "health systems",
    "providers",
    "caregivers"
  ],
  "specialties": [
    "Post-acute Care",
    "Readmissions Management",
    "Palliative Care",
    "Home Health",
    "Durable Medical Equipment",
    "Home Infusion",
    "Sleep Management"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "1996",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Care coordination and care management",
    "Home health referrals and network management",
    "Durable medical equipment (DME) benefit management (DME Navigator)",
    "Home infusion coordination",
    "Sleep testing and PAP adherence management",
    "Post-acute care site optimization",
    "Readmissions management and transition monitoring",
    "Palliative support program",
    "Member engagement and outreach",
    "Provider network optimization and preferred provider matching",
    "Utilization management and authorization workflows",
    "Scheduling and logistics for in-home services",
    "Benefits verification and eligibility checks",
    "HomeFirst analytics and outcomes reporting",
    "Claims and billing coordination support",
    "Quality measurement and reporting",
    "Patient consent and authorization management"
  ],
  "optional_modules": [
    "HomeFirst Analytics",
    "HomeBridge®"
  ],
  "integrations": [
    "Medullan",
    "Walgreens Boots Alliance"
  ],
  "data_standards": [
    "HL7 v2",
    "FHIR"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST CSF",
    "NCQA",
    "URAC"
  ],
  "certifications": [
    "HITRUST CSF Certified",
    "NCQA Accreditation (Utilization Management)",
    "URAC Accredited (Utilization Management)"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "SSO/SAML support",
    "Audit logging",
    "Multi-factor authentication (2FA)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Patient authorization/consent management",
    "Privacy notices and rights (Notice of Privacy Practices)"
  ],
  "data_residency": "United States (US-hosted)",
  "customers": [
    "Blue Cross Blue Shield",
    "CVS Health",
    "OptumCare",
    "Vainshtein Nursing Corporation Services",
    "Plum Benefits",
    "UL Services",
    "AcceliNURSE",
    "Maxim Healthcare Services",
    "Pharmaceutical Consulting",
    "Included Health",
    "Change Healthcare Physician Group Management Services",
    "Esvyda Inc."
  ],
  "user_reviews": [
    "CareCentrix has significantly improved our home care coordination, leading to better patient outcomes.",
    "The platform's analytics-driven approach has streamlined our processes and reduced costs.",
    "CareCentrix's provider network is extensive, ensuring timely and quality care for our members.",
    "The integration with our existing systems was seamless, enhancing our operational efficiency.",
    "Their customer support is responsive and knowledgeable, addressing our concerns promptly.",
    "CareCentrix's solutions have been instrumental in reducing hospital readmissions.",
    "The user interface is intuitive, making it easy for our staff to navigate and utilize effectively.",
    "Their commitment to quality care aligns with our organization's values and goals.",
    "CareCentrix's services have been a valuable asset in managing our home health programs.",
    "The data insights provided have been crucial in making informed decisions for patient care."
  ],
  "ratings": [
    "3.4 out of 5 (Change Healthcare Physician Group Management Services) - G2",
    "3.9 out of 5 (OptumCare) - G2",
    "4.5 out of 5 (Vainshtein Nursing Corporation Services) - G2",
    "4.5 out of 5 (Plum Benefits) - G2",
    "4.0 out of 5 (CVS Health) - G2",
    "4.3 out of 5 (UL Services) - G2",
    "4.8 out of 5 (AcceliNURSE) - G2",
    "1.5 out of 5 (Maxim Healthcare Services) - G2",
    "5.0 out of 5 (Pharmaceutical Consulting) - G2",
    "4.0 out of 5 (Included Health) - G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2009",
  "integration_partners": [
    "Change Healthcare",
    "Optum",
    "CVS Health",
    "Vainshtein Nursing Corporation Services",
    "Plum Benefits",
    "UL Services",
    "AcceliNURSE",
    "Maxim Healthcare Services",
    "Pharmaceutical Consulting",
    "Included Health",
    "Esvyda Inc."
  ],
  "id": "SW1044",
  "slug": "carecentrix",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/carecentrix.json"
  }
}