Caremetrics is passionately dedicated to creating and delivering specialized tools, technologies and services that dramatically improve the cost and quality of managing care for vulnerable and complex populations, including frail elderly, special needs, and dually-eligible individuals.
Our results-oriented decision support tools are used by leading health plans and risk-bearing providers to better manage financial and clinical risk, improve efficiency, optimize revenue and risk accuracy, enhance Star scores and quality performance, and improve family, caregiver and consumer satisfaction.
We achieve our success by helping our clients gain deep, longitudinal insight into their members, patients, consumers and caregivers. Since our start in 2011, we have been building and analyzing broad streams of data on complex populations. Our solutions follow the consumer over time, and across all settings and all providers in the healthcare ecosystem. We specialize in quality and cost containment in community-based care, including Post Acute, LTSS, LTC, home care, behavioral, social, transportation, independent living, and other community services. Our solutions are differentiated by the broad base of information we deploy to solve problems, the quality of our evidence-based guidance, and the analytics we deploy.
Caremetrics clients include leading HMOs and BCBS plans; Medicaid and managed Long Term Care (MLTC) plans; Dual Eligible (MMP), Medicare Advantage and Special Needs (SNP) plans; Exchange-qualified health (QHP) plans; pharmacy benefit managers; specialty care management organizations and risk-bearing integrated delivery systems. Our clients typically bear financial risk for complex, government-sponsored populations, and are responsible for the full spectrum of medical, behavioral, social and disability services, as well as home- and community-based long term care.