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, enhance quality and performance, and improve family, caregiver and Consumer satisfaction.
We specialize in quality and cost containment across the continuum of community-based care, including Post Acute, LTSS, LTC, home care, behavioral, social, transportation, independent living, and other community services.
We achieve our success by helping our clients gain longitudinal insight into their members, patients, consumers and caregivers. 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.
Our clients are leading health plans, health and human services providers, and their community business partners. These organizations typically bear financial risk for 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. Caremetrics clients include leading BCBS plans, Medicaid and Medicare Advantage plans, Dual Eligible (MMP) and Special Needs plans (SNP), managed Long Term Care (MLTC) organizations, Exchange-qualified health plans (QHP), pharmacy benefit managers, specialty care management organizations and risk-bearing integrated health systems.
Caremetrics solutions can be used stand-alone or alongside existing enterprise care management, data analytics and business intelligence system investments to complement their functionality and enhance their applicability to complex populations.