Our clients are leading health plans, health and human services providers, and their business partners. Caremetrics clients typically bear financial risk across medical, behavioral, social and disability services, as well as home- and community-based long term care. Our clients take advantage of our specialized solutions for managing this broad range of covered benefits and our expertise in applying advanced analytics and decision support to improve outcomes, efficiency and transitions of care.
Caremetrics is proud to be key partner in multiple Federal, State and private demonstration initiatives around the U.S., including CMS-sponsored Financial Alignment Demonstrations for dual eligibles, fully-integrated Medicaid-Medicare D-SNP dual eligible programs, Medicare Shared Savings Program, global payment and episode bundle programs, and patient-centered medical homes.
Payers Our Payer clients include national and regional HMOs, BCBS plans, Medicaid and Medicare Advantage plans; Dual Eligible (MMP) and Special Needs (SNP) plans; managed Long Term Care (MLTC) organizations; Exchange-qualified health plans (QHP); pharmacy benefit managers and specialty care management organizations.
Providers Our Provider clients are large integrated delivery systems; academic medical centers; physician practices; community long term care, post acute and home care providers; and wide variety of for-profit and not-for-profit national and regional service organizations.
Government Our Government clients include state and local Medicaid, human services, public health, aging and disability agencies, as well as state-operated health insurance exchanges.