CareConnectMD
CareConnectMD is a value-based care ACO delivering primary, palliative, and post-acute care to medically complex Medicare patients in skilled nursing facilities, long-term care settings, and homes across multiple U.S. states.
- Company typePrivate
- Founded1996
- HeadquartersHuntington Beach, United States
- Headcount51–100
- GTM typeB2B and B2C
- OfferingServices
What CareConnectMD does
CareConnectMD is a value-based care accountable care organization (ACO) founded in 1996 (originally as Gerinet Medical Associates) that delivers primary, palliative, post-acute, and dementia care to medically complex, frail, and high-needs Medicare beneficiaries in skilled nursing facilities (SNFs), long-term care settings, and patients' homes. The company operates two CMS-aligned ACO programs — the Medicare Shared Savings Program (MSSP) ACO and the High-Needs ACO REACH (formerly Direct Contracting Entity) program — and bears the financial risk on behalf of participating physician groups and SNF operators. CareConnectMD ranks as the #1 participant among 132 ACO organizations in the 2023 High-Needs ACO REACH performance year, posting a 29.5% gross savings rate ($13.5M in gross savings) and reducing SNF readmission rates from 28% to 18%.
The company's core technology stack combines a care coordination platform, predictive analytics and risk stratification tooling, telemedicine integration (via the Curve Health partnership), and interoperability across multiple EHR platforms, with HIE connectivity through Collective Medical for ADT-based continuity of care. It has expanded from Southern California to Ohio, Texas, Nevada, and Arizona, and has established TINs in nearly all 50 states, serving 750+ client facilities and 100+ medical affiliates. CareConnectMD monetizes through a mix of value-based risk arrangements (shared savings / total cost of care with CMS), managed care and Medicare Advantage health plan contracts (Aetna, BCBS, Cigna, Humana, UnitedHealthcare, etc.), and downstream services like the GUIDE dementia care program. The 2022 $25 million growth round from TT Capital Partners is funding continued geographic expansion and platform build-out, and a new CTO was appointed in July 2025 to professionalize the technology function.
CareConnectMD firmographics
Firmographics- Name
- CareConnectMD
- Legal name
- CareConnectMD, Inc.
- Website
- https://careconnectmd.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- CareConnectMD is a value-based care ACO delivering primary, palliative, and post-acute care to medically complex Medicare patients in skilled nursing facilities, long-term care settings, and homes across multiple U.S. states.
- Ownership category
- akta.pro rank
CareConnectMD industry classification
Industry- Product category
- Value-Based Care Services (Accountable Care Organization)
- NAICS
- Home Health Care Services (62161), Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Home Health Care Services (8082), Services-Skilled Nursing Care Facilities (8051), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)
- akta.pro secondary industries
- Post-Acute Care Networks & Care Management Organizations (HLAFAFAN), Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where CareConnectMD is headquartered
LocationHeadquarters
- HQ city
- Huntington Beach
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
CareConnectMD business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- ACO REACH High-Needs Program: CareConnectMD operates under the High Needs Population Direct Contracting Entity (DCE) model under CMS, also known as ACO REACH. Under this model, CCMD is responsible for the total cost of care for Medicare fee-for-service beneficiaries classified as high-needs. The company shares in both savings and losses based on performance. In 2023, the company achieved a gross savings rate of 29.5% and a net savings rate of 24.9%, with gross savings of $13,523,351.38. Of shared savings, 80% is reinvested in infrastructure and care processes, and 20% distributed to participant providers.
- MSSP ACO Shared Savings: CareConnectMD participates in the Medicare Shared Savings Program (MSSP), an alternative payment model established by CMS to encourage providers to collaborate and deliver high-quality, coordinated care that improves outcomes and reduces costs. Providers share in cost savings generated by the ACO while meeting quality performance measures. The MSSP shifts focus from volume-based to value-based care.
- Managed Care and Insurance Plan Contracts: CareConnectMD's California-based medical group contracts with managed care and insurance plans to provide comprehensive primary and palliative care to high-risk populations in their homes or choice of care environments, such as skilled nursing facilities.
- Value-Based Care Enablement Services: CareConnectMD enables other primary care physician groups to participate in value-based care programs as part of CCMD's high-needs DCE, providing clinical, technological, and operational services to nursing homes and physician groups in exchange for shared savings participation.
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
CareConnectMD product offering
Product offeringCore offering
CareConnectMD operates a multi-state Accountable Care Organization that provides value-based primary, palliative, and post-acute care to medically complex and high-needs Medicare beneficiaries in skilled nursing facilities, long-term care settings, and patient homes. The company participates in CMS's MSSP ACO and High-Needs ACO REACH programs, contracting with managed care plans, health systems, and physician groups to deliver coordinated care and share in cost savings.
Product overview
CareConnectMD operates as a multi-state Accountable Care Organization providing value-based care for medically complex, frail, and high-needs Medicare populations. The company's portfolio consists of two CMS-aligned ACO programs (MSSP ACO and ACO REACH High-Needs Program), a High-Needs Direct Contracting Entity (DCE), three clinical service lines (Patient Services, Provider Services, and SNF Services), the GUIDE dementia care program, and a Post-Acute Care Program. The ACO programs serve as the core platform enabling providers to participate in value-based arrangements, while the clinical services provide direct patient care through primary care, palliative care, and behavioral health integration in skilled nursing facilities and patient homes. All services are supported by a technology infrastructure including data analytics, HIE integration via Collective Medical, and partnership with Curve Health for care enablement.
Differentiator
Problem solved
Functional benefit
Products and services
- MSSP ACO Medicare Shared Savings Program Accountable Care Organization enabling providers to participate in value-based care and share in cost savings generated by the ACO while meeting quality performance measures. CareConnectMD serves as the ACO entity (Care Partners ACO, LLC) for participating provider groups.
- ACO REACH High-Needs Program High-Needs ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) program operated by CareConnectMD DCE, LLC for medically complex and frail Medicare beneficiaries in skilled nursing facilities and patient homes, delivering personalized care integrating primary care, palliative care, and behavioral health services. CCMD is responsible for total cost of care and shares in both savings and losses.
- Patient Services Comprehensive care services for medically complex and high-needs patients including routine visits, supportive care, geriatric behavioral services, 24/7 on-call providers, palliative care, and telemedicine, delivered in skilled nursing facilities, long-term care settings, and patient homes.
- Provider Services Care and risk management services for physician groups and nursing facilities, including financial support, operational guidance, clinical support, and technology-enabled care insights to maximize the value of their practice under value-based contracts.
- SNF Services Care coordination services tailored specifically for Skilled Nursing Facilities, including data analytics, care management support, partnership programs with dedicated case managers, and resources for short-term, post-acute, and long-term care (high-needs) patients.
- GUIDE Program Guiding an Improved Dementia Experience (GUIDE) program providing comprehensive dementia care including care coordination, caregiver education and support, and respite services, offered at no cost to qualifying patients and their families.
- Post-Acute Care Program Medical administrative and patient care services for individuals in post-acute settings, including daily support for urgent and non-emergent visits, wound care rounds, fall prevention, and discharge readiness monitoring.
Quantifiable outcome
- Reduced hospital readmission rates from 28% to 18% in 2023, placing CCMD in the 90th percentile across all patient groups
- +6 more outcomes
Companies that use CareConnectMD
Customer profileNamed customers16 records
Segments4 records
Ideal customer profiles4 records
CareConnectMD technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability3 records
Feature3 records
CareConnectMD partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Curve HealthcoreCareConnectMD partnered with Curve Health, a care enablement platform integrating telemedicine, smart billing, health information exchange, and predictive analytics, to create an exceptional care experience for California seniors in skilled nursing facilities. The partnership improves patient care and outcomes, increases census, drives higher per patient reimbursement, and ensures SNFs operate effectively. A study found care through the Curve Health platform reduced SNF patient hospital admissions by up to 80%. The partnership was initially rolled out in San Diego SNFs with expansion planned across value-focused SNFs in California.
Scale indicators8 records
Recent moves7 records
Expansion highlights6 records
CareConnectMD competitors and assessment
Company assessmentDirect peers
- P3 Health Partners: P3 Health Partners provides value-based care for seniors, especially those with complex chronic conditions, through partnerships with primary care providers under full-risk arrangements. Comparable risk-bearing Medicare-focused care model, though with less SNF-specific orientation.
- Landmark Health: Landmark Health (owned by Optum/UnitedHealth Group) provides home-based medical care for complex, chronic, and high-needs patients, with a strong focus on value-based contracts with Medicare Advantage and ACO programs. Directly comparable to CareConnectMD's high-needs, home-based complex care model.
- agilon health: agilon health partners with primary care physicians to deliver value-based care for Medicare beneficiaries, including those in senior-focused and complex care populations. Its ACO REACH and Medicare Advantage enablement model is closely aligned with CareConnectMD's risk-bearing, physician-empowered approach.
- Privia Health Group: Privia Health enables physician practices to participate in value-based care arrangements including ACOs (MSSP and REACH). Its multi-payer, multi-state platform and risk-bearing capabilities are directly comparable to CareConnectMD's ACO enablement model for primary care groups.
- Oak Street Health: Oak Street Health (acquired by CVS Health) operates value-based primary care clinics focused on Medicare beneficiaries, including those with complex chronic conditions. While delivery model is clinic-based rather than SNF-embedded, the risk-bearing Medicare focus is highly comparable.
- Cano Health: Cano Health operates value-based primary care centers for seniors, with a strong Medicare Advantage and dual-eligible focus. Comparable to CareConnectMD in serving medically complex senior populations under risk-bearing contracts, though with a clinic-centric delivery model.
- Curana Health: Curana Health (formerly Elite Medical/Sound Physicians post-acute) provides on-site primary care and care coordination in skilled nursing facilities and senior living communities under value-based arrangements. Directly comparable SNF-embedded, post-acute focus to CareConnectMD's core model.
- InnovAge Holding Corp. InnovAge operates the Program of All-Inclusive Care for the Elderly (PACE), serving dual-eligible seniors with comprehensive medical and social services under risk-bearing capitated contracts. Comparable to CareConnectMD in risk-bearing, senior-focused, comprehensive care delivery.
Broad incumbents
- Iora Health: Iora Health (acquired by One Medical/Amazon) operated value-based primary care practices focused on Medicare beneficiaries under risk-bearing contracts. Comparable value-based care delivery model for seniors, though now folded into Amazon's broader primary care platform.
Emerging players
- Vytalize Health: Vytalize Health is an ACO and value-based care enablement platform serving Medicare beneficiaries through independent primary care practices. Comparable ACO REACH/MSSP enablement model for physician groups, though at smaller scale and less concentrated in SNF populations.
Market position
Strengths5 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
CareConnectMD social profiles
Digital presenceCareConnectMD compliance and trust
Trust signalCompliance1 record
CareConnectMD financial estimates
Financial estimateRevenue estimate
Valuation estimate
CareConnectMD leadership team
Management profileNumber of profiles
Profiles9 records
CareConnectMD subsidiaries and ownership
Company hierarchySubsidiaries4 records
CareConnectMD funding detail
Funding detailFunding overview
Funding rounds2 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CareConnectMD M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about CareConnectMD
What does CareConnectMD do?
CareConnectMD operates a multi-state Accountable Care Organization that provides value-based primary, palliative, and post-acute care to medically complex and high-needs Medicare beneficiaries in skilled nursing facilities, long-term care settings, and patient homes. The company participates in CMS's MSSP ACO and High-Needs ACO REACH programs, contracting with managed care plans, health systems, and physician groups to deliver coordinated care and share in cost savings.
Is CareConnectMD a public or private company?
CareConnectMD is a private company. It is classified as venture growth investor backed and is currently operating.
When was CareConnectMD founded?
CareConnectMD was founded in 1996. It employs 51 to 100 people.
Where is CareConnectMD based?
CareConnectMD is headquartered in Huntington Beach, United States, in the North America region.
How does CareConnectMD make money?
Four revenue lines are on record. ACO REACH High-Needs Program is the primary driver. The others are MSSP ACO Shared Savings, managed Care and Insurance Plan Contracts and value-Based Care Enablement Services.
Who are CareConnectMD's main competitors?
Direct peers on record are P3 Health Partners, Landmark Health, agilon health, Privia Health Group, Oak Street Health, Cano Health, Curana Health and InnovAge Holding Corp.. Iora Health is listed as a broad incumbent. Vytalize Health is listed as an emerging player.
Does CareConnectMD have an API?
No public API is recorded for CareConnectMD.
What industry is CareConnectMD in?
CareConnectMD's product category is Value-Based Care Services (Accountable Care Organization). Its primary akta.pro industry code is HLAFAGAF, Value-Based Primary Care Organizations (Risk-Bearing), with a secondary code of HLAFAFAN, Post-Acute Care Networks & Care Management Organizations. Its NAICS code is 62161 and its SIC code is 8082.