Care Continuity

What Care Continuity does

Care Continuity is a Dallas-Fort Worth (Irving, Texas) headquartered healthcare logistics and patient navigation company founded in 2014 that sells AI-enabled care coordination solutions to U.S. health systems, payers, and accountable care organizations (ACOs). The company helps clients close the loop on follow-up care after emergency department visits, urgent care discharges, and inpatient stays, addressing patient leakage, missed specialist referrals, and preventable readmissions. Per the company's own materials, more than 100 hospitals, ACOs, and health plans use its solutions, and more than 3 million patients have been navigated over 10+ years, with reported average outcomes of a 50% increase in in-network referrals and a 30% reduction in preventable readmissions.

Care Continuity's product surface consists of four modular solutions: ED Connect (ED and urgent care discharge navigation), Referral IQ (specialty referral prioritization and capacity optimization), Readmission IQ (AI-driven readmission management), and CarePath IQ (standalone platform for real-time network-wide care pathway visibility). Underlying these products is a Navigation Intelligence Platform that combines supervised machine learning models, natural language processing of clinical notes, and predictive scoring models refined across millions of care coordination workflows and a 150,000 clinical-node external data network spanning all 50 states. HITRUST CSF certification supports the company's data handling for protected health information.

The business operates on a subscription or recurring service model delivered through direct enterprise field sales, with quote-based pricing tailored to health system scope and program priorities. Go-to-market targets large enterprise buyers (health systems, payers, ACOs) through 'Request a Demo' engagements and partnership-style implementation rather than replacement of internal care transition teams. The company has raised approximately $24-25 million across multiple funding events from 2021 through 2025, including a $10 million Series A-3 in January 2024 co-led by Empactful Capital and Viewside Capital Partners, and is led by CEO Brad Prugh alongside CSO John Hansel, COO Isabell Schneider, CTO/ISO Rick Funaki, Chief Innovation Officer Kyle Callahan, and SVP of Product Kailee Rubin.

Name

Care Continuity

Legal name

Care Continuity, Inc.

Website

https://carecontinuity.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

51–100 employees

Short description

Care Continuity, founded in 2014 and headquartered in Irving, Texas, provides an AI-driven patient navigation platform (ED Connect, Referral IQ, Readmission IQ, CarePath IQ) that helps U.S. health systems, payers, and ACOs close the loop on follow-up care, with 100+ customers and 3 million+ patients navigated.

Ownership category

akta.pro rank

Product category

Healthcare Care Coordination Software

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Health Services (8000), Services-Prepackaged Software (7372)

akta.pro primary industry

Care Coordination, Referral Management & Transitions-of-Care Pathways (HLACAGAL)

akta.pro secondary industries

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD), Cross-Organization Care Coordination & Referral Interoperability (ADT, eReferrals, transitions of care) (HLACABAO), Post-Acute & Transitional Care Virtual Platforms (SNF/home health coordination) (HLALABAG), Transitions of Care Management (Hospital/SNF/Home) (HLADALAD)

Keywords

• Patient navigation services
• Care coordination software
• Specialty referral prioritization
• AI-driven readmission reduction
• Healthcare network integrity

Headquarters

HQ city

Dallas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations

Revenue model

1. Patient Navigation Services: Care Continuity provides data-driven patient navigation services to health systems, payers, and ACOs. Services include ED Connect, Referral IQ, Readmission IQ, and CarePath IQ platforms. Revenue appears to come from service fees for navigation programs, likely structured as subscription or per-program recurring fees based on volume of patients navigated or outcomes achieved.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Care Continuity provides AI-powered patient navigation and care coordination software to health systems, payers, and ACOs. Its modular platform (ED Connect, Referral IQ, Readmission IQ, CarePath IQ) uses supervised machine learning and NLP to prioritize patients, identify in-network specialist follow-up opportunities, and reduce preventable readmissions. The company combines its software with concierge navigation services to help discharged patients schedule in-network follow-up care.

Product overview

Care Continuity offers a modular patient navigation and intelligence platform consisting of four integrated solutions designed to help health systems close gaps in follow-up care and improve network integrity. ED Connect identifies and navigates ED discharge patients to in-network specialists. Referral IQ prioritizes and scores specialty referrals to optimize specialist capacity and capture downstream revenue. Readmission IQ proactively manages post-discharge patients to reduce preventable readmissions. CarePath IQ provides end-to-end visibility into care pathways and patient journeys across the network. Together, these solutions enable health systems to improve care coordination, reduce network leakage, and drive measurable operational and financial outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• ED Connect: Connects ED and urgent care discharges to in-network follow-up care.
• Referral IQ
• Readmission IQ
• CarePath IQ

Products and services

• ED Connect Connects ED and urgent care discharges to in-network follow-up care by using NLP to identify specialist referral recommendations buried in discharge summaries and provider notes, prioritizing high-value referrals, and engaging patients to schedule follow-up appointments with in-network specialists. Designed for health systems and ACOs seeking to convert ED discharge volumes into downstream in-network revenue.
• Referral IQ Prioritizes specialty referrals to protect downstream procedures and optimize specialist appointment capacity by scoring each referral on predicted appointment attendance, downstream procedure likelihood, and network value, then routing high-impact referrals into smart work queues. For health systems, medical groups, and CINs managing large referral volumes.
• Readmission IQ AI-driven readmissions management solution that proactively navigates select inpatient discharges to reduce avoidable readmissions by identifying care plan barriers, conducting risk assessments, and enabling timely intervention. For health systems seeking to reduce 30-day readmission rates.
• CarePath IQ Standalone platform providing real-time visibility into patients' follow-up care plans, navigation pathways, and provider handoffs both inside and outside the health system network, enabling identification of care gaps, missed specialist visits, and avoidable readmissions. Powered by clinical visit data connections across 150K clinical nodes in all 50 states.

Quantifiable outcome

• 30% average reduction in preventable readmissions
• +7 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability9 records

Feature6 records

Scale indicators11 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Pieces Technologies: Pieces Technologies applies AI to clinical and operational workflows for health systems, including readmission prediction and discharge planning — overlapping with Readmission IQ but at an earlier stage of commercial scale.
• Wellbe: Wellbe offers patient navigation and episode-of-care platforms for hospitals and ambulatory providers, focused on guiding patients through surgical and procedural episodes — a more narrow but directly comparable navigation model to Care Continuity.

Broad incumbents

• Arcadia: Arcadia is an established population health and care management analytics platform serving health systems and ACOs with care gap closure, referral analytics, and value-based care reporting — adjacent but overlapping with Care Continuity's analytics-led navigation thesis.
• Health Catalyst: Health Catalyst provides enterprise data and analytics infrastructure for health systems, including care management and population health modules; broader in scope than Care Continuity but competing for similar care coordination and outcomes improvement budgets.
• NaviHealth (Optum): NaviHealth, owned by Optum, is a much larger incumbent focused on post-acute and transitional care management for health plans and health systems, competing head-on with CarePath IQ and Readmission IQ as part of a broader UnitedHealth Group portfolio.
• Collective Medical (PointClickCare): Collective Medical, now part of PointClickCare, delivers real-time care coordination and ADT-based notifications across the continuum — a broader post-acute and acute incumbent whose care transitions capabilities compete with Care Continuity's CarePath IQ network visibility product.

Direct peers

• Bamboo Health: Bamboo Health (formed from the merger of PatientPing and Collective Medical) provides real-time care coordination, ADT notifications, and behavioral health connectivity across hospitals, payers, and post-acute providers — overlapping directly with Care Continuity's care transitions and referral intelligence offerings.
• Lightbeam Health Solutions: Lightbeam provides population health management, care coordination, and value-based care analytics to health systems and ACOs, with referral and care management capabilities that compete with Care Continuity's Referral IQ and Readmission IQ products.
• Innovaccer: Innovaccer offers a healthcare data activation and care management platform used by health systems, payers, and ACOs for referral management, care coordination, and value-based care workflows, making it a close functional comparable to Care Continuity's modular solutions.

Others

• LeanTaaS: LeanTaaS applies AI to optimize hospital capacity, OR scheduling, and patient flow — adjacent to Care Continuity's specialist capacity and referral optimization thesis, addressing the same health system operations buyer but through capacity rather than navigation workflows.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/carecontinuity
• Xx.com/carecontinuity

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds4 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Care Continuity