CareCentrix
CareCentrix is a care coordination and home benefit management company managing care for 22+ million lives through a national credentialed provider network and its proprietary HomeBridge platform. It serves Medicare Advantage, Medicaid managed care, commercial health plans, and self-funded employers under multi-year B2B managed services contracts, and was taken private by Sycamore Partners in August 2025.
- Company typePrivate
- Founded1996
- HeadquartersHartford, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What CareCentrix does
CareCentrix, founded in 1996 and headquartered in Hartford, Connecticut, is a care coordination and home benefit management company that manages care for over 22 million lives across the United States. The company operates a B2B model serving four payer customer segments — Medicare Advantage plans, Medicaid managed care plans, commercial health plans, and self-funded employers — through multi-year enterprise contracts under per-member and value-based fee arrangements. Its national network of credentialed providers delivers home and post-acute care services across the country, with offices in Hartford, Atlanta, and Tampa supporting operations.
The company's core technology platform is HomeBridge, a proprietary care coordination system that supports 16 million+ lives and integrates utilization management, provider routing, and member workflows. Built around HomeBridge is a suite of complementary products: HomeFirst Analytics (predictive analytics and ML-driven risk stratification and readmission prediction), iComply (remote monitoring with anomaly detection), DME Navigator (durable medical equipment management launched in 2024 with Optum as a distribution partner), and condition-specific programs covering home health, sleep management, home infusion, oncology at home, palliative support, and post-acute care. The platform is underpinned by HITRUST, NCQA, and URAC accreditations and over 30 years of accumulated claims, utilization, and outcomes data.
In August 2025, CareCentrix was acquired by Sycamore Partners from Walgreens Boots Alliance, transitioning the company from a division of a large pharmacy retailer to a privately held standalone entity. The ownership change coincides with a senior leadership refresh — including a new President, Chief Marketing Officer, and Chief Technology Officer — suggesting a renewed emphasis on platform modernization, commercial execution, and product expansion under PE ownership.
CareCentrix firmographics
Firmographics- Name
- CareCentrix
- Legal name
- CareCentrix, Inc.
- Website
- https://carecentrix.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- CareCentrix is a care coordination and home benefit management company managing care for 22+ million lives through a national credentialed provider network and its proprietary HomeBridge platform. It serves Medicare Advantage, Medicaid managed care, commercial health plans, and self-funded employers under multi-year B2B managed services contracts, and was taken private by Sycamore Partners in August 2025.
- Ownership category
- akta.pro rank
CareCentrix industry classification
Industry- Product category
- Home Care Coordination and Benefit Management
- NAICS
- Home Health Care Services (62161)
- SIC
- Services-Home Health Care Services (8082)
- akta.pro primary industry
- Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL)
- akta.pro secondary industry
- Care Management & Population Health Program Administration (HLAEALAG)
Keywords
Where CareCentrix is headquartered
LocationHeadquarters
- HQ city
- Hartford
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
CareCentrix business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Care Coordination & Home Benefit Management: CareCentrix serves as a care coordination intermediary and home benefit manager for health plans and employers. It manages and coordinates home health services (DME, home health, sleep management, home infusion, palliative care, post-acute care) on behalf of its clients (health plans, employers) in exchange for contracted fees. The company guarantees savings, and its solutions come with a financial guarantee that scales by membership growth. Revenue is derived from per-member administrative fees, performance-based contracts tied to savings guarantees, and care coordination service fees across a national network of credentialed providers.
- Provider Network Management: CareCentrix manages a national network of credentialed home care providers and earns revenue through network management and coordination fees paid by health plans for ensuring access, quality, and timely delivery of home health services across multiple service lines including DME, home health nursing, therapy, infusion, and palliative care.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom enterprise contracts for health plans and employers, priced per covered member with savings guarantees. |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels7 records
CareCentrix product offering
Product offeringCore offering
CareCentrix is a care coordination intermediary and home benefit manager that simplifies home-based care delivery for health plans and employers. It manages and coordinates home health services including DME, home health nursing and therapy, sleep management, home infusion, palliative care, and post-acute care across a national network of credentialed providers. Revenue comes from per-member administrative fees and performance-based contracts tied to guaranteed savings.
Product overview
CareCentrix offers a unified platform approach combining HomeBridge (proprietary care coordination platform) with HomeFirst Analytics and multiple specialized service modules. The ecosystem includes DME Navigator (developed with Optum) for durable medical equipment management, Home Health services coordination, Sleep Management (with iComply adherence program), Home Infusion therapy coordination, Oncology at Home for immunotherapy, Palliative Support Program, and Post Acute Care solutions (Site Optimization and Readmissions Management). The platform serves Medicare Advantage, Medicaid, and Commercial health plans through a national credentialed provider network managing over 22 million lives.
Differentiator
Problem solved
Functional benefit
Brands
- HomeBridge®: A proprietary analytics-driven home services coordination platform that provides real-time insights to identify and connect members to care in the home, improving clinical, non-clinical and financial outcomes.
Products and services
- HomeBridge® Proprietary analytics-driven care coordination platform that serves as a single access point for care teams to access, analyze, and collect data for continually adjusting care plans. Provides real-time insights to identify and connect members to home-based care, integrating provider networks, member data, and clinical workflows for whole-person care management from hospital to home.
- DME Navigator® Comprehensive durable medical equipment benefits management solution developed in collaboration with Optum. Features an EHR-integrated digital DME ordering platform, streamlined authorization and ordering workflows, real-time order tracking, and payment integrity controls using negotiated competitive rates.
- Home Health Care coordination solution connecting members with home health services through a high-quality network of skilled nursing, physical, occupational, speech therapy, medical social workers, and home health aides. Targets health plans and serves Medicare Advantage, Medicaid, and Commercial plan members.
- Sleep Management Comprehensive sleep care solution supporting diagnosis and treatment for members with sleep-disordered breathing. Includes home sleep testing, PAP therapy, and the iComply remote monitoring adherence program to help members achieve better health outcomes in sleep management.
- Home Infusion Flexible solution optimizing access and coordination of infusion therapy for members at home, supporting over 500 acute and chronic care therapies for specialty and non-specialty drugs, with focused programs for oncology, hemophilia, and autoimmune disorders. Coordinates over 120,000 home infusion services annually.
- Oncology at Home Member-centric solution for immunotherapy infusions that shifts care from high-cost hospital settings to more efficient, member-friendly environments such as the home. Targets health plan members undergoing cancer treatment.
- Palliative Support Program Proactive, personalized home-based palliative care solution for seriously ill members, delivered by registered nurses and social workers to improve quality of life and manage costs. Includes identification of members who would benefit from palliative care 18-20 months earlier through predictive analytics.
- Post Acute Care: Site Optimization Solution identifying optimal post-acute care pathways, optimizing lengths of stay in PAC facilities, and ensuring smooth transitions home with emphasis on home-first care delivery.
- Post Acute Care: Readmissions Management Analytics and member engagement solution coordinating care transitions from hospital to home to reduce unnecessary hospital readmissions through gap closure and follow-up monitoring.
Quantifiable outcome
- Up to 45% of Medicare Advantage hospital readmissions are estimated to be avoidable with post-acute care interventions like those CareCentrix provides.
- +8 more outcomes
Companies that use CareCentrix
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
CareCentrix technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability4 records
Feature4 records
CareCentrix partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- OptumcoreCareCentrix collaborated with Optum to create DME Navigator, a comprehensive durable medical equipment benefits management solution. This partnership combines CareCentrix's home health network management expertise with Optum's DME capabilities, streamlining the entire DME ordering, distribution, fulfillment, and payment process. The collaboration leverages Optum's EHR-integrated digital ordering platform and CareCentrix's network of quality DME suppliers.
- HomeBridge Provider Network (Credentialed Providers)coreCareCentrix coordinates care through a national network of credentialed providers including home health agencies, DME suppliers, home infusion providers, sleep diagnostic providers, and palliative care specialists. Providers join the network through the HomeBridge Provider Portal and are credentialed based on service quality, accessibility, and cost effectiveness. The network covers all 50 states and includes rural areas.
Scale indicators7 records
Recent moves7 records
Expansion highlights6 records
CareCentrix competitors and assessment
Company assessmentDirect peers
- naviHealth: Post-acute care coordination platform owned by Optum (UnitedHealth Group) that serves Medicare Advantage plans with hospital-to-home transitions and readmissions management. Directly competes with CareCentrix's PAC Site Optimization and Readmissions Management solutions, often in the same MA plan RFPs.
- BrightSpring Health Services: Diversified home and community-based services platform including home health, hospice, pharmacy, and behavioral health. Comparable diversified home-based care model serving Medicaid, Medicare, and commercial payors with network management capabilities.
- InnovAge: Operator of PACE (Program of All-Inclusive Care for the Elderly) programs providing home and community-based care coordination for dual-eligible seniors. Comparable target market (frail elderly, MA/Medicaid duals) and care coordination model via interdisciplinary teams.
- Modivcare: Non-emergency medical transportation, personal care, and home care coordination provider serving Medicaid and Medicare health plans. Comparable as a B2B payor-services intermediary that coordinates in-home and community-based services on behalf of managed care plans.
- Help at Home: Leading personal care services provider delivering in-home caregiver support to Medicaid and dually eligible populations across multiple states. Comparable as a Medicaid-focused home and community-based services coordinator serving similar payor customers.
Broad incumbents
- Amedisys: Major home health and hospice provider (subject to UnitedHealth acquisition) operating a national footprint of skilled nursing and therapy services in the home. Comparable in home health delivery but more clinically direct than CareCentrix's coordination-only model.
- Humana / CenterWell: Major Medicare Advantage insurer with an integrated home care arm (CenterWell) that provides home health, primary care, and pharmacy services to MA members. Comparable as a vertically integrated MA-focused care delivery platform and a CareCentrix customer.
- Encompass Health: Largest owner and operator of inpatient rehabilitation hospitals in the US, with a recently spun-off home health business (Enhabit). Comparable in the post-acute care continuum but primarily an IRF operator rather than a care coordination intermediary.
- Optum / UnitedHealth Group: Largest US health services and innovation company with extensive care management, post-acute coordination (via naviHealth), and home health capabilities. Both a CareCentrix partner (DME Navigator) and the largest competitive threat in care coordination.
- Aetna / CVS Health: Major health insurer with growing home care and care management capabilities through CVS Health's health services portfolio. Comparable as a CareCentrix payor customer and a vertical competitor building in-house care coordination infrastructure.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
CareCentrix social profiles
Digital presenceCareCentrix compliance and trust
Trust signalCompliance3 records
CareCentrix financial estimates
Financial estimateRevenue estimate
Valuation estimate
CareCentrix leadership team
Management profileNumber of profiles
Profiles11 records
CareCentrix funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CareCentrix M&A and investment
M&A and investmentM&A2 records
Investments2 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about CareCentrix
What does CareCentrix do?
CareCentrix is a care coordination intermediary and home benefit manager that simplifies home-based care delivery for health plans and employers. It manages and coordinates home health services including DME, home health nursing and therapy, sleep management, home infusion, palliative care, and post-acute care across a national network of credentialed providers. Revenue comes from per-member administrative fees and performance-based contracts tied to guaranteed savings.
Is CareCentrix a public or private company?
CareCentrix is a private company. It is classified as private equity controlled and is currently operating.
When was CareCentrix founded?
CareCentrix was founded in 1996. It employs 1,001 to 5,000 people.
Where is CareCentrix based?
CareCentrix is headquartered in Hartford, United States, in the North America region.
How does CareCentrix make money?
Two revenue lines are on record. Care Coordination & Home Benefit Management is the primary driver. The others are provider Network Management.
Who are CareCentrix's main competitors?
Direct peers on record are naviHealth, BrightSpring Health Services, InnovAge, Modivcare and Help at Home. Broad incumbents are Amedisys, Humana / CenterWell, Encompass Health, Optum / UnitedHealth Group and Aetna / CVS Health.
Does CareCentrix have an API?
No public API is recorded for CareCentrix.
What industry is CareCentrix in?
CareCentrix's product category is Home Care Coordination and Benefit Management. Its primary akta.pro industry code is HLAFAEAL, Care Management & Care Coordination (Home & Community-Based), with a secondary code of HLAEALAG, Care Management & Population Health Program Administration. Its NAICS code is 62161 and its SIC code is 8082.