CareCentrix

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.

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

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

• Home care coordination
• Home benefit management
• Durable medical equipment
• Post-acute care management
• Health plan care services

Headquarters

HQ city

Hartford

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 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.
2. 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

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core 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

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability4 records

Feature4 records

Partnerships

Two partnerships are on record, tiered core.

• OptumcoreStrategic or Co-development PartnerCareCentrix 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)coreOthersCareCentrix 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

Direct 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

• YouTubeyoutube.com/playlist?list=PLLzNsap7Di9-NeOjNmgp1PMHk5bkaLwuh
• Xx.com/carecentrix
• LinkedInlinkedin.com/company/carecentrix

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds1 record

Investors2 records

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

M&A2 records

Investments2 records

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

Frequently asked questions about CareCentrix