CareVitality

What CareVitality does

CareVitality, Inc. is a privately held healthcare technology company founded in 2016 and headquartered in Skokie, Illinois. The company operates a comprehensive care management AI software platform that delivers module-based virtual care services — including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Principal Care Management (PCM), Behavioral Health Integration (BHI), Transitional Care Management (TCM), General Care Management (GCM), and Annual Wellness Visit (AWV) programs — to hospitals, physician practices, multi-specialty groups, federally qualified health centers, skilled nursing facilities, behavioral health organizations, health plans, and self-insured employers across the United States. The platform integrates with 100+ EHR and Practice Management systems to automatically input vital signs and care notes and submit billing, and pairs the software with cellular-connected RPM devices that eliminate Bluetooth pairing barriers for patients. AI-powered analytics provide real-time anomaly detection and predictive risk identification on structured vital data collected from the devices.

CareVitality monetizes primarily through recurring subscription fees for the care management software, devices, and associated clinical services, complemented by professional services revenue from MACRA/MIPS consultation and audit work and from a separately branded cybersecurity line (Security Risk Analysis, vulnerability scanning, penetration testing, SOC monitoring). Go-to-market is predominantly direct enterprise sales with consultation-based demos, supplemented by a partner/reseller program and a distribution layer embedded in 100+ EHR integrations. The company is endorsed by 30+ healthcare industry associations including the American Medical Association, American Osteopathic Association, and National Council for Behavioral Health. CareVitality is founder/management-owned with no disclosed venture capital backing, parent company, or acquisition activity.

Name

CareVitality

Legal name

CareVitality, Inc.

Website

https://carevitality.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

CareVitality is a privately held US healthcare technology company that provides an AI-powered care management platform with cellular-connected RPM devices, serving physician practices, hospitals, ACOs, FQHCs, health plans, and senior living facilities across the United States.

Ownership category

akta.pro rank

Product category

Care Management Software

NAICS

Social Assistance (624), Services for the Elderly and Persons with Disabilities (624120), Custom Computer Programming Services (541511)

SIC

Services-Health Services (8000), Services-Prepackaged Software (7372), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Chronic Care & Remote Patient Monitoring (RPM) Platforms (HLALABAF)

akta.pro secondary industries

AI/Analytics for RPM (Risk Stratification, Alerts, Predictive) (HLACAFAM), Care Coordination, Escalation & Clinical Workflow for RPM (HLACAFAI), Care Pathway Automation & Patient Engagement for RPM (Coaching, Messaging, Scheduling) (HLACAPAM), Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO), Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management) (HLALAFAL)

Keywords

• Chronic care management
• Remote patient monitoring
• Behavioral health integration
• Telehealth care management
• Care management software

Headquarters

HQ city

Skokie

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, Operations, Marketing or Sales, Supply Chain

Revenue model

1. Care Management Software and Services Subscription: Comprehensive care management platform with cellular-connected devices and expert services for RPM, CCM, BHI, PCM, TCM, and AWV programs. Supports healthcare providers in obtaining Medicare reimbursement for virtual care services.
2. Cybersecurity Services: Security Risk Analysis, HIPAA compliance services, penetration testing, and ongoing security training for healthcare organizations.
3. MACRA/MIPS Consultation and Audit Services: MIPS implementation, consultation, mock audits, and appeals services for healthcare providers participating in Medicare quality programs.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

CareVitality provides an integrated Comprehensive Care Management AI Software Platform sold with cellular-connected remote patient monitoring devices and expert clinical staff, enabling healthcare organizations to deliver CCM, RPM, PCM, BHI, TCM, and AWV programs. The platform automatically integrates with 100+ EHR and Practice Management systems to input vital signs and care notes and to transmit billing for Medicare reimbursement. Complementary revenue lines include MACRA/MIPS consultation/audit services and HIPAA cybersecurity (Security Risk Analysis, penetration testing, SOC monitoring).

Product overview

CareVitality is a comprehensive care management AI software solution with cellular-connected devices, offered as a complete integrated platform or by individual modules. The core platform integrates Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), Principal Care Management (PCM), Transitional Care Management (TCM), General Care Management (GCM), and Annual Wellness Visits (AWV) modules. The platform integrates with 100+ EHRs and Practice Management systems to automatically input vital signs and care notes and send billing for processing. Additional services include Patient Engagement Center Solutions, Comprehensive Primary Care Plus support, Cybersecurity Services, MACRA/MIPS consultation, and Virtual Clinical Staff Augmentation.

Differentiator

Problem solved

Functional benefit

Products and services

• Chronic Care Management (CCM) Enterprise software platform and services for delivering comprehensive virtual care to Medicare patients with two or more chronic conditions expected to last at least 12 months. Includes care plan review, preventative services, referral management, care coordination, medication reconciliation, and DME assistance to help physician practices obtain Medicare reimbursement for CCM service codes.
• Remote Patient Monitoring (RPM) Remote patient monitoring software and services using cellular-connected devices (no Bluetooth pairing required) to manage chronic conditions and deliver actionable data for care coordination. Aimed at minimizing medication errors, inaccurate readings, and missed appointments while supporting Medicare RPM reimbursement.
• Behavioral Health Integration (BHI) Integrated Behavioral Health software and services to proactively manage patients' behavioral health and mental well-being through focused treatment plans, behavioral assessments, care management, and care coordination for behavioral-health practices and integrated primary-care settings.
• Principal Care Management (PCM) PCM software and services focused on a single high-risk complex chronic condition, including care plan review, preventative services, referral management, care coordination, scheduling, medication reconciliation, and DME assistance to support Medicare PCM reimbursement.
• Transitional Care Management (TCM) TCM software and services to proactively manage patient care post-discharge and ensure smooth care transitions to home, domicile, rest home, or long-term-care facility, aimed at avoiding hospital readmissions from qualifying discharge facilities.
• General Care Management (GCM) GCM software platform and services providing effective care delivery across chronic disease management, specialty care, integrated behavioral health, remote patient monitoring, and transitional care under the G0511 reimbursement code.
• Annual Wellness Visit (AWV) Annual Wellness Visit and Health Risk Assessment comprehensive services providing preventive care to identify potential health risks and promote early detection by assessing Medicare patients' overall health each year.
• Patient Engagement Center Solutions Turnkey patient-engagement and telehealth services that supplement healthcare teams and operate either on CareVitality's platform or the practice's existing platform, supporting outreach and patient engagement across care management programs.
• Comprehensive Primary Care Plus (CPC+) Support Care management support services for practices participating in the CMS Comprehensive Primary Care Plus (CPC+) advanced payment model, helping them meet CPC+ care-management requirements.
• Cybersecurity Services (SecureVitality) Security Risk Analysis, Vulnerability Scanning, Penetration Testing, Compliance Training, and Security Operations Center (SOC) monitoring delivered to healthcare organizations for HIPAA compliance and protection from malicious activity.
• MACRA/MIPS Consultation and Audit Services Consultation, implementation, MIPS audits/appeals, and mock-audit services to help providers satisfy MIPS and Meaningful Use objectives and protect Medicare payments under MACRA quality programs.
• Virtual Clinical Staff Augmentation Virtual clinical-staff augmentation services (experienced RNs and care managers) that supplement healthcare organizations' existing teams to deliver virtual care management programs on CareVitality's platform.

Quantifiable outcome

• Increased practice revenue through additional Medicare reimbursement for CCM service codes
• +3 more outcomes

Named customers5 records

Segments8 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration11 records

AI capability4 records

Feature5 records

Partnerships

16 partnerships are on record, tiered core and regional.

• American Medical Association (AMA)coreGTM or Marketing PartnerIndustry partnership/endorsement providing credibility and market access for CareVitality's care management solutions within the physician community.
• American Osteopathic AssociationcoreGTM or Marketing PartnerIndustry partnership providing endorsement and market access within the osteopathic physician community.
• National Council for Behavioral HealthcoreGTM or Marketing PartnerStrategic partnership supporting behavioral health integration services and market access to mental health organizations.
• Boulder Valley Individual Practice AssociationregionalGTM or Marketing PartnerRegional partnership providing market access within Colorado physician community.
• Arizona State Physician AssociationregionalGTM or Marketing PartnerRegional partnership providing market access within Arizona physician community.
• Colorado Academy of Family PhysiciansregionalGTM or Marketing PartnerRegional partnership providing market access within Colorado family medicine community.
• New Hampshire Medical SocietyregionalGTM or Marketing PartnerRegional partnership providing market access within New Hampshire physician community.
• Medical Society of New JerseyregionalGTM or Marketing PartnerRegional partnership providing market access within New Jersey physician community.
• MDofficeManagercoreTechnology or IntegrationTechnology integration partner providing practice management system connectivity for care management and billing integration.
• AthenahealthcoreTechnology or IntegrationEHR integration enabling automatic vital signs input, care notes documentation, and billing transmission within Athenahealth workflow.
• EpiccoreTechnology or IntegrationEHR integration enabling automatic vital signs input, care notes documentation, and billing transmission within Epic workflow.
• Cerner (Oracle Health)coreTechnology or IntegrationEHR integration enabling automatic vital signs input, care notes documentation, and billing transmission within Cerner workflow.
• VeradigmcoreTechnology or IntegrationEHR integration partner supporting care management platform connectivity.
• ModMedcoreTechnology or IntegrationEHR integration partner supporting care management platform connectivity.
• NextGen HealthcarecoreTechnology or IntegrationEHR integration partner supporting care management platform connectivity.
• Altera Digital HealthcoreTechnology or IntegrationEHR integration partner supporting care management platform connectivity.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• Prevounce Health: Prevounce Health is an emerging CCM/RPM platform targeted at independent practices and FQHCs — a segment explicitly named in CareVitality's customer segmentation. It overlaps on the modular platform and Medicare-reimbursement value proposition.
• Medsien: Medsien offers CCM, RPM, BHI, and TCM programs with virtual clinical staff augmentation, directly competing with CareVitality's core and add-on services, particularly for small and mid-sized physician practices.
• Biofourmis: Biofourmis offers AI-driven RPM and predictive analytics for chronic and post-acute care, with a stronger analytics/AI emphasis than CareVitality. It competes for the same AI-enabled, device-anchored care management deployments.
• CareSimple: CareSimple is an emerging RPM platform providing cellular-connected devices and a clinician portal, directly comparable to CareVitality's RPM offering and patient onboarding approach.

Direct peers

• Health Recovery Solutions (HRS): HRS provides a comprehensive RPM and care management platform with paired devices, similar EHR integrations, and condition-specific programs. It is a direct peer in CCM/RPM enterprise sales and competes with CareVitality on the same hospital, health-system, and post-acute RFPs.
• AMC Health: AMC Health is a direct peer in RPM and telehealth care management for chronic populations, offering device-agnostic monitoring and clinical oversight services comparable to CareVitality's bundled offering.
• Wellbox: Wellbox is a closely comparable direct peer offering a CCM/RPM platform with published per-patient pricing, in-house clinical staff, and similar Medicare-billing-aligned GTM. CareVitality and Wellbox compete for the same physician practice and ACO customers across essentially the same set of CPT codes.
• Vivify Health: Vivify Health is a long-standing RPM and connected care platform acquired by Optum. It directly overlaps with CareVitality's RPM + chronic care bundle but operates at much larger scale under UnitedHealth Group ownership.
• Clear Arch Health: Clear Arch Health (formerly Life365) is a direct peer providing RPM hardware, software, and managed services to provider, payer, and senior-living customers — overlapping with CareVitality's RPM and post-acute segment.

Broad incumbents

• Optum (UnitedHealth Group) Care Management: Optum, as the parent of Vivify Health and a major value-based-care services provider, is a broad incumbent offering care management, RPM, and analytics as part of a much larger portfolio. It competes with CareVitality especially at large health-system and payer scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/carevitality
• YouTubeyoutube.com/channel/UCYtpaNkonwxVGBuc-1pqNfg
• Facebookfacebook.com/carevitality
• LinkedInlinkedin.com/company/carevitality
• Instagraminstagram.com/carevitality

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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 CareVitality