Care to Care LLC

What Care to Care LLC does

Care to Care LLC is a US-based healthcare services company that provides specialty benefits and utilization management services to managed care organizations and other healthcare payers. Founded in 2007 and headquartered in New York with a headcount of 51–100 employees, the company operates in the payer-facing healthcare technology and services segment, focused on reducing wasteful care and streamlining the approval, coding, and documentation processes across the care continuum.

The company's platform is described in associated source material as an AI-enabled clinical decision support suite that combines real-time clinical alerts, automated HCC (Hierarchical Condition Category) coding technology, risk-adjustment tooling, AI-powered prior authorization automation, and stewardship features that surface lower-cost clinically appropriate alternatives inside the EHR. Core modules referenced include Clinical Decision Support, CodingCare and CodingGuide (in-workflow HCC coding), Gaps (care and documentation gap surfacing), Risk Adjustment, Prior Authorization, and Premier's Stewardship. Distribution is via direct enterprise sales to health systems and payers, with deep integration into the Epic EMR environment — including the CodingCare app under construction in Epic Toolbox — and a revenue model that is subscription/recurring and partly tied to per-admission savings economics (Premier-internal data references $94 average savings per acute care admission).

The customer base is composed of named US health system and payer enterprises including Community Health Network, Bellin, Geisinger, Bon Secours, and MultiCare, with marketing materials and customer success stories serving as primary demand-generation assets. Leadership consists of Jack Lefkowitz (CEO and President) and Henry Kauftheil (Director & Shareholder). Note: the firmographic profile (Care to Care LLC, founded 2007, New York, utilization management for payers) is partially inconsistent with attached product/technology content that describes 'Premier's Stanson Health' as the operating brand; this analysis treats Care to Care LLC as the subject and reflects the available evidence without resolving the discrepancy.

Name

Care to Care LLC

Legal name

Premier Inc.

Website

https://caretocare.com

Company type

Public

Founded year

1983

Operating status

Operating

Headcount range

51–100 employees

Short description

Care to Care LLC is a New York-based healthcare services company, founded in 2007 with 51–100 employees, that delivers specialty benefits and utilization management services to managed care organizations and other healthcare payers via AI-enabled clinical decision support and related workflow solutions.

Ownership category

akta.pro rank

Product category

Healthcare Utilization Management

NAICS

Ambulatory Health Care Services (621)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)

Keywords

• Utilization management services
• Specialty benefits administration
• Managed care services
• Healthcare payer solutions
• Medical necessity review

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Healthcare Technology Solutions: Subscription-based clinical decision support and HCC coding solutions for health systems and payers, with pricing based on per-acute-care admission savings achieved.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Care to Care LLC provides specialty benefits and utilization management services to managed care organizations and other healthcare payers. The firm administers and reviews specialty care services on behalf of payer clients, helping ensure medical necessity and appropriate utilization of healthcare resources within payer networks.

Product overview

Premier's Stanson Health is a comprehensive smart clinical decision support platform designed for healthcare providers and payers. The platform offers multiple integrated modules including Clinical Decision Support (real-time alerts and analytics), CodingCare and CodingGuide (HCC coding solutions), Gaps (care documentation gap identification), Risk Adjustment (automated HCC coding), Prior Authorization (AI-powered automation), and Premier's Stewardship (EHR-embedded cost optimization). The platform embeds decision support directly in provider workflows within the EHR to reduce low-value care, improve coding accuracy, and generate measurable cost savings (averaging $94 per acute care admission).

Differentiator

Problem solved

Functional benefit

Brands

• Stanson Health: Smart clinical decision support product providing real-time alerts and actionable analytics to reduce low-value and unnecessary care.

Products and services

• Specialty Benefits Administration Administration of specialty benefits offered by Care to Care LLC to managed care organizations and other healthcare payers, encompassing the setup, oversight, and management of specialty benefit programs.
• Utilization Management Services Utilization management services provided by Care to Care LLC to managed care organizations and other healthcare payers, involving the review and authorization of specialty care services to support medical necessity and appropriate utilization.

Quantifiable outcome

• Average savings of $94 per acute care admission
• +1 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature5 records

Scale indicators2 records

Recent moves4 records

Expansion highlights4 records

Direct peers

• eviCore Healthcare: A leading specialty benefits management company providing utilization management for radiology, cardiology, oncology, and other high-cost specialties to health plans; directly comparable in service offering and payer customer base to Care to Care.
• AIM Specialty Health: A specialty benefits management company (part of Optum) that provides utilization management and clinical appropriateness review for advanced imaging and other specialty services to health plans; competes head-to-head with Care to Care for payer contracts.
• National Imaging Associates (NIA): A radiology benefits management organization that delivers utilization management and clinical decision support for imaging services to managed care plans; directly comparable in service line and customer profile to Care to Care.
• HealthHelp: A specialty benefits management firm focused on radiology, cardiology, oncology, and lab utilization management for health plans; comparable in specialty UM focus and payer customer base to Care to Care.
• MedSolutions (now part of eviCore): A specialty utilization management provider (now consolidated into eviCore) historically focused on radiology and other high-cost specialty services for managed care plans; directly comparable in service mix to Care to Care.

Broad incumbents

• Optum (UnitedHealth Group): A diversified health services and innovation company that includes utilization management, analytics, and care management capabilities; competes broadly with Care to Care through its AIM Specialty Health and other payer services units.
• Change Healthcare (now part of Optum): A large healthcare technology and services company providing claims, utilization, and analytics solutions to payers and providers; overlaps with Care to Care in payer-facing utilization management workflows.
• Conduent: A business process services company that provides payer administration, utilization management, and care management services to health plans; competes with Care to Care in the broader payer services market.

Market position

Strengths3 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights4 records

Customer concentration

• Xx.com/caretocarerbm
• Facebookfacebook.com/CaretoCareLLC
• LinkedInlinkedin.com/company/caretocare

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 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 Care to Care LLC