Community Care of the Lower Cape Fear
Community Care of the Lower Cape Fear is a 501(c)(3) nonprofit founded in 2003 that delivers NCQA-accredited care management, Medicare chronic care services, and the Healthy Opportunities Pilot across six southeastern North Carolina counties for Medicaid, Medicare, and uninsured populations.
- Company typePrivate
- Founded2003
- HeadquartersWilmington, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Community Care of the Lower Cape Fear does
Community Care of the Lower Cape Fear (CCLCF) is a 501(c)(3) nonprofit organization founded in 2003 and headquartered in Wilmington, North Carolina. It delivers care management and care coordination services across a six-county region in southeastern North Carolina (Bladen, Brunswick, Columbus, New Hanover, Onslow, and Pender), serving Medicaid Managed Care beneficiaries, Medicare patients with multiple chronic conditions, uninsured and under-insured residents, pregnant women and infants, and other high-need populations. CCLCF is NCQA-accredited for Complex Care Management (perfect score of 100 in 2018) and is one of only three Network Leads for the North Carolina Healthy Opportunities Pilot (HOP), the nation's first comprehensive Medicaid program funding non-medical interventions for food, housing, transportation, and interpersonal safety.
CCLCF's core offerings are Medicaid Care Management, Care Management for Seniors (Chronic Care Management, Transitional Care Management, Annual Wellness Visits), and the Healthy Opportunities Pilot network lead role. These are supported by modular services including the CDC Diabetes Prevention Program, Healthcare Navigation through the Help Hub at the Harrelson Center, Pharmacy Services (clinical pharmacist practitioners, medication reviews), the Perinatal Nurse Champion program, and the integrated Pathway to Wellness bundle. The underlying technology stack is intentionally narrow and focused on care coordination rather than analytics: integration with the statewide NCCARE360 referral network for closed-loop resource referrals and DocsInk for telehealth, secure provider communication, and video visits. No proprietary AI or machine-learning capabilities are described.
Revenue is generated through a multi-payer mix rather than direct consumer fees: delegated care management contracts with Prepaid Health Plans (notably Carolina Complete Health), Medicare CCM/TCM/AWV billing across a network of 550+ primary care providers, ACO and provider practice contracts, and a growing base of foundation and corporate grants (New Hanover Community Endowment $1.5M, Kate B. Reynolds Charitable Trust, Blue Cross Blue Shield of North Carolina Foundation, Live Oak Bank). The organization partners with 50+ human service organizations, 7 hospitals, multiple county health departments, and an LME/MCO (Trillium Health Resources), distributing services through enterprise contracts and direct community navigation rather than a traditional sales motion.
Community Care of the Lower Cape Fear firmographics
Firmographics- Name
- Community Care of the Lower Cape Fear
- Legal name
- Community Care of the Lower Cape Fear
- Website
- https://carelcf.org
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Community Care of the Lower Cape Fear is a 501(c)(3) nonprofit founded in 2003 that delivers NCQA-accredited care management, Medicare chronic care services, and the Healthy Opportunities Pilot across six southeastern North Carolina counties for Medicaid, Medicare, and uninsured populations.
- Ownership category
- akta.pro rank
Where Community Care of the Lower Cape Fear is headquartered
LocationHeadquarters
- HQ city
- Wilmington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Community Care of the Lower Cape Fear business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales
Revenue model
- Medicaid Care Management Contracts: CCLCF was selected by NC Medicaid program to manage enrollees' medical, social, and behavioral conditions. Revenue generated through contracted care management services with Prepaid Health Plans (PHPs) for Medicaid Managed Care beneficiaries.
- Medicare Care Management: Care management programs for Medicare patients dealing with two or more chronic conditions, including Chronic Care Management, Transitional Care Management, and Annual Wellness Visits.
- Foundation Grants: Strategic planning grants and program funding from foundations including New Hanover Community Endowment ($1.5 million), Kate B. Reynolds Charitable Trust, Blue Cross Blue Shield of North Carolina Foundation.
- Healthy Opportunities Pilot (HOP): As one of three Network Leads for HOP, CCLCF coordinates social determinants of health services (food, housing, transportation, interpersonal safety) for Medicaid Managed Care enrollees. Network HSOs deliver 29 non-medical, evidence-based interventions.
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
Community Care of the Lower Cape Fear product offering
Product offeringCore offering
CCLCF delivers coordinated care management services for Medicaid beneficiaries and Medicare patients across six Southeastern North Carolina counties, including complex care management, chronic care management, transitional care management, and annual wellness visits. As one of three Network Leads for the North Carolina Healthy Opportunities Pilot, it also coordinates non-medical interventions (food, housing, transportation, interpersonal safety) for Medicaid Managed Care enrollees. Services are contracted through Prepaid Health Plans, ACOs, primary care providers, hospitals, and government programs, supported by pharmacy, healthcare navigation, and diabetes prevention programs.
Product overview
Community Care of the Lower Cape Fear (CCLCF) is a 501(c)(3) nonprofit organization offering a coordinated care management platform focused on whole-person health. The core offerings include Medicaid Care Management, Care Management for Seniors, and the Healthy Opportunities Pilot (HOP) as one of three Network Leads. These are supported by modular services including the CDC Diabetes Prevention Program, Healthcare Navigation (Help Hub), Pharmacy Services, Perinatal Nurse Champion program, and Pathway to Wellness. CCLCF also operates the Cape Fear HOP Social Care Network connecting medical, behavioral, and social services across six Southeastern NC counties.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicaid Care Management Care coordination and complex care management services for Medicaid beneficiaries in the NC Medicaid Managed Care model, supporting patients and providers through a whole-person centered approach.
- Care Management for Seniors Comprehensive care management services for Medicare patients with two or more chronic conditions, including Chronic Care Management, Transitional Care Management, and Annual Wellness Visits.
- Healthy Opportunities Pilot (HOP) Nation's first comprehensive program testing non-medical interventions related to food, housing, transportation, and interpersonal safety/toxic stress for Medicaid Managed Care enrollees; CCLCF serves as Network Lead for the Cape Fear region.
- CDC Diabetes Prevention Program (DPP) CDC-recognized lifestyle change program to prevent or delay type 2 diabetes through healthy eating and physical activity, delivered by trained lifestyle coaches with year-long support.
- Healthcare Navigation Health navigation services through the Help Hub providing assistance with Medicaid applications, specialist referrals, medication assistance, and connection to community resources for food, housing, and employment for insured, uninsured, and under-insured individuals.
- Pharmacy Services Clinical pharmacy services including curbside consults, population drug monitoring, comprehensive medication reviews, and collaborative practice partnerships with medical practices.
- Perinatal Nurse Champion Grant Maternal health innovation program providing best-practice education and resources to reduce disparities in maternal morbidity and mortality, serving Region V of North Carolina's Perinatal Regions.
- Pathway to Wellness Integrated services combining Chronic Care Management, Diabetes Prevention, Pharmacy Services, and Healthcare Navigation to support community and family members as a single coordinated program.
- Social Care Network Coordinated care network connecting health and social support providers, developed with local Human Service organizations building on the Healthy Opportunities Pilot model.
Quantifiable outcome
- 33% reduction in inpatient admissions
- +9 more outcomes
Companies that use Community Care of the Lower Cape Fear
Customer profileNamed customers6 records
Segments7 records
Ideal customer profiles3 records
Community Care of the Lower Cape Fear technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature2 records
Community Care of the Lower Cape Fear partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core, major and minor.
- NC Department of Health and Human ServicescoreCCLCF provides care management, care navigation and Social Determinant of Health Support to Medicaid beneficiaries. Also serves as one of three Network Leads for the Healthy Opportunities Pilot program.
- Carolina Complete HealthcoreOne of North Carolina Medicaid's Prepaid Health Plans and the only provider-led entity. CCLCF provides delegated complex care management, LTSS care management, care coordination, and HOP care management for CCH members.
- Trillium Health ResourcescoreLME/MCO partner. Awarded 2017 Transforming Lives Award for Care Integration. Partnered on Pediatric Pilot for patients with Intellectual and Developmental Delays. Recipient of 2026 i2i Quality Innovations Award.
- Cape Fear HealthNetmajorLocal 501c3 creating a coordinated system of healthcare for the poor and uninsured. Collaborative work focuses on helping uninsured navigate healthcare system, particularly with Specialists.
- Cape Fear CollectivemajorValued partner supporting the Healthy Opportunities Pilot and The Harrelson Center Help Hub initiative using data science to drive change.
- Harrelson CentermajorCCLCF operates Help Hub Care Navigation through a two-year grant from Live Oak Bank. Help Hub provides health care navigation and resources for community members.
- DocsInkmajorLocal telehealth option integrated into care management and coordination. Provides essential space for care teams to share data, communicate securely with providers, and video chat with patients.
- Access East (ECU Health Affiliate)majorCCLCF provides care coordination, complex care management, and provider support services to local contracted primary care providers in the six-county region.
- Mt. Calvary Center for Leadership DevelopmentminorCCLCF announced membership to Mt. Calvary Executive Leadership Society. Organization serves mostly low income and rural communities including under-served minority communities.
- New Hanover Resiliency Task ForceminorOne of 55 organizations in New Hanover County committed to building a resilient and compassionate community through trauma-informed approaches.
- Novant HealthmajorRegional partnership through Novant Health Brunswick Medical Center (Regional Manager on Board) and Chief Nursing Officer involvement.
- South East Area Health Education CentermajorPresident & CEO Joseph Pino serves as Board Chair for CCLCF. SEAHEC VP GME of New Hanover Regional Medical Center.
- NCCARE360majorFirst statewide coordinated care network to electronically connect those with identified needs to community resources and allow for a feedback loop on the outcome of that connection.
- NC MedicaidcoreSelected by NC Medicaid program to manage enrollees' medical, social, and behavioral conditions. One of three Network Leads for the Healthy Opportunities Pilot.
Scale indicators17 records
Recent moves6 records
Expansion highlights6 records
Community Care of the Lower Cape Fear competitors and assessment
Company assessmentDirect peers
- Community Care of North Carolina: The umbrella network of regional Community Care affiliates; CCLCF operates as a local affiliate in the CCNC system, sharing the same care management model, payer relationships, and statewide infrastructure.
- Access East: ECU Health-affiliated care management organization providing complex care management and provider support in eastern North Carolina; directly comparable as a regional Network Lead-style entity.
- Community Care of the Sandhills: Regional Community Care network serving the Sandhills region of NC; offers Medicaid and Medicare care management services and is part of the same CCNC-affiliated network as CCLCF.
- Community Care of Western North Carolina: Sibling Community Care network serving western NC; provides the same NC Medicaid care management and HOP-adjacent services under the CCNC model.
Broad incumbents
- Trillium Health Resources: NC LME/MCO managing behavioral health and intellectual/developmental disability services; CCLCF partners with Trillium on HOP and has received joint innovation awards, making it a strategic peer in the same managed-care ecosystem.
- Vaya Health: Another NC LME/MCO with overlapping managed-care responsibilities and Tailored Plan operations; comparable as a regional behavioral health and care coordination payor/provider.
- Carolina Complete Health: NC Medicaid Prepaid Health Plan (provider-led) that delegates complex care management, LTSS, and HOP services to CCLCF; comparable as a Medicaid managed care organization operating in the same market.
Regional players
- Well Care Home Health: North Carolina home health and care management operator (former employer of CCLCF's CFO); comparable in regional scale and Medicare care management focus, though not a direct competitor.
Emerging players
- Unite Us: National technology platform for social determinants of health referral networks (NCCARE360's national parent); comparable in addressing SDoH coordination, though technology-led rather than care-management-led.
- findhelp (formerly Aunt Bertha): Social care referral platform serving health plans, providers, and community organizations; comparable to CCLCF's NCCARE360 integration and SDoH navigation mission, with broader national reach.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Community Care of the Lower Cape Fear social profiles
Digital presenceCommunity Care of the Lower Cape Fear compliance and trust
Trust signalCompliance2 records
Community Care of the Lower Cape Fear financial estimates
Financial estimateRevenue estimate
Valuation estimate
Community Care of the Lower Cape Fear leadership team
Management profileNumber of profiles
Profiles7 records
Community Care of the Lower Cape Fear funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Community Care of the Lower Cape Fear M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Community Care of the Lower Cape Fear
What does Community Care of the Lower Cape Fear do?
CCLCF delivers coordinated care management services for Medicaid beneficiaries and Medicare patients across six Southeastern North Carolina counties, including complex care management, chronic care management, transitional care management, and annual wellness visits. As one of three Network Leads for the North Carolina Healthy Opportunities Pilot, it also coordinates non-medical interventions (food, housing, transportation, interpersonal safety) for Medicaid Managed Care enrollees. Services are contracted through Prepaid Health Plans, ACOs, primary care providers, hospitals, and government programs, supported by pharmacy, healthcare navigation, and diabetes prevention programs.
Is Community Care of the Lower Cape Fear a public or private company?
Community Care of the Lower Cape Fear is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Community Care of the Lower Cape Fear founded?
Community Care of the Lower Cape Fear was founded in 2003. It employs 101 to 250 people.
Where is Community Care of the Lower Cape Fear based?
Community Care of the Lower Cape Fear is headquartered in Wilmington, United States, in the North America region.
How does Community Care of the Lower Cape Fear make money?
Four revenue lines are on record. Medicaid Care Management Contracts are the primary driver. The others are medicare Care Management, foundation Grants and healthy Opportunities Pilot (HOP).
Who are Community Care of the Lower Cape Fear's main competitors?
Direct peers on record are Community Care of North Carolina, Access East, Community Care of the Sandhills and Community Care of Western North Carolina. Broad incumbents are Trillium Health Resources, Vaya Health and Carolina Complete Health. Well Care Home Health is listed as a regional player. Emerging players are Unite Us and findhelp (formerly Aunt Bertha).
Does Community Care of the Lower Cape Fear have an API?
No public API is recorded for Community Care of the Lower Cape Fear.