Community Care of North Carolina

What Community Care of North Carolina does

Community Care of North Carolina (CCNC) is a private nonprofit, public-private partnership founded in 2007 and headquartered in Garner, North Carolina, that delivers care management and population health services to Medicaid beneficiaries and other vulnerable populations in the state. The organization operates through 14 local network partners spanning all 100 North Carolina counties, supporting more than 4,000 independent primary care practices in its Community Care Physician Network (CCPN) and reaching over one million members. CCNC's core service portfolio includes care management, clinical programs such as the Pregnancy Medical Home and Behavioral Health Integration, the Community Pharmacy Enhanced Services Network (CPESN®), and trademarked practice support tools such as Practice Perfect℠.

CCNC's technology backbone centers on proprietary predictive analytics — notably the Impactability Score™ and the Maternal-Infant Impactability Score™ (MIIS) — built on more than 15 years of Medicaid administrative, clinical, and pharmacy data. Through a five-year partnership with Innovaccer announced in 2026, the organization is deploying the Healthcare Intelligence Cloud across CCPN providers, combining clinical and claims data with advanced analytics, real-time dashboards, and AI-enabled care management tools. A multi-year AWS collaboration signed in 2026 layers agentic AI capabilities on AWS Bedrock and HealthLake, and CCNC's 2025 migration of its legacy data system to a modern AWS cloud analytics platform was recognized with an AWS Champion award.

Revenue is generated through North Carolina Medicaid and state government contracts, federal CMS Innovation Awards and other grants (over $26 million documented across 2011–2016), philanthropic foundation support, and consulting or implementation engagements with other states (Arkansas Department of Human Services, Passport Health Plan). CCNC has documented nearly $1 billion in Medicaid savings over 2007–2010 via Milliman analysis, $382 million in 2010 alone for super-utilizer programs, and a 3-to-1 return on its costs per a North Carolina State Auditor report, positioning the organization as a validated value-based care convener for independent primary care.

Name

Community Care of North Carolina

Legal name

Community Care of North Carolina

Website

https://communitycarenc.org

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

251–500 employees

Short description

Community Care of North Carolina is a nonprofit public-private partnership that delivers care management, predictive analytics, and population health programs to over one million Medicaid members and 4,000+ independent primary care providers across North Carolina through 14 local network partners.

Ownership category

akta.pro rank

Headquarters

HQ city

Garner

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Government Contracts and Grants: CCNC operates as a public-private partnership receiving funding through state Medicaid contracts, federal grants (including CMS Innovation Awards), and foundation support to fund care management and population health programs.
2. Value-Based Care Analytics Services: Provides real-time value-based care analytics and AI-enabled care management tools to health systems and provider networks, scaling across covered lives.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Community Care of North Carolina delivers population health management, care coordination, and value-based care analytics services primarily to North Carolina Medicaid beneficiaries and the independent primary care practices serving them. Through 14 local network partners spanning all 100 NC counties and a physician-led clinically integrated network (CCPN), CCNC offers proprietary Impactability Score™ predictive analytics, care management services, clinical programs (Pregnancy Medical Home, Behavioral Health Integration, Community Pharmacy Enhanced Services Network), and a Practice Perfect℠ practice optimization toolset.

Product overview

Community Care of North Carolina operates as a unified population health management platform offering a comprehensive suite of integrated products and services. The core portfolio includes the Impactability Score™ and Maternal-Infant Impactability Score™ (MIIS) predictive analytics tools, the Community Pharmacy Enhanced Services Network® (CPESN®) for medication optimization, and clinical programs including Pregnancy Medical Home and Behavioral Health Integration. Through a five-year partnership with Innovaccer (leveraging the Healthcare Intelligence Cloud on AWS), CCNC provides over 4,000 Community Care Physician Network providers with predictive insights, real-time dashboards, and AI-enabled care management tools. Supporting services include Practice Perfect℠ for value-based payment readiness, Care Management Services, and Practice Partnership Options—all designed to support independent primary care practices in delivering community-based healthcare across North Carolina's Medicaid population.

Differentiator

Problem solved

Functional benefit

Brands

• Community Care Physician Network (CCPN): Physician-led, clinically integrated network that helps independent primary care and behavioral health clinicians
• Community Pharmacy Enhanced Services Network (CPESN)
• Pregnancy Medical Home (PMH)
• Project Lazarus
• Practice Perfect

Products and services

• Care Management Services Care management services with demonstrated ROI that assess impactability to ensure care management resources reach patients who need it most, including care plan development, hospital discharge support, medication management, and connecting patients to needed community services.
• Impactability Score™ A proprietary predictive analytics tool that uses administrative data to identify patients most likely to benefit from care management intervention. The score predicts achievable savings by estimating intervention effects in care management cohorts versus control populations, enabling 2-3 times the return on investment compared to other targeting strategies.
• Pregnancy Medical Home (PMH) A program launched in 2011 to enhance access to comprehensive care for pregnant Medicaid beneficiaries and improve birth outcomes. Promotes evidence-based, high-quality maternity care in more than 400 practices across the state, representing 95% of prenatal care providers who serve the Medicaid population.
• Maternal-Infant Impactability Score™ (MIIS) A demonstrated approach for reducing low birth weight through pregnancy care management, enabling care managers to identify pregnant patients most likely to benefit from intervention.
• Community Pharmacy Enhanced Services Network® (CPESN®) A network of community pharmacists integrated into the Medical Home Team, created in 2014 to broaden capacity for care management and medication optimization services. Network pharmacists manage highly complex patient populations focusing on improving healthcare outcomes through medication management and transitional care.
• Behavioral Health Integration (BHI) Services helping practices integrate on-site behavioral health services including screening protocols for mild to moderate behavioral health conditions (depression, anxiety, and risky substance use). Implements Evidence-Based Models including Primary Care Behavioral Health consultant model (PCBH), SBIRT, and Collaborative Care.
• Practice Perfect℠ Trademarked practice tools designed to improve quality and ready practices for value-based payment, offered through Community Care Physician Network as part of CCNC's Predictive and Actionable Analytics suite.
• Innovaccer Healthcare Intelligence Cloud (CCPN access platform) A five-year partnership platform that combines clinical and claims data with advanced analytics to provide predictive insights, real-time dashboards, and AI-enabled care management tools designed to improve patient outcomes and manage financial risk for more than 4,000 Community Care Physician Network providers.
• Practice Partnership Options Services offering practice transitions and partnership options to help independent practices continue providing high levels of care while simplifying the business of healthcare through extensive payer experience and community-based healthcare expertise.

Quantifiable outcome

• Saved nearly $1 billion over four years (2007-2010) for North Carolina Medicaid
• +5 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature3 records

Partnerships

Eleven partnerships are on record, tiered core, flagship, supporting and regional.

• Amazon Web Services (AWS)coreTechnology or Integration · 1 June 2026Multi-year Strategic Collaboration Agreement leveraging AWS Bedrock and HealthLake to accelerate deployment of agentic AI in healthcare. Addresses administrative waste consuming nearly 40 cents of every hospital dollar while enabling procurement through AWS Marketplace to compress contracting timelines from months to days. CCNC has validated scaling real-time value-based care analytics across more than one million covered lives.
• InnovaccerflagshipTechnology or Integration · 1 January 2026Five-year partnership where more than 4,000 Community Care Physician Network providers gain access to Innovaccer's Healthcare Intelligence Cloud. The platform combines clinical and claims data with advanced analytics to provide predictive insights, real-time dashboards, and AI-enabled care management tools designed to improve patient outcomes and manage financial risk.
• North Carolina Health Information Exchange (NC HIE)coreTechnology or Integration · 1 March 2012CCNC serves as the first Qualified Organization (QO) for NC HIE, providing pathways for health information exchange with other QOs, state and national agencies, payers, and regional health information exchanges. Leverages CCNC's existing statewide infrastructure and provider relationships.
• ActiveHealthcoreStrategic or Co-development PartnerCCNC Care Managers work with ActiveHealth's NC HealthSmart telephonic population health management services for North Carolina's State Health Plan members. CCNC provides community-based PCMH model complementing ActiveHealth's existing services, with focus on members with highest health risks and greatest chronic care needs.
• CitiusTechsupportingTechnology or IntegrationPartnership to drive improvement in data analytics using BI platform and improve cost-effectiveness of CCNC operations.
• Passport Health PlanregionalStrategic or Co-development PartnerStrategic alliance with Passport Health Plan, a Kentucky-based nonprofit health plan managing care for Medicaid beneficiaries.
• Arkansas Department of Human ServicesflagshipImplementation/ SI/ Consulting PartnerCCNC selected to implement the same care model that has succeeded in North Carolina for Arkansas. Arkansas Department of Human Services/Division of Medical Services chose CCNC to provide care coordination support and population health services for the State of Arkansas.
• Foster Family Alliance of North Carolina (FFA-NC)supportingStrategic or Co-development PartnerCollaboration to expand care for NC children and youth in foster care through coordinated services between CCNC and foster family organizations.
• Methodist Home for ChildrensupportingStrategic or Co-development PartnerCollaboration to expand care for NC children and youth in foster care through partnership between MHC and CCNC.
• North Carolina Hospitals CoalitionflagshipStrategic or Co-development PartnerPediatric ACO initiative: $9 million CMS Innovation Award providing care coordination through embedded specialty care managers in specialist offices and 'parent navigators' working with patients in their homes. Coalition includes academic medical centers (Carolinas Medical Center-Charlotte, Duke, UNC, Vidant, Wake Forest Baptist) and children's units at multiple hospitals. Will serve 50,000 Medicaid and CHIP children with chronic diseases.
• Project Lazarus / State of North CarolinacoreStrategic or Co-development Partner$2.6M in support from State of North Carolina and Kate B. Reynolds Charitable Trust for community-based approach to chronic pain addressing prescription drug abuse statewide.

Scale indicators8 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Humana: Humana is a major health plan with significant Medicaid and Medicare value-based care exposure through its CenterWell primary care and Conviva platforms. A large incumbent adjacent to CCNC's Medicaid population-health focus.
• Centene Corporation: Centene is the largest US Medicaid managed-care insurer, administering benefits and care programs for vulnerable populations across dozens of states. Operates as a customer, competitor, and potential partner to CCNC's care-management services.
• UnitedHealth Group (Optum): Optum provides analytics, care delivery, and population-health services across Medicaid, Medicare, and commercial populations. A much larger incumbent in the same value-based care enablement category where CCNC competes.

Direct peers

• Aledade: Aledade partners with independent primary care physicians to form ACOs and deliver value-based care across commercial, Medicare, and Medicaid lines. Highly comparable to CCNC's physician-enablement and population-health model, with a national footprint and venture-backed scaling.
• agilon health: agilon partners with primary care physicians to manage senior populations under full-risk Medicare Advantage and value-based arrangements. Comparable to CCNC's care-management + predictive-analytics model, focused on high-need, high-cost populations.
• Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving providers, payers, and health systems with population-health and value-based care insights. Closely comparable to CCNC's Impactability Score™ and analytics-driven care-management approach.
• Privia Health: Privia enables independent primary care and specialty practices to succeed in value-based care through its technology platform, analytics, and clinically integrated networks. Directly comparable to CCNC's CCPN network and Practice Perfect™ offering.
• Arcadia: Arcadia provides a healthcare data platform for population health management, value-based care, and risk-adjustment analytics. Directly comparable to CCNC's analytics and AI-enabled care management capabilities delivered via the Innovaccer platform.
• Innovaccer: Innovaccer provides the Healthcare Intelligence Cloud—a data and analytics platform unifying clinical, claims, and social data for value-based care. Direct technology partner of CCNC and a peer in the same healthcare-data-activation category.
• Landmark Health: Landmark delivers in-home, risk-bearing medical care for complex, poly-chronic patients—mirroring CCNC's super-utilizer care management. Comparable target population, clinical model, and value-based contract structure.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/communitycarenc
• Facebookfacebook.com/communitycarenc
• LinkedInlinkedin.com/company/communitycarenc

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Community Care of North Carolina