Care Gap Closure and Service Extenders
Care Gap Closure and Service Extenders include companies that provide direct care delivery services aimed at closing care gaps, capturing coding opportunities, or delivering on other clinical activities to drive financial performance under VBC contracts. These are typically companies that extend an organization’s scope of direct care delivery services, for example by conducting annual wellness visits in patients’ homes. Organizations in this category are generally also considered Last Mile Careorganizations with targeted value-based care expertise and use cases.
Criteria:
Direct care delivery services
Expertise in the clinical activities that drive VBC contract performance
24 Results
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Notable
Claimed
Notable Care Gap Closure
Company Info
Founded: 2017
Headcount: 201-500
Customers
Verified Customers: 6
Customers Served: Hospital / Health System, Health Plan, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA, PCI DSS
Notable's Care Gap Closure uses AI and automation to analyze patient records via direct EHR and other data source integrations, identify and engage patients to schedule needed care through personalized texts and emails, and prepare pre-visit provider notes, all while reducing manual workflows for healthcare staff.
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1Health
1Health
Company Info
Founded: 2016
Headcount: 51-200
Customers
Verified Customers: 2
Customers Served: Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security and Compliance Certifications: HIPAA
1health offers turnkey, no-code solutions for at-home testing, patient engagement, and population health management. Their platform facilitates seamless integration with EHRs, lab information systems, and lab networks, enabling efficient data flow and improved care coordination.
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CareCentrix
CareCentrix
Company Info
Founded: 1996
Headcount: 1001-5000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
CareCentrix provides home-centered post-acute care solutions. They work with payers and providers to manage care transitions and reduce unnecessary care. They help at-risk providers to extend care into the home and support value-based care outcomes such as reduced readmissions and a reduction in the cost of care.
Counterpart Health
Counterpart Assistant
Company Info
Founded: 2024
Headcount: 51-200
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Counterpart Assistant, developed by Counterpart Health, is an AI-powered platform originally incubated by Clover Health as Clover Assistant. It integrates with EHRs to provide clinicians with data-driven insights at the point of care, leveraging over 100 machine learning models. The platform helps healthcare providers identify and manage chronic conditions earlier, supporting value-based care by offering prioritized clinical actions and improving outcomes for Medicare members. It is designed for use by payors, accountable care organizations (ACOs), and healthcare practices, with flexible deployment options.
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Curation Health
Curation Health
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF
Curation Health offers a clinical decision support platform tailored for the transition from fee-for-service to value-based care models. Designed to integrate with EHRs like Allscripts, athenahealth, and Epic, the platform delivers in-EHR insights to healthcare providers and plans for more accurate risk adjustment and improved performance in quality programs.
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DispatchHealth
DispatchHealth
Company Info
Founded: 2013
Headcount: 1001-5000
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
DispatchHealth is designed to bring medical care to patients dealing with serious injuries or illnesses in their own homes. Patients can book appointments online or over the phone, and the care team, comprising a physician assistant or nurse practitioner, medical technician, and sometimes remote support from an emergency medicine physician, arrives to treat the patient. Following the appointment, DispatchHealth handles prescription needs, updates the patient's primary doctor, and manages billing with insurance companies. DispatchHealth also partners with risk-bearing entities to support value-based care outcomes, such as reducing costs related to readmissions.
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Empassion
Empassion
Company Info
Founded: 2022
Headcount: 11-50
Customers
Customers Served: Risk-Bearing Providers, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Empassion is a Management Services Organization (MSO) that works with providers on delivering value-based care to seniors with advanced illness. They work with providers by bringing them into their Accountable Care Organizations (ACO) to participate in Medicare’s ACO REACH model and they support practices in serving their populations with advanced illness through care models, care navigation, and analytics services.
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Engooden Health
Engooden
Company Info
Founded: 2016
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Engooden is a virtual care management provider that supports physicians, health systems, payers and ACOs in caring for their patients with chronic conditions. Their services include fully staffed chronic care management services, preventative care solutions including annual wellness visit support, and data and analytics to support risk adjustment.
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Greater Good Health
Greater Good Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Greater Good Health is a value-based care organization that focuses on enabling Nurse Practitioners (NPs). They partner with health plans and providers in value-based care arrangements to expand access to primary care services and close care gaps through their team of NPs and clinical support staff. Their services include primary care, risk adjustment programs, transitions or care, and high risk programs.
HarmonyCares
HarmonyCares
Company Info
Founded: 1993
Headcount: 1001-5000
Customers
Customers Served: Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
HarmonyCares is a provider of home-based services for older adults and those with complex medical needs. HarmonyCares’ services include primary care services, home health services such as skilled nursing and therapies, home hospice services, and diagnostics including laboratory and mobile radiology. They also conduct home health assessments to close care gaps.
Lightbeam Health Solutions
Jvion
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 5
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Jvion provides an AI platform that helps healthcare providers find patients at risk for preventable health issues and suggests ways to intervene. The platform analyzes clinical records and social factors to identify risks that can be addressed to prevent negative outcomes like hospital readmissions. It focuses on practical use cases like chronic disease management and improving care quality.
Matrix Medical Network
Matrix Medical Network
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Matrix Medical Network is a clinical services organization that conducts in home visits to address care gaps. They staff a national network of Nurse Practitioners (NP) that conduct annual wellness visits and risk assessments to support health plans and providers in value-based care arrangements address care gaps and coding opportunities.
Mirah
Mirah
Company Info
Founded: 2015
Headcount: 11-50
Customers
Verified Customers: 8
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Mirah offers a behavioral health solution for patients, combining both a collaborative care model with software-based patient assessments. It offers both collaborative care for primary care providers as well as a software platform for collaborative behavioral health providers.
Monogram Health
Monogram Health
Company Info
Founded: 2019
Headcount: 501-1000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Monogram Health is a care management and in-home service provider for patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Monogram partners with health plans and risk-bearing providers to provide services aimed at reducing cost of care, including in-home dialysis, care coordination and care management.
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myLaurel
myLaurel
Company Info
Founded: 2023
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
myLaurel is a provider of home-based acute care. They partner with payers, at-risk providers and health systems to reduce unnecessary utilization of care and improve the comfort, safety, and quality of care for patients. Their Recovery at Home model is a care transitions program designed to reduce readmissions and their Rapid Advanced Care model is an on-demand response program designed to reduce preventable acute utilization such as ER visits.
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naviHealth
naviHealth
Company Info
Founded: 2012
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
naviHealth is a provider of virtual and in-person care coordination and care navigation services to improve post-acute care outcomes. naviHealth partners with health plans, health systems, post-acute care providers, and at-risk physician groups to support patients and reduce unnecessary care and readmissions. naviHealth is a subsidiary of Optum.
P3 Health Partners
P3 Health Partners
Company Info
Founded: 2015
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients.
P3 Health Partners supports its providers with care delivery services including access to Nurse Practitioners (NP) in P3 wellness centers and care teams of RNs and other professionals that provide preventive care coordination, care navigation, medication management, transitions of care services, and care management for chronic conditions.
They also work with health plans and have capabilities to take delegation of certain payer function such as network management and utilization management.
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Pluto
Pluto
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Pluto collects and integrates patient data from health information exchanges, summarizing the data and identifying care gaps, then works to help close those gaps with the care team.
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Signify Health
Signify Health
Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Signify Health is a health services company that delivers a range of value-based care services and software to providers, health systems and health plans. They manage Accountable Care Organizations (ACO) and serve as a risk-sharing partner for providers and health systems to participate in value-based care arrangements. Signify also provides direct services including in-home health evaluations and care coordination services aimed at addressing gaps in care and improving patient experience. Signify is a subsidiary of CVS Health.
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Spect
Spect
Company Info
Founded: 2017
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Spect is a healthcare technology company specializing in portable retinal imaging solutions aimed at early detection of eye diseases such as diabetic retinopathy, glaucoma, and age-related macular degeneration. Their platform includes a handheld retinal camera that enables medical staff to perform retinal exams in various settings, including clinics and patients' homes. Captured images are uploaded to Spect's telemedicine platform, where board-certified ophthalmologists provide diagnostic reports, typically within 24 hours.
Sprinter Health
Sprinter Health
Company Info
Founded: 2021
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Life Sciences, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Sprinter Health is an on-demand mobile health company that sends full-time nurses and phlebotomists (“Sprinters“) into the home. They partner with health plans and health systems to close care gaps, improve quality outcomes, and extend resources. Their technology platform and infrastructure supports scheduling, coordination, and reporting.
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ThoroughCare
ThoroughCare
Company Info
Founded: 2013
Headcount: 11-50
Customers
Customers Served: Accountable Care Organizations, Hospital / Health System, Long-Term Care Facility
Product Overview
Security and Compliance Certifications: HIPAA
ThoroughCare provides a digital platform for healthcare providers to enhance care delivery through comprehensive care coordination. The platform supports various programs, including Chronic Care Management, Remote Patient Monitoring, Behavioral Health Integration, Transitional Care Management, Annual Wellness Visits, and Advance Care Planning. It offers features such as personalized care plans, evidence-based assessments, patient engagement tools, and automated billing reports. ThoroughCare integrates with EHRs and health information exchanges to facilitate data interoperability.
Transtreme
Transtreme
Company Info
Founded: 2007
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Transtreme specializes in healthcare risk assessment, focusing on comprehensive services like annual health assessments, patient care coordination, and specialized services in areas like chronic care management and telemedicine. They emphasize a flexible, accountable, and patient-focused approach, striving for high-quality, results-driven care.
Vesta Healthcare
Vesta Healthcare
Company Info
Founded: 2018
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Vesta Healthcare provides a 24/7 support system focused on enhancing care for patients at home. Their services integrate real-time clinical support, proactive monitoring through digital tools, and coordination with healthcare providers and plans. This approach helps improve patient outcomes and reduces hospital visits, by managing and supporting patients and their caregivers effectively.