Care Management
Care Management refers to the oversight of a patient’s care to achieve improved health outcomes. Vendors in this category provide solutions to support providers in managing the care of their populations to achieve VBC targets. These solutions include provider-facing enablement tools that help providers structure and oversee their patients’ care plans, patient engagement tools that encourage patients to take greater ownership of their own care, and patient-facing services delivered by professionals credentialed in care management, care navigation, and/or care coordination. Companies in this category generally overlap with companies found in the care plan managementcategory and care management functions can often overlap with Care Navigationfunctions.
Criteria:
Software or services oriented around enabling care planning and follow through to achieve health outcomes
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Welkin Health
Claimed
Welkin Health
Company Info
Founded: 2013
Headcount: 11-50
Customers
Verified Customers: 10
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
5 ReviewsSecurity and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Welkin Health provides a customizable EHR and care management platform, focusing on automation and coordination of care. It offers features like API-first design, HIPAA-compliant communication tools (including email, phone, video, SMS/MMS, and in-app chat), and secure patient management.
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Tellescope
Claimed
Tellescope
Company Info
Founded: 2020
Headcount: 1-10
Customers
Verified Customers: 10
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
4 ReviewsSecurity and Compliance Certifications: SOC 2 Type 1, HIPAA
Tellescope serves as a HIPAA-compliant digital health platform, combining CRM capabilities with patient management, including multi-channel communication, care coordination, and progress tracking. It integrates with a variety of healthcare tools and provides additional workflow automation for provider organizations.
Laguna Health
Claimed
Laguna Health
Company Info
Founded: 2020
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Laguna Health offers Conversational AI care management solutions that improve care manager efficiency and performance. Laguna solutions include a browser extension and integrated platform that provide live transcriptions and structured summaries, conversation tips, suggested insights and pathways, as well as training and quality reviews. It supports out-of-the-box integrations with cloud based CRMs/EHRs and call center software like Salesforce and Pega.
Lightbeam Health Solutions
Lightbeam Health Solutions
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Government
Product Overview
1 ReviewsSecurity and Compliance Certifications: SOC 2 Type 2, HIPAA
Lightbeam Health Solutions is a population health management platform offering analytics, risk stratification, care management, and patient engagement tools.
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Affirm Health
Affirm Health
Company Info
Founded: 2016
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice
Product Overview
Affirm Health offers technology to facilitate pre-visit planning and care team collaboration and to support providers in managing care gaps to drive value-based contract performance. They have two primary products, The Huddle and Care Gap Manager. The Huddle is a pre-visit planning tool that synthesizes data for care team collaboration and surfaces opportunities to address care gaps. Care Gap Manager is a tool for analyzing and managing care gaps. These tools support clinics in improving patient outcomes, increasing performance incentives, and lowering medical costs by creating a more efficient workflow. Additionally, Affirm Health customizes its software to align with clinic-specific goals, payer contracts, and workflow needs.
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Arcadia
Arcadia
Company Info
Founded: 2002
Headcount: 201-500
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Arcadia is a health data platform designed for population health management. It specializes in organizing and analyzing clinical and financial data to support improved care delivery and decision-making. The platform features a connectivity layer that manages data inputs from providers and administrators. Additionally, Arcadia provides patient engagement tools, including AI-driven campaign management and outreach programs. With its dual focus on clinical outcomes and financial utilization, Arcadia serves both healthcare providers and payers aiming to optimize population health. Arcadia’s value-based care division was acquired by Guidehealth in December 2023.
Azara Healthcare
Azara Healthcare
Company Info
Founded: 2011
Headcount: 51-200
Customers
Verified Customers: 11
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, PCI DSS
Azara is a population health solutions company that supports provider groups and health centers. Azara DRVS is a data analytics platform that centralizes data and can be customized with different modules and applications to meet different use cases. The platform can also facilitate cost & utilization analysis, care coordination and patient engagement.
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Cedar Gate Technologies
Cedar Gate
Company Info
Founded: 2014
Headcount: 501-1000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Cedar Gate is a technology company that provides value-based care performance management solutions, from upfront contracting through population health analytics and performance measurement. Cedar Gate provides actuarial services to support with contracting and administration of value-based reimbursement structures such as bundled payments. Their data and analytics solutions integrate data from multiple sources and generate insights to drive care management activities. They work with payers and providers across many specialties and different populations.
Conifer Health Solutions
Conifer Health Solutions
Company Info
Founded: 2008
Headcount: 5001-10000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes. Conifer’s value-based care solutions include data and analytics tools to support population health management, risk analysis and outcome measurement. They also offer care navigation, care management and utilization management services provided by registered nurses. Conifer Health Solutions is a subsidiary of Tenet Healthcare Corporation.
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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Fold Health
Fold Health
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Fold Health is a workflow automation and patient engagement platform for both primary and value-based care providers. Features include tools for automating panel management, collaborative care, and patient engagement.
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Health Catalyst
Health Catalyst
Company Info
Founded: 2008
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Health Catalyst is a provider of data and analytics technology and services to healthcare organizations. They provide a data and analytics platform that integrates data from multiple sources and delivers insights to support organizations in population health management, patient engagement, quality and safety measure performance, and financial outcomes.
HealthEC
HealthEC
Company Info
Founded: 2010
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Risk-Bearing Providers
Product Overview
HealthEC offers a suite of data integration and population health management solutions to help healthcare organizations succeed in value-based care. Their platform aggregates data sources to provide comprehensive patient views, support analytics for risk adjustment and care management, and streamline quality reporting. They also provide tools to support care coordination, care management, and patient engagement.
HealthSnap
HealthSnap
Company Info
Founded: 2015
Headcount: 201-500
Customers
Verified Customers: 11
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
HealthSnap is virtual care management and remote patient monitoring platform includes remote monitoring of vital signs, predictive analytics for early intervention, and integration with existing healthcare systems. HealthSnap also facilitates patient engagement to decrease the need for frequent in-person visits.
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Innovaccer
Innovaccer Care Management Copilot
Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HITRUST R2, HIPAA
Innovaccer Care Management Copilot is an AI-driven tool designed to help care managers reduce administrative burdens by automating key tasks like documentation, patient record reviews, and care plan creation. It provides real-time patient data summaries, identifies care gaps, and suggests next steps based on patient conversations. The Copilot also integrates with EHRs, ensuring data updates and reducing the risk of errors.
MD Revolution
MDRevolution
Company Info
Founded: 2011
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
MDRevolution provides a remote patient monitoring and care management platform.
Memora Health
Memora Health
Company Info
Founded: 2017
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Memora Health is a care management platform that offers customizable, condition-specific care plans to help patients after diagnosis and through acute procedures. Integrating directly into the EHR, it supports two-way conversational texting, automated adherence checking, care plan education, appointment management, symptom monitoring and triage, patient-reported outcomes, remote patient monitoring, and NLP-based Q&A.
Navvis
Navvis
Company Info
Founded: 2013
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: HIPAA
Navvis is a population health company that supports health systems, health plans, and physicians with a range of value-based care solutions including data & analytics, in-person practice optimization support, virtual care coordination and care management services, technology, and contract implementation. Navvis is a subsidiary of Surround Care, which was formed through the merger of Navvis and Esse Health, a value-based primary care organization.
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Oracle
Oracle Cerner
Company Info
Headcount: 5001-10000
Customers
Verified Customers: 4
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, ISO 27001
Oracle Cerner is a major EHR vendor and healthcare IT company offering RCM and population health management solutions. They offer solutions targeted for both fee-for-service providers and value-based care, including population health analytics services and care management services. Oracle Cerner was formed after Oracle Corporation’s acquisition of Cerner Corporation in 2022.
Phamily
Phamily
Company Info
Founded: 2013
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Phamily offers a Chronic Care Management solution, combining text-based patient engagement and automated care management for patient care and organizational efficiency. It enables medical groups to manage larger patient volumes effectively for improved patient outcomes and revenue generation.
Zyter TruCare
Zyter TruCare
Company Info
Founded: 2002
Headcount: 501-1000
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Zyter TruCare offers a value-based care management platform for healthcare payers, providers, and public health organizations. It includes features like care coordination, case and disease management, medication management, and virtual health services, all aimed at improving patient outcomes and reducing costs. The platform integrates with existing EHR systems and supports telehealth for coordinated care delivery and real-time patient engagement.