Care Management Companies

Clinical care management companies provide health services or programs, including utilization management, case management, disease management, and treatment decision support.
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Nutrium

Nutrium

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Company Overview

Founded

06/2015

Employees

350,000

Funding Summary

16M Series A

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About Nutrium

Nutrium Care is a clinically grounded corporate nutrition benefit that delivers measurable outcomes by combining unlimited access to registered dietitians with proactive, AI-powered daily support. The model helps employees develop sustainable habits, prevent chronic conditions, and enhance energy, while reducing employer healthcare costs with a guaranteed 3:1 ROI. Nutrium Care uses an outcome-based pricing model where up to 100% of fees are at risk, ensuring employers only pay for results.

Unlike traditional wellness programs, Nutrium Care provides personalized, high-touch nutrition care that scales globally and drives high engagement, with two-thirds of companies seeing adoption rates above 30%.... Show More
Radish Health

Radish Health

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Founded

2019

Employees

35

Funding Summary

6M Seed Round

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About Radish Health

Radish Health is the cost containment solution that addresses the fundamental problems driving excessive healthcare costs.
Neither physicians nor patients are aware of the costs of healthcare services they prescribe or receive. This information gap creates a dysfunctional market where misalignment of incentives and lack of comparison price shopping drives unnecessary utilization, inflated costs, and ultimately higher premiums for your clients.

The Radish Health Solution
Physician-led Care Navigation & Price Transparency: Our providers guide care in a cost-effective manner by having both cost and quality metrics on hand when making recommendations
Dedicated Provider Relationships:... Show More
Conifer Health Solutions

Conifer Health Solutions

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Founded

1992

Employees

500

Funding Summary

None

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About Conifer Health Solutions

Conifer Value-Based Care, LLC (Conifer VBC) provides population health and care management services including Personal Health Management (combination of Case Management & Disease Management), Transitions of Care and Utilization Management services.

We engage high-risk members through our Personal Health Nurses to lower the cost of care, risk stratify populations, navigate benefit utilization, and coordinate fragmented care to better health outcomes. In addition, we provide holistic member care via our UM services, delivered by licensed UM Nurses.

We strive to find the right care, in the right setting, at the right time to deliver... Show More
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Vida Health

Vida Health

3.0 (3)
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Founded

2014

Employees

540

Funding Summary

110M Series D

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About Vida Health

We are the premier cardiometabolic solution designed to address physical and mental health together, along with the socioeconomic barriers to health. In one place and with one app, we bring together the power of human connection, physician-led care, evidence-based protocols, medical nutrition therapy, expert coaching, cognitive behavioral principles and clinical rigor to drive the long-term behaviors that support member health and help shift the course of cardiometabolic disease. Vida delivers the right intervention at the right time — from behavior change to pharmacologic interventions. Our approach delivers clinical success and medical cost savings.
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Quantum Health

Quantum Health

4.3 (3)
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Min. Group Size

500 eligible

Lives Serviced

3,100,000

Average Cost

Average Cost is Locked

54 RFI Questions Get access to vendor answered question RFIs.

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8 Specific Questions Specific Questions

Lock

Product Features

✓

Patient experience management

 ✓

Data document management
✓

Online patient portal

 ✓

Personalized action plans
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Not Provided.

Product Description

Quantum Health assumes all care management services from the carrier with our comprehensive clinical model integrated into our care coordination and navigation services. This enhanced approach provides one nurse for members and their... Show More
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Telligen

Telligen

5.0 (2)
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Min. Group Size

500 eligible

Lives Serviced

600,000

Average Cost

Average Cost is Locked

54 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

8 Specific Questions Specific Questions

Lock

Product Features

✓

Patient experience management

 ✓

Data document management
✓

Billing services

 ✓

Online patient portal
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Not Provided.

Product Description

Self care transitions are essential to providing high quality care to members and reducing avoidable adverse events. With the majority of all readmissions occurring within 15 days of hospitalization, Telligen offers an intensive... Show More
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Aduro

Aduro

3.7 (37)
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Founded

2007

Employees

150

Funding Summary

30M Corporate Round

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About Aduro

Aduro is your Health and Human Performance partner that unlocks human potential in the workplace. We've created a human-first, AI-powered solution using the most complete view of you to deliver a journey that's deeply personal. We transform care by synthesizing health, well-being, and personal growth into a single integrative experience, driving measurable outcomes that matter. It's whole care for the whole person.

Our partners build thriving cultures where employees flourish both personally and professionally. Through expert coaching, personalized content, and clinically validated programs, we help people address fundamental aspects of health including Type 2 diabetes, hypertension, mental... Show More
Carrot

Carrot

4.7 (2)
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Founded

2016

Employees

470

Funding Summary

200M Series D

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About Carrot

Carrot is the only global care platform delivering measurable outcomes across fertility, family-building, and hormonal health. Founded on the belief that all employees deserve equitable access to high-quality care and personalized support, Carrot helps employers deliver benefits that improve health outcomes while driving measurable ROI.

Carrot’s clinical model combines proactive education, expert-led care navigation, and provider steerage to help members make informed decisions and access high-quality, cost-effective care. Members are supported by a dedicated Care Team through a personalized Carrot Plan that evolves across their journey.

By prioritizing the right care first, Carrot improves... Show More
Maven Clinic

Maven Clinic

4.1 (3)
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Founded

2014

Employees

500

Funding Summary

125M Series F

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About Maven Clinic

Maven is the largest virtual clinic for women’s and family health on a mission to make healthcare work for all of us. Our comprehensive digital platform provides clinical, emotional and financial support spanning fertility & family building, maternity & newborn care, parenting & pediatrics and menopause & midlife. As of our recent Series F round of funding, we are the highest valued digital health company in women’s and family health, with a valuation of $1.7B and more than $425 million in funding.
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Oshi Health

Oshi Health

3.2 (1)
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Founded

2019

Employees

1,600

Funding Summary

60M Series C

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About Oshi Health

Oshi Health is the only nationwide multidisciplinary GI clinic with a national scale, setting a new standard for life-changing digestive healthcare by combining specialized medical, dietary, and gut-brain interventions proven to get patients better, faster.

Rooted in accountability to patient outcomes, Oshi's clinic accelerates the speed to diagnosis and symptom control - significantly reducing medical costs within a year. Its in-house team of GI-specialized licensed clinicians provide meaningful time and touchpoints - working collaboratively with each other, and primary care and GI groups, to optimize care. Clinical trials and real-world data from the nation’s leading health... Show More
Dario

Dario

Reviews pending
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Founded

2011

Employees

222

Funding Summary

69.9M Post-IPO Equity

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About Dario

Dario was founded in 2011 with an initial focus on diabetes management in the direct-to-consumer market, expanding to serve employer groups with a comprehensive portfolio of solutions within our platform.
Our fully configurable, highly personalized digital therapeutic plus coaching solution is for people living with one or more behavioral and/or physical health conditions. Dario’s platform makes the right thing to do, the easy thing to do—helping members change the behaviors that influence clinical and cost outcomes in chronic disease.
Dario's vision is to change the healthcare experience by putting people at the center of simple, continuous, connected care... Show More
Bastion Health

Bastion Health

Reviews pending
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Founded

2021

Employees

72

Funding Summary

5.8M Seed Round

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About Bastion Health

Bastion Health is the first and most complete specialty digital clinic focused on men's health. We solve the problem of limited access to comprehensive and convenient preventive, chronic, reproductive, prostate and sexual health care for men. By providing at-home testing, virtual specialty consultation, treatment, and care navigation, we empower male employees to take control of their health and help employers improve their workforce's overall health and productivity. Show More
Goodpath

Goodpath

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Founded

2018

Employees

75

Funding Summary

18M Series A

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About Goodpath

Goodpath delivers integrative care for weight management to employer populations. Our multi-disciplinary care model treats obesity and the chronic conditions connected to it, including MSK pain, sleep dysfunction, mental health, and digestive health, in one coordinated program.

Where traditional programs treat weight in isolation, Goodpath addresses the full health picture. Most members with obesity have at least one comorbid condition that makes weight loss harder. We treat those barriers directly, which is why our outcomes hold.

Our care team includes Health Coaches, clinicians, and specialists who work together to create personalized care plans. Members... Show More
MiSalud Health

MiSalud Health

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Founded

2021

Employees

45

Funding Summary

18.3M Seed Round

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About MiSalud Health

MiSalud Health makes healthcare accessible to the Latino and blue-collar workforces most benefits solutions overlook. We work with employers in agriculture, food processing, construction, retail, hospitality, manufacturing, logistics and similar industries where Spanish-language and hourly employees face persistent barriers to care: language, cultural dynamics, access, and documentation status.

As employers in these industries explore alternative benefits structures — including ICHRAs and self-pay or direct-pay models — MiSalud is designed to fit. Our PEPM or case rate pricing options work alongside or independent of traditional group health plans, giving brokers flexibility as clients reconsider how they fund and... Show More
MOBE

MOBE

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Founded

2014

Employees

260

Funding Summary

Not Provided

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About MOBE

MOBE delivers a whole-person, chronic condition management solution that uses advanced analytics to identify a population in need: frequent, long-term healthcare users with complex needs and high utilization patterns (often mid-claimants and rising-risk), maximizing the opportunity for meaningful health improvements and guarantees cost savings within the first year. Typically ~20% of an employer's population. MOBE’s human-led, digitally supported program integrates expert Pharmacist led medication optimization with lifestyle strategies from Health Guides to address multiple conditions simultaneously, breaking through traditional single-condition silos. Backed by clinical expertise and condition-specific care pathways, MOBE engages and motivates participants toward better health outcomes. The result... Show More
Mobile Health

Mobile Health

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Founded

2012-10-01

Employees

350

Funding Summary

1 Private Equity Round

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About Mobile Health

Healthcare costs aren’t rising because employers lack solutions — they’re rising because employees aren’t engaging with them. Mobile Health changes that.
We don’t sell wellness programs. We drive measurable cost reduction through our Digital Care Paths — activating healthier populations and delivering real financial impact. Our employers achieve proven increases in preventive screenings, meaningful closure of high-risk care gaps, and stronger adherence across cancer prevention and chronic condition management. The result: fewer avoidable claims, lower medical trend, and better outcomes.
Every employee — regardless of plan enrollment or income — receives access to no-cost, personalized support that removes... Show More
Personify Health

Personify Health

4.0 (104)
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Founded

2004-08-02

Employees

3,200

Funding Summary

1 Series B

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About Personify Health

Personify Health is the first personalized health platform to bring together holistic wellbeing, health navigation, and flexible health plan administration solutions into a single connected and engaging healthcare experience. We simplify healthcare, resulting in healthier outcomes and more ways to save on healthcare costs. Personify Health offers a comprehensive suite of products. Our wellbeing solution empowers members to actively engage in their health that is designed to create meaningful and measurable results. By combining tools like daily content, habit tracking, and a comprehensive challenge library with social wellbeing features and personalized coaching, we equip individuals with the motivation and resources... Show More
Progyny

Progyny

3.9 (3)
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Founded

2015

Employees

820

Funding Summary

None

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About Progyny

Since 2015, Progyny has partnered with leading employers and specialized providers to help members manage complex care journeys for milestone moments in their health. We began by solving for access, coverage, and experience gaps in fertility care that posed financial and navigation barriers, impacting a member’s ability to achieve their dreams of family. We stand today as the industry’s most comprehensive family building and women’s health benefits solution, leveraging a transformative benefit design, the largest actively managed network of fertility and women’s health specialists, and a clinically connected member experience that includes proactive clinical and digital touchpoints.

... Show More
Sterling Wellness Solutions, L.L.C.

Sterling Wellness Solutions, L.L.C.

3.1 (6)
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Founded

2001

Employees

50

Funding Summary

None

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About Sterling Wellness Solutions, L.L.C.

At Sterling Wellness Solutions, we believe that health and well-being are the foundation for a fulfilling life. Our total approach to employee wellbeing provides innovative and personalized solutions that empower individuals and organizations to achieve their health goals. We are committed to a holistic approach that considers the physical, mental, and emotional aspects of health, and we believe that preventive care is key to a healthy lifestyle. Our values of integrity, empathy, collaboration, and accountability guide us as we create a culture of wellness that inspires individuals to take control of their health. With our expertise and support, we strive... Show More
WellRight

WellRight

4.2 (42)
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Founded

10/2013

Employees

69

Funding Summary

None

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About WellRight

Our platform delivers a seamless, unified experience across web and mobile, empowering organizations to support whole-person wellbeing at scale. With more than 400 health challenges spanning all dimensions of wellness and over 200 on-demand educational resources, users can engage in meaningful, self-paced improvement tailored to their needs.

At the core is an NCQA-certified Health Risk Assessment (HRA) that generates personalized recommendations, complemented by My Wellbeing Insights—a comprehensive health profile covering habits, condition risks, biometrics, and key wellbeing dimensions. Tailored Success Plans enable strategic incentives, while versatile tracking options, including text messaging, device syncing, self-reporting, and validation, ensure... Show More

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Frequently Asked Questions

What Is Clinical Care Management?

Clinical care management is a coordinated approach to healthcare in which a team of professionals, or clinical care managers, offers services that involve assessing, planning, and managing employee healthcare to ensure they receive optimal and continuous care.

What Are Care Management Services?

Clinical care managers offer thorough monitoring, regular follow-ups, care coordination, medication management, patient education, and more. As a workplace benefit, these services aim to improve patient care by helping employees manage health conditions more effectively.

What Are the Benefits of Care Management?

The main benefit of care management is the improvement of patient outcomes through coordinated and continuous care. However, other advantages may also include lower healthcare costs, more coordinated care between providers, reduced hospital readmissions, better management of chronic conditions, reduced administration costs, and higher patient satisfaction. In the workplace, care management programs can lead to better employee well-being, lower absenteeism, increased productivity, and lower healthcare costs for the company.

How much does Care Management typically Cost per Employee?

Costs vary but typically range from $15-50 per employee per month, depending on program scope and employee risk levels. Most programs show positive ROI within 12-18 months through reduced medical costs and improved productivity.

How to ensure Employee Privacy and HIPAA Compliance?

All care management companies must be fully HIPAA compliant with strict data security protocols, employee consent requirements, and limited information sharing only for care coordination purposes. Employees control what information is shared.

What's the Typical Implementation Timeline?

Implementation usually takes 60-90 days, including system integration, employee enrollment, care team training, and launch communications. Some programs can start serving employees within 30 days.

How do Employees access Care Management Services?

Most programs offer multiple access points including phone, mobile apps, secure messaging, video calls, and online portals. Services are typically available 24/7 or during extended business hours.

Can the Program integrate with existing Benefits and Wellness Initiatives?

Yes, most care management programs can integrate with existing health plans, wellness programs, EAPs, and HR systems to provide seamless employee experiences and coordinated care.

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