The leading end-to-end care transition network

Lissy Hu, M.D.

Problem Tech Solves

The U.S. healthcare system is extremely fragmented, resulting in excessive costs, waste, and inefficiencies that negatively affect stakeholders’ ability to deliver high quality, affordable care to patients. Case in point: in many circumstances, the standard patient discharge from the hospital involves a nurse or care team member calling and/or faxing information back and forth to identify a post-acute care facility – such as a nursing home – that accepts the patient’s insurance, has availability for a new patient, and offers the appropriate services. From a workflow perspective, this manual approach to care transitions results in longer hospital stays, higher costs, and more administrative work for staff. In fact, according to Medicare data, it’s estimated that poor care transitions cost the healthcare industry $26B annually. Transitions of care, as defined by The Joint Commission, are the movement of patients between health care practitioners, settings, and home as their condition and care needs change, and are inclusive of several important milestones in a patient’s health journey. As the healthcare industry increasingly shifts to home-based care, providers face new challenges in safely transitioning patients while maintaining continuity of care. For example, 2.3 million Medicare patients were discharged from hospitals with home health referrals in 2016, but only 54% of those individuals utilized home health services after their hospitalization within 2 weeks. CarePort’s data shows that the risk for readmission increases 3% each day a patient discharged to home health services is not seen by a home health provider.

Tech Brief

CarePort, powered by WellSky, is the leading care coordination network connecting hundreds of thousands of hospitals, post-acute providers, and physicians across the U.S. The company’s end-to-end care coordination platform bridges acute and post-acute EHR data, providing hospitals and health systems, post-acute providers, physicians, payers, and ACOs with visibility into the entire patient journey. With this insight, healthcare professionals can efficiently and effectively coordinate patient care, and better track and manage patients as they move through the care continuum – from hospital to home, and everything in between. CarePort’s solutions include: • CarePort Care Management – Enables faster discharge and allows hospital customers to refer patients for post-discharge care • CarePort Transition – Streamlines post-acute referrals from directly within the EHR for more efficient care transitions • CarePort Referral Management – Connects post-acute providers to hospitals to receive electronic referrals and better coordinate patient care upstream • CM Neighborhood – Automates referrals to community-based organizations to support patients’ social determinants of health (SDOH) needs • CarePort Guide – Supports hospital discharge planners in guiding post-acute care selection and helps patients choose high-quality care providers • CarePort Connect – Enables providers that share patients to better coordinate care across the continuum through real-time, actionable alerts and data • CarePort Insight – Helps hospital customers evaluate patient outcomes and post-acute provider performance metrics • CarePort Interop – Supports compliance with a newly created Condition of Participation (CoP) for patient event notifications, as outlined in the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access final rule

Tech Differentiators

The CarePort platform provides its customers – hospitals and health systems, post-acute providers, physicians, payers, and ACOs – with access to an unparalleled network for providers. With more than 1,000 hospitals and 110,000 post-acute providers across its national network, CarePort is the leading end-to-end care transition network that exists today – capturing more than 30% of post-acute transitions across the country, which equates to more than 20 million referrals annually. The platform allows healthcare stakeholders to replace cumbersome manual processes and seamlessly exchange critical patient information, helping ensure patients are given the highest quality care throughout their care journey. As care continues to shift into the home, the merger with WellSky strengthens CarePort’s market position, as WellSky has a strong post-acute presence; in fact, 1 in 4 home health agencies use WellSky. WellSky’s network also expands CarePort’s access to services that better meet SDOH needs, such as housing and transportation, which research has shown to account for 80-90% of a person’s health.


Hospitals and health systems using CarePort have benefitted from improved efficiencies, such as streamlined communications with payers, physicians, and post-acute providers. Electronic referral response times average 24 minutes, resulting in an approximate 2-day reduction in the patient’s length of stay. Customers have also reported a 10% reduction in 30-day readmissions for an average savings of $14,400 per readmission. In evaluating potential partners to optimize their health system’s transitions of care, Andy Crowder, senior vice president and chief information and analytics officer, Atrium Health, says: “CarePort’s end-to-end solution differentiated itself from other offerings on the market. The platform’s real-time data and alerts, as well as its integration with the EHR, will streamline our care management workflows and enhance our discharge planning process, giving us visibility to the activation of the post-acute service – particularly home health care.” Alex Brennsteiner, manager of network health at Helion, a division of Highmark Health, implemented CarePort to better align payers and providers around care management; he says: “We started with transitional care as our primary use case. CarePort was fantastic at adapting to our structure. As we stood up the bones of system, we identified 10-15 ancillary use cases, including bundled payments and predictive analytics on ED utilizers. CarePort is first solution we can use to break down [information] siloes and coordinate [better care] across our clinically integrated networks.” Skilled nursing facilities using CarePort can expect a 67% increase in new referral volume, and home health agencies can expect a 17% increase in new referral volume.

Why Us

CarePort was founded in 2012 to improve care coordination – streamlining care transitions, reducing hospital readmissions, and optimizing patient outcomes. 9 years and 2 acquisitions later, CarePort has established itself as an essential technology partner for healthcare industry stakeholders.

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