About

Carewise Health offers a series of care management, financial payment integrity, data management, business process management and analytic products and services to health plans, provider health systems, employers and government entities. The combination of technology and key personnel such as nurse clinicians, data and behavioral scientists, actuaries and engineers offer a highly effective partner for customers to achieve their various financial, clinical and operating objectives. Extensive health care and technology domain experience and expertise provides customers with a highly effective solution partner.

Carewise Health, Inc. has been providing Clinical Care Management and Payment Integrity services to employers, unions, health plans, government and providers since 2003. Our focus on data, technology and experienced clinical personnel allows our customers to prove, and improve their care management and payment integrity initiatives.

We leverage unique analytic tools and models and nurse clinicians in providing the care management and payment integrity services for customers that are typically large and complex.  We help them achieve their clinical, financial and operational objectives. Our experienced teams of data and behavioral scientists, nurses, case managers, health coaches and IT professionals manage complex data sets and beneficiaries in implementing a wide range of industry-leading health and wellness programs, comprehensive payment integrity solutions and innovative data analytics. We help organizations achieve successful clinical outcomes for members, and reduce healthcare costs.

We use innovative data technologies and predictive algorithms to identify patterns and predict events related to care management and payment integrity issues. By combining the advantages of proprietary data analytics and experienced clinicians, our solutions assist customers achieve their goals for healthcare risk management and cost control.