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CareAtlas

CareAtlas is a clinical practice providing fully managed chronic care coordination (CCM, RPM, TCM, APCM) for Medicare patients, partnering with rural and community hospitals to reduce readmissions and support patients at home.

CareAtlas operates as a clinical practice delivering fully managed chronic care coordination to patients with chronic conditions. Its services span chronic care management (CCM), remote patient monitoring (RPM), transition care management (TCM) and advanced primary care management (APCM), provided by care navigators and clinicians who give patients personalised, proactive support including medication reminders, wellness coaching and real-time monitoring. The company's stated mission is "Healthy and Happy at Home", with a focus on enabling patients to thrive at home.

The company partners with rural and community hospitals across the United States to reduce readmissions and support patients after discharge. CareAtlas bills Medicare directly, so there is no upfront cost to partner hospitals. At hospital partners, 30-day readmission rates have fallen to 14.6%, compared with a CMS benchmark of 19%.

Nursing and clinical staff work alongside HealthQuilt, CareAtlas's AI platform, which automates documentation, surfaces care gaps and helps prioritise high-risk patients. The model combines this technology-enabled insight with compassionate human support; the company describes its approach as human-first and patient-centred, with dedicated care navigators embedded in the coordination workflow.

CareAtlas works at the intersection of healthcare, chronic disease management and Medicare population health, with a particular focus on rural and community hospital settings.

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