For health plans and managed-care organizations

CareRunner for health plans

Support member engagement and navigation follow-through, including for organizations serving Medicare and Medicaid populations.

Navigation programs generate recommendations. Whether anything happens afterwards depends on a member, and usually a family, having somewhere organized to do the work.

Member supportIllustrative example

Benefit explained plainlyIn the member's own words

Clear

Care gap closedAppointment booked and attended

Consent recordedEvery share is logged

The Care Circle

MMargaret

Margaret, 78, is at the center

Tap anyone on the ring to see who they are, what they can do and what they cannot see.

Rosie, the assistant
The person in charge
The rest of the family
Neighbors and friends
Someone paid to do errands
Someone paid to organize
Carers and specialists
Clinics and services
Someone who sorts the post

Who pays sits outside the circle

An employer or a plan can pay for Margaret’s help without ever seeing inside her circle. They see that it was paid for. They do not see her.

Margaret is in the middle. Everyone else is here because she wants them here, and each of them sees only their own part.

Recommended next steps become work with an owner inside the member's own circle.
Family members can participate, which is often what determines whether follow-up happens.
Context carries across services and settings instead of restarting each time.

Two lanes

Rosie’s lane

Organize what has arrived
Explain what something appears to be
Draft a next step for a person to review
Remind, and keep the thread moving
Carry authorized context to the next person

The boundary

Diagnose
Prescribe or change medication
Make clinical decisions
Give legal or financial advice
Act on anything consequential without approval

Not a disclaimer bolted on afterwards — the boundary is how the product is built.

Rosie organizes, explains, reminds and coordinates. Clinical, legal and financial decisions stay with people.

CareRunner is not affiliated with, endorsed by, or acting on behalf of Medicare, Medicaid or any government program.
CareRunner does not make coverage, eligibility or benefit determinations.
CareRunner does not provide clinical care management or utilization review.
No claim of existing plan customers, integrations, or measured outcomes.

See how a Care Circle would work for you

Start a circle yourself, or ask us to walk you through it.