# Care Navigation * **Definition:** A comprehensive system that integrates human expertise and digital support to assist patients in understanding and accessing the healthcare system effectively, guiding them to the most suitable healthcare services based on their specific needs, preferences, and insurance plans, ensuring they receive timely and appropriate care. * **Taxonomy:** Healthcare Topics / Care Navigation ## News * Selected news on the topic of **Care Navigation**, for healthcare technology leaders * 6.5K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/8/2025 | [**HealthSnap Named "Best Clinical Efficiency Solution" in 9th Annual MedTech Breakthrough ...**](https://www.prnewswire.com/news-releases/healthsnap-named-best-clinical-efficiency-solution-in-9th-annual-medtech-breakthrough-awards-program-302450199.html) | [[PR Newswire]] | | 5/8/2025 | [**Quantum Health Recognized in Digital Health and Medical Technology Market as ... - Morningstar**](https://www.morningstar.com/news/business-wire/20250508255784/quantum-health-recognized-in-digital-health-and-medical-technology-market-as-best-overall-patient-engagement-solution-by-medtech-breakthrough-awards) | [[Morningstar]] | | 5/8/2025 | [**MedTech Breakthrough Announces 2025 MedTech Breakthrough Award Winners**](https://hitconsultant.net/2025/05/08/2025-medtech-breakthrough-award-winners-announced/) | [[HIT Consultant]] | | 5/8/2025 | [**HealthSnap Named "Best Clinical Efficiency Solution" in 9th Annual MedTech Breakthrough ...**](https://www.morningstar.com/news/pr-newswire/20250508fl83522/healthsnap-named-best-clinical-efficiency-solution-in-9th-annual-medtech-breakthrough-awards-program) | [[Morningstar]] | | 3/20/2025 | [**Health IT & CIO Report Archives - Page 233 of 294 - Becker's Hospital Review**](https://www.beckershospitalreview.com/newsletter-category/beckers-hospital-cio-report-e-weekly/page/233/) | [[Beckers Hospital Review]] | | 2/25/2025 | [**Home Care Provider Devoted Guardians Slashes Costs, Readmissions With Banner Health Program**](https://homehealthcarenews.com/2025/02/home-care-provider-devoted-guardians-slashes-costs-readmissions-with-banner-health-program/) | [[Home Health Care News]] | | 2/14/2025 | [**Commure Acquires Memora Health, a Digital Care Navigation Platform, to Enhance Intelligent Care Navigation**](https://www.healthcareittoday.com/2025/02/14/commure-acquires-memora-health-a-digital-care-navigation-platform-to-enhance-intelligent-care-navigation/) | [[Healthcare IT Today]] | | 2/10/2025 | [**HEALWELL to Acquire Orion Health, Creating a Global Market Leader in Healthcare Data Interoperability al Intelligence, and Launches $50 Million Bought Deal Financing**](https://www.healthcareittoday.com/2025/02/10/healwell-to-acquire-orion-health-creating-a-global-market-leader-in-healthcare-data-interoperability-artificial-intelligence-and-launches-50-million-bought-deal-financing/) | [[Healthcare IT Today]] | | 12/23/2024 | [**China's Digital Healthcare Transformation: Local Vendors Lead 2025 EHR Adoption ...**](https://finance.yahoo.com/news/chinas-digital-healthcare-transformation-local-150000005.html) | [[Yahoo Finance]] | | 12/20/2024 | [**Commure Acquires Digital Care Navigation Platform Memora Health**](https://hitconsultant.net/2024/12/20/commure-acquires-memora-health/) | [[HIT Consultant]] | | 12/20/2024 | [**Commure Acquires Memora Health, a Digital Care Navigation Platform, to Enhance ...**](https://finance.yahoo.com/news/commure-acquires-memora-health-digital-130000465.html) | [[Yahoo Finance]] | | 12/20/2024 | [**Commure Acquires Memora Health, a Digital Care Navigation Platform, to Enhance ...**](https://www.morningstar.com/news/globe-newswire/9322462/commure-acquires-memora-health-a-digital-care-navigation-platform-to-enhance-intelligent-care-navigation) | [[Morningstar]] | | 12/19/2024 | [**Black Book Market Research Releases Global Survey Findings on Population Health ...**](https://finance.yahoo.com/news/black-book-market-research-releases-120000206.html) | [[Yahoo Finance]] | | 12/19/2024 | [**Commure Acquires Memora Health, a Digital Care Navigation Platform, to Enhance Intelligent Care Navigation**](https://markets.businessinsider.com/news/stocks/commure-acquires-memora-health-a-digital-care-navigation-platform-to-enhance-intelligent-care-navigation-1034161276) | [[Business Insider Markets]] | | 12/13/2024 | [**Title: Navigating the Generative AI Journey: A Strategic Roadmap for Healthcare Organizations**](https://blogs.perficient.com/2024/12/13/title-navigating-the-generative-ai-journey-a-strategic-roadmap-for-healthcare-organizations/) | [[Perficient Healthcare]] | | 12/7/2024 | [**With an anticipated CAGR of 7.5the Invasive Blood Pressure Monitoring Sensors Market ...**](https://www.linkedin.com/pulse/anticipated-cagr-75-invasive-blood-pressure-monitoring-ymmbe) | [[Linkedin]] | | 11/21/2024 | [**Rightway Partners with Curai Health to Expand Access to High-Quality, Affordable Virtual Care**](https://www.prnewswire.com/news-releases/rightway-partners-with-curai-health-to-expand-access-to-high-quality-affordable-virtual-care-302313259.html) | [[PR Newswire]] | | 11/21/2024 | [**Rightway Partners with Curai Health to Expand Access to High-Quality, Affordable Virtual Care**](https://finance.yahoo.com/news/rightway-partners-curai-health-expand-161500673.html) | [[Yahoo Finance]] | | 11/11/2024 | [**Population Health Management Market to Grow by USD 22.55 Billion from 2024-2028 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-to-grow-by-usd-22-55-billion-from-2024-2028--driven-by-rising-adoption-of-healthcare-it-report-with-ai-impact-on-trends---technavio-302300769.html) | [[PR Newswire]] | | 11/11/2024 | [**5 Hospital Stocks Set to Thrive Amid Robust Industry Trends - Yahoo Finance**](https://finance.yahoo.com/news/5-hospital-stocks-set-thrive-170200996.html) | [[Yahoo Finance]] | | 8/29/2024 | [**Pfizer launches direct-care navigation platform, PfizerForAll - Healthcare Brew**](https://www.healthcare-brew.com/stories/2024/08/29/pfizer-launches-direct-care-navigation-platform) | healthcare-brew.com | | 8/22/2024 | [**How digital care navigation for chronic conditions can reduce healthcare costs**](https://fintech.global/2024/08/22/how-digital-care-navigation-for-chronic-conditions-can-reduce-healthcare-costs/) | fintech.global | | 8/12/2024 | [**Quantum Health Appoints Dr. Stanley Crittenden as New Chief Medical Officer**](http://www.businesswire.com/news/home/20240812304065/en/Quantum-Health-Appoints-Dr.-Stanley-Crittenden-as-New-Chief-Medical-Officer/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 7/3/2024 | [**Healthcare IT Market Poised for Explosive Growth, Projected to Reach $1.83 Trillion by 2031**](https://www.whatech.com/og/markets-research/medical/851706-healthcare-it-market-poised-for-explosive-growth-projected-to-reach-1-83-trillion-by-2031) | whatech.com | | 9/29/2023 | [**Is Care Navigation the Answer to a Messy U.S. Health System?**](https://medcitynews.com/2023/09/is-care-navigation-the-answer-to-a-messy-u-s-health-system/) | [[MedCity News]] | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **Rightway**: A healthcare navigation company that partners with Curai Health to enhance care navigation and pharmacy benefits. - **Memora Health**: A digital care navigation platform that provides patient navigation tools aimed at improving personalized care pathways. - **Devoted Guardians**: Launched a patient care navigation program in partnership with Banner Health, focusing on social determinants of health. - **Thyme Care**: A value-based cancer care enabler that provides specialized cancer care navigation and has raised significant funding to expand its services. - **Cerula Care**: An oncology behavioral health and care navigation company focused on providing personalized virtual-first solutions for cancer patients. - **ThoroughCare**: A digital care coordination company that integrates its platform into healthcare marketplaces to enhance patient outcomes and streamline care management. - **Quantum Health**: Recognized for its healthcare navigation and care coordination platform that enhances consumer experience through AI-powered design. - **Accolade**: A care navigation company that has acquired MD Insider to enhance its offerings with a new product called Accolade Total Care, aimed at improving access to high-quality physician information. - **Health Commons Project**: An organization focused on improving healthcare access and quality through enhanced data interoperability and care coordination. - **PointClickCare**: A cloud-based software company focused on elder care, providing tools for care transitions and improving revenue cycles. - **Personify Health**: A company that integrates human expertise with AI-driven technology to enhance care navigation and advocacy solutions. - **CareMetx, LLC**: A company focused on improving patient access and adherence to specialty medications through technology-enabled services. - **HealthSnap**: Awarded for its integrated virtual care management platform that enhances remote patient monitoring and chronic care management. - **Advocate Health**: A healthcare system that has achieved significant savings through robust care management and participation in value-based care programs. - **MedRisk**: A prominent player in Offsite Medical Case Management, focusing on innovative care models. - **Pear Suite**: A digital health company that empowers community health workers (CHWs) with a customizable care navigation platform to address social determinants of health (SDOH). - **TigerConnect**: A communication platform that enhances connectivity across the healthcare journey, particularly in emergency and pre-hospital care. ### Partnerships and Collaborations - **Devoted Guardians and Banner Health**: Collaborated to launch a patient care navigation program that has led to significant reductions in hospitalizations and costs. - **Pager Health and Protera Health**: Announced a collaboration to enhance access to high-value musculoskeletal care through a seamless digital navigation experience. - **Rightway and Curai Health**: This partnership enhances care navigation and pharmacy benefits, allowing members to access virtual urgent care 24/7. - **Nordic and Benevolence Health**: Partnership to assist hospitals in preparing for the CMS Transforming Episode Accountability Model (TEAM). - **ThoroughCare and PointClickCare**: Integration of ThoroughCare's platform into PointClickCare's marketplace to improve access for long-term and post-acute care providers. - **Clearstep and the Defense Health Agency**: Clearstep's AI-powered smart routing engine will enhance healthcare access for military beneficiaries. - **PointClickCare and Pfizer**: Collaboration to share real-world data on seniors, enhancing care delivery. - **Commure and Memora Health**: The acquisition aims to integrate Memora's patient navigation tools with Commure's existing solutions to enhance patient engagement and streamline workflows. - **Netsmart, Epic Systems, and MedAllies**: Collaboration to launch a closed-loop data exchange referral system to improve interoperability in behavioral health and primary care. - **VSee Health and Tele911**: A partnership to leverage telehealth technology to address emergency room overcrowding by diverting low-acuity 911 calls. - **Shadowbox**: Engages in discussions about interoperability and reducing administrative burdens in healthcare. - **Pear Suite**: Plans to partner with health plans and community organizations to expand its impact on health outcomes. - **Arcadia and Amazon Web Services**: Partnered to enhance interoperability and data sharing in healthcare. - **Health In Tech, Vitable, and MARPAI**: Launching a self-funded health plan to improve healthcare access for under- and uninsured populations. - **Muse Health and FlyteHealth**: Collaborating to enhance offerings in obesity care and chronic condition management. - **Mount Sinai Health System**: Opened the Hamilton and Amabel James Center for Artificial Intelligence and Human Health, focusing on AI and genomics. - **Viz.ai and Microsoft**: A partnership to enhance healthcare access to AI diagnostic imaging models and care coordination solutions. - **SEQSTER PDM Inc. and PatientsLikeMe**: This strategic partnership aims to improve clinical trial recruitment and patient onboarding experiences. ### Innovations, Trends, and Initiatives - **Care Navigation Emergence**: The concept emerged in 1990 to address disparities in healthcare access, initially focusing on cancer care but now encompassing broader health services. - **Digital Care Navigation**: Proposed as a solution to improve patient outcomes and reduce costs for chronic condition management. - **Comprehensive Care Navigation Solutions**: Personify Health's platform aims to guide members to appropriate care levels and assist with treatment comprehension. - **AI in Care Navigation**: The integration of AI technologies in patient navigation systems is expected to enhance patient experiences and streamline healthcare workflows. - **AI-Powered Navigation Tools**: These tools enhance member engagement by providing personalized symptom assessments and care guidance. - **Patient Engagement Tools**: The development of user-friendly digital tools is critical for improving patient navigation and reducing provider switching due to service complexities. - **Behavioral Health Integration**: Cerula Care's approach integrates behavioral health support with oncology teams to improve patient outcomes. - **GUIDE Model**: An eight-year pilot program by the Centers for Medicare & Medicaid Services aimed at enhancing dementia care management. - **Integration of Data Platforms**: Companies like Arcadia are enhancing interoperability and data sharing to improve care navigation. - **Patient Engagement Technologies**: Advocate Health emphasizes automated technology for patient engagement and care transition services to reduce readmissions. - **Population Health Management Tools**: Advancements in population health management tools are improving care delivery and coordination, leading to reductions in preventable hospitalizations. - **Value-Based Care Models**: The healthcare industry is shifting towards value-based care models, focusing on quality and outcomes rather than quantity of services. - **Offsite Medical Case Management Growth**: Expected to grow at a CAGR of 11.1% from 2024 to 2031, focusing on chronic disease management. - **Telemedicine Services**: PointClickCare launched a telemedicine service called Virtual Health, providing 24/7 access to hospitalists for skilled nursing facilities. - **AI-Powered Clinical Decision Support Systems**: Enhancing oncologists' capabilities and improving diagnostic accuracy. - **Interoperability Initiatives**: Efforts to enhance data sharing and interoperability among healthcare providers are crucial for improving care coordination. - **Telehealth and Digital Health Tools**: Increasingly important for coordinating patient care remotely, especially post-pandemic. - **Generative AI in Healthcare**: Projected to revolutionize diagnostics and patient engagement through personalized care plans. ### Challenges and Concerns - **Complexity of Healthcare Navigation**: 70% of dementia caregivers find coordinating care stressful, highlighting the need for effective navigation solutions. - **Complexity of U.S. Healthcare System**: The fragmented nature of the healthcare system creates barriers for patients, necessitating care navigation services. - **Privacy Concerns**: Healthcare organizations must address privacy issues while leveraging AI and care navigation tools. - **Data Fragmentation**: The challenge of accessing comprehensive healthcare data from various sources hampers effective care navigation. - **Regulatory Compliance**: Providers must adapt to changing regulations while leveraging new opportunities in care management. - **Ineffectiveness of Current Systems**: 60% of healthcare workers believe the U.S. healthcare system is ineffective in assisting patients with dementia care navigation. - **Data Privacy Concerns**: Healthcare AI deployment must address privacy issues to ensure patient safety and trust. - **Patient Experience Measurement**: Current methods of measuring patient experience are inadequate, highlighting the need for more responsive feedback mechanisms. - **Data Quality and Bias**: Concerns regarding data quality, decision transparency, and biased decision-making in AI applications within healthcare. - **Regulatory Barriers**: Health plans face challenges in transitioning to value-based care due to complex regulatory requirements. - **Integration Complexities**: Challenges in integrating new technologies into existing healthcare systems can hinder growth. - **Integration of Technologies**: The need for effective integration of healthcare platforms to eliminate data silos and improve clinical efficiency. - **Data Security**: Concerns regarding data security and privacy in the digital health market, particularly with the adoption of new technologies. - **Administrative Costs**: The lack of a central coordinating agency leads to inefficiencies and high administrative costs in healthcare. - **Data Privacy and Security**: Concerns regarding the protection of clinical information used in AI decision support models are significant in the healthcare sector. - **Cybersecurity Threats**: Healthcare organizations face significant risks from data breaches and fraud, necessitating robust security measures. - **Implementation Costs**: High implementation costs and the complexity of integrating new technologies into existing healthcare systems may hinder market growth. - **Reimbursement for AI Technologies**: Challenges exist in the reimbursement processes for AI technologies, which can hinder the adoption of innovative solutions. - **Funding and Liability Risks**: Healthcare AI startups face challenges in securing funding due to high liability risks and the need for demonstrated accuracy.