02Care Model Design & Activation
Standing up something
that didn’t exist before.
For organizations that need a working care model, not a workflow diagram. Legal structure, staffing, reimbursement, technology, patient experience, and operating metrics, treated as one problem.
The work
A care model is not a workflow diagram.
It is the legal structure, the staffing model, the reimbursement pathway, the technology stack, the patient-facing experience, and the operating metrics, all working in the same direction. Most failed care models we have seen had one or two of those right and treated the rest as someone else’s problem. We treat them as one problem.
We have designed and operated virtual care for senior populations, hospital@home for acute and post-acute Medicare cases, chronic condition management programs with academic medical centers, and direct primary care for employer-sponsored populations. We know what breaks at scale, what the regulators care about, and what clinicians will actually use.
Where we work
Four shapes of engagement.
Virtual-first and hybrid care
Primary care, specialty, behavioral health, post-acute. Designed for the cohort you actually have, not the one in the original projection.
Hospital@home
Program design, payer contracting, operational ramp. The pieces that make the difference between a pilot and a service line.
Chronic and value-based primary care
A1C, hypertension, weight, and behavioral cohort programs. Cohort design, clinician workflow, reporting that actually moves a contract.
DPC and employer clinics
Membership structure, employer roster integration, utilization reporting. Built so the employer renews and the clinician stays.
What changes
The care model is operating, not pilot-stuck. Clinicians have a workflow that respects their time. Reimbursement is captured correctly. The economics work at the cohort size you actually have, not the one in the original projection.
Call us if
Any of these are true.
- ◆A pilot has been running for more than eighteen months without a credible path to scale.
- ◆The clinical team and the technology team are solving different problems and you need them aligned.
- ◆A new reimbursement pathway (RTM, RPM, hospital@home, Specialty ACO, value-based primary care) is open and you need to capture it before competitors do.
- ◆A payer or employer customer is asking for something your current care model can't deliver.
Operator proof
Done before, at scale.
Selected outcomes from prior operating roles. Client names withheld.
2,000+
Hospital@home cases scaled across four Medicare markets
500+
Hospitalizations avoided through home-based acute care
6%
A1C reduction in a chronic condition management cohort
30 states
Virtual care product launched, 90% of US population reached
Delivery
Delivered through Cara Embedded.
The team that designs the model stays to operate it. Engineering, project management, and clinical and commercial wiring delivered on top of the Cara platform when it fits. Platform optional.