Overview
CareMore Health provides integrated, personalized care for people with complex and chronic conditions across home, virtual, Care Centers, mobile units, skilled nursing facilities, and hospitals. It coordinates whole-person care through team-based models and offers Medicare, Medicaid, and commercial plans with full-risk, value-based payment tied to outcomes and costs. Its care model combines in-home and facility-based services, virtual visits, and care-management teams to manage populations and prevent unnecessary care. Its goal is to improve clinical outcomes while lowering overall health care costs for high-need patients, supported by a long history in value-based care and the ability to serve diverse settings.
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Simplify's take
What believers are saying
- The October 2026 SCAN launch expands CareMore’s reach and adds 10 Care Centers.
- January 2026 Clever Care partnership added 350 primary care providers across Southern California.
- CareMore’s seven-state network and culturally competent care support member growth and referral stickiness.
What critics are saying
- Silver Peaks litigation over Medicare recovery remains active in California Central Court, risking reimbursement pressure.
- CareMore relies on payer partnerships like SCAN and Clever Care; losing them would shrink utilization quickly.
- Medicare Advantage scrutiny could compress margins and trigger contract losses, threatening Mosaic’s CareMore business.
What makes CareMore Health unique
- Physician-led integrated care across four states serves 41,000-plus patients under Mosaic Health.
- CareMore built provider-specific Medicare Advantage with SCAN for Los Angeles and Orange counties, launching January 2027.
- New leadership under CEO Sam Wald and CMO Anh Pham sharpened CareMore’s care-model execution.
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