CareAdvantage's History

CareAdvantage, Inc. (CAI) is in the business of providing management and consulting services. Our primary focus is to enable integrated health care delivery systems, health insurance carriers, other care management organizations, health care consultants, self-insured employers and unions to improve the quality of medical services provided to their subscribers, and reduce costs through the use of innovative, high speed tools. Our management and consulting services include care management program enhancement, executive and clinical management, and training programs.

The Company has a proven track record for reducing unnecessary utilization, while optimizing program performance and quality of care, as measured by reduced cost, reduced risk, improved member and provider relations, and member retention by insurance carriers/employers. RightPath™ Navigator (RPNavigator) is at the center of CareAdvantage's Right Path Care Management (TM) product suite. It is a next generation software solution that categorizes and quantifies a population's disease burden and provides a case mix/severity adjusted picture of the health status of a clients' member populations. RPNavigator's underlying infrastructure incorporates a classification methodology from 3M Healthcare Information Systems, along with various analytical techniques, to stratify the overall population and/or an individual member's associated risks. It enables a rapid assessment of historical health care quality and cost, as well as projection of future risk, from a resource consumption, disease progression and mortality perspective.

CareAdvantage clients include health plans, major health insurance carriers, employers, hospital systems, provider and other purchaser groups. For the past nine years, the Company has worked with many leading health plans to develop effective, affordable and timely data-driven strategies that improve case, disease and utilization management, as well as operations and network management. These strategies have helped CareAdvantage clients to more effectively:

  • Identify and manage their disease burdens and associated risk.

  • Improve the quality of member care through the evaluation of health care providers and facilities.

  • Facilitate provider cooperation and collaboration.

  • Forecast resource consumption based on the disease burden.

  • Optimize allocation of resources.

In order to deliver these solutions, CareAdvantage relies upon experienced health plan executives and medical directors, as well as a wide range of subject-matter experts, in the areas of care management operations, clinical-data, educational resource and information technology (IT). It is this vast array of experience, coupled with a deep understanding of medical and health care insurance-related best practices, that enables CareAdvantage to provide clients with objective, quantifiable information, strategies and results.



CareAdvantage, Inc.     485C Rt. 1 South,    Iselin, NJ 08830     732.362.5000    (Fax) 732.362.5005