Care Continuity

About Care Continuity

Based in Irving, Texas, Care Continuity operates as a data-driven patient navigation provider, serving large health systems, accountable care organizations (ACOs), and payers across the United States. Founded in 2014 by Andrew Thorby, the company was established to address inefficiencies in patient care transitions, aiming to bridge gaps between different care settings. Thorby, who hand-picked his successor, now serves as the Executive Chairman, focusing on strategic growth initiatives. The current CEO is Brad Prugh, a healthcare technology leader who previously served as the company's COO, bringing over 20 years of experience from firms like Conifer Health and MedeAnalytics. Another key figure is Executive Chairman Steven Mason, a healthcare industry veteran with over 25 years of experience in starting and operating health and human services companies, who also served as a former CEO of Care Continuity.

The company's business model is centered on reducing patient leakage from healthcare networks, improving patient outcomes, and increasing client margins. It generates revenue by providing its technology-enabled services to clients like hospitals, health plans, and ACOs. The core of its offering is a combination of a proprietary software platform and a team of human care concierges. This hybrid approach tackles the logistical challenges patients face when navigating complex healthcare systems. Clients typically see a return on investment reported to be between 4x and 5x.

Care Continuity's platform utilizes advanced analytics, machine learning, and AI to optimize patient navigation. By analyzing data from over two million patient journeys, the system can predict which patients are most in need of assistance and most likely to accept it. The platform integrates with a hospital's Electronic Medical Record (EMR) system through an admission-discharge-transfer (ADT) feed to identify patients who require support. Services include specialty referral optimization, which uses AI to manage wait times and capacity constraints, and post-discharge follow-up for both emergency department and inpatient settings to reduce readmissions. The human element is provided by a team of care concierges who offer one-to-one interaction, ensuring patients attend appointments, adhere to care plans, and manage medications post-discharge. This high-touch, high-tech approach has been shown to reduce inpatient readmissions by 49% in some cases and has supported an increase in navigated patients by 155%.

The company has achieved significant milestones, including securing a $10 million Series A-3 funding round in late 2023, co-led by Empactful Capital and Viewside Capital Partners. This capital is intended to expand market adoption, fuel product development, and further enhance its AI capabilities. Care Continuity has demonstrated impressive growth, with a reported 60% revenue CAGR and recognition as one of the fastest-growing private companies in North Texas.