"Care management software" is one label stretched across at least 5 different markets, and most vendor lists mix all 5. That's why evaluation cycles burn a month before anyone notices the shortlist doesn't fit.
We build care management software for provider groups, ACOs, and digital health teams running CPT-billable Medicare programs, including CCM, PCM, TCM, RTM, BHI, AWV, and APCM.
Talk to a Program SpecialistVendor lists mix all five markets together, which is why evaluation cycles burn a month before anyone notices the shortlist doesn't fit.
| Market | What It Actually Solves | Fit For You? |
|---|---|---|
| US Medicare Provider Programs | CPT-coded care programs: CCM, PCM, TCM, RTM, BHI, AWV, APCM | This page |
| Payer Care Management | Utilization & population workflows inside health plans | Wrong aisle |
| Senior Living & Aged Care | Facility operations, resident care plans, staffing | Wrong aisle |
| Home Care & Home Health | Scheduling, visit verification, agency billing | Wrong aisle |
Strip away the brochure language, this is what has to work, in production, every month.
Identify eligible patients and capture documented consent in a form that supports audit review.
Shared, living plans the patient and care team both act on.
Coordinator queues, escalations, and the TCM 2-business-day contact window.
Documented clinical time per patient, per month. No log, no claim.
Messaging, education, and check-ins that keep enrollment active.
Records structured to make required evidence easy to retrieve during review.
Claim-ready data and real-time visibility into revenue and enrollment.
Each program has a distinct set of CMS billing and documentation requirements. Your platform needs to capture the specific evidence each one requires.
2+ chronic conditions, documented consent, care plan, monthly time log.
Same rigor, 1 high-risk condition.
30-day post-discharge episode, 2-business-day contact (both codes), face-to-face visit within 14 days (99495) or 7 days (99496).
Monthly billing against a patient registry with tracked time.
Non-physiologic remote monitoring. CY2026 added short-window codes 98984/98985, removing the 16-day all-or-nothing threshold.
Eligibility-driven annual wellness visit, the front door to every other program.
Live since Jan 1, 2025, per-patient-per-month, tiered by condition count, no time tracking, 13 required service elements.
The decision that shapes your next 18 months, broken into three real paths, not two.
No "fast implementation" marketing speak, the real 14-week shape.
Programs, cohorts, billing rules mapped against CMS and NCQA standards before any configuration begins.
EHR read before write-back. ADT feed before analytics. Roster sync before outreach.
1 program, 1 site, 50 to 200 patients. Full loop: enroll, consent, work the queue, capture time, produce a claim-ready month.
Reconcile pilot month against submitted billing. Then add sites, then programs.
Three cost stacks, most vendors only show you the first one.
Per-user or per-enrolled-patient pricing. Reference points range from roughly $24/user/month to $300 to $450/user/month depending on platform.
Configured use case: a scoped project plus a smaller ongoing cost. Full custom builds land in low-to-mid six figures depending on program count and integration depth.
The one everyone skips. Your care team's time is the largest line item, the software's job is to convert more of it into billable time.
Sort the market, then the vendor. Let's map which programs fit your population and which path, rent, configure, or build, gets you there fastest.
We go beyond core healthcare solutions by offering a comprehensive suite of technology-driven services that enhance scalability, efficiency, security, and user experience.
From concept to deployment, we design and develop high-performance digital health products tailored to industry needs. Our approach focuses on scalability, security, and compliance, ensuring seamless functionality and a strong foundation for growth.
We provide custom AI/ML development services to help healthcare organizations automate workflows, enhance clinical decision-making, and extract actionable insights from data. Our expertise includes predictive analytics, NLP for medical records, and AI-powered automation tailored to your needs.
We help businesses migrate, build, and optimize healthcare applications on cloud platforms while ensuring compliance and security. Our cloud services include architecture design, DevOps automation, and scalable infrastructure management for seamless performance.
We enable secure and efficient integrations across EHRs, medical devices, third-party APIs, and digital health platforms. Our team ensures data interoperability using FHIR, HL7, and custom API development, reducing silos and improving workflow efficiency.
We offer data engineering, analytics, and reporting services to help healthcare organizations harness their data effectively. Our team develops real-time dashboards, predictive models, and automated reporting to support better decision-making.
We help businesses meet HIPAA, GDPR, and other regulatory requirements by integrating security best practices into development. Our services include risk assessments, DevSecOps implementation, and data protection strategies for secure digital health solutions.
We help organizations design, develop, and integrate telemedicine platforms with features like video consultations, remote patient monitoring, and secure data exchange. Our services ensure seamless connectivity while maintaining compliance with healthcare regulations.
We provide end-to-end mHealth app development services, designing secure, user-friendly, and HIPAA-compliant mobile solutions for healthcare providers, patients, and caregivers. Our services include custom app design, wearable integrations, remote monitoring, and telehealth features to enhance patient engagement and care accessibility.
We develop custom Clinical Decision Support Systems (CDSS) that provide real-time insights, AI-driven recommendations, and predictive analytics to improve patient outcomes. Our solutions integrate seamlessly with EHRs and existing healthcare systems, reducing cognitive load and enhancing clinical decision-making.
We don’t just deliver solutions we build partnerships that drive transformation. With a proven track record in healthcare technology, we understand the industry’s unique challenges and offer customized solutions to help you achieve breakthroughs.
Deep healthcare knowledge ensures technology aligns with real-world clinical workflows, driving impact.
Pre-built components reduce engineering time by 30-40%, helping you get to market quickly.
AI models are trained on your local data in your secure cloud environment.
Proven integrations ensure seamless connectivity with EHRs, payers, and digital health ecosystems.
Delivered 50+ healthcare solutions across 10+ countries, representing our ability to provide a diverse healthcare ecosystem.
Reduced the development time by 40% by implementing customized solutions for every challenge.
We deliver 100% ownership with a perpetual license for IP and code, enabling seamless data integration. Ensure full control and flexibility.
Ensure seamless integration with your systems and scalability to adapt to evolving needs.
Our 50+ prebuilt frameworks accelerate the development process and reduce time-to-market by 30%.
The specialized AI tools are customized to address healthcare challenges, significantly improving diagnostic efficiency by 25%.
Stay informed with our hub, offering insights and thought leadership to empower your team.
Achieved 90+ NPS with a user-centric approach ensuring seamless adoption and superior experience.
Leverage automation to reduce errors by 60%, boost efficiency, and enhance care quality.
Our clear, open pricing ensures you understand your investment without hidden costs or surprises.
From leading hospitals to digital-health companies, Mindbowser powers real-world healthcare transformation.
The system provider organizations use to run structured care programs between visits: enrollment, care plans, outreach, time capture, and documentation supporting billing and audits. In US Medicare programs, its defining job is turning program work into billable, defensible claims.
EHR systems: Epic and Oracle Health lead US hospitals; athenahealth and MEDITECH are strong in ambulatory. Care management software is a separate layer alongside the EHR, managing program work between encounters.
Long-term care platforms such as PointClickCare and MatrixCare: census, MDS assessments, medication records, facility billing. A separate market from Medicare care management software, which serves practices running programs like CCM and TCM.
An EHR, most commonly Epic or Oracle Health, surrounded by revenue cycle and departmental systems. Hospitals running Medicare care programs add a care management layer on top, bought or custom-built, because the EHR's program billing support is rarely complete.
Partner with us to design, build, and scale digital solutions that drive better outcomes.
Global Tech Teams LLC, 525 Washington Blvd, Industrious at Newport Tower, Jersey City, NJ 07310, United States.
Let’s discuss your goals, workflows, and next steps in a focused consultation call.
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