Tag: CareCentrix
Molina Healthcare taps DME Navigator platform to manage DME benefits in three more states
June 23, 2026HME News Staff
YARMOUTH, Maine – Molina Healthcare of Iowa will implement a new DME Navigator program for members in all lines of business starting in the fall. The payer also has plans to use the platform in Nebraska and Wisconsin.
What durable medical equipment providers in Iowa need to know:
Molina is subcontracting the DME network to Optum for the in-scope DME products and services.
CareCentrix will contract, credential and manage a network of DME providers rendering in-scope products and services...
Providers didn’t ask for it, but it’s here
June 22, 2026Liz Beaulieu, Editor
Going into Medtrade in March, I assumed the biggest topics of conversation would be CMS’s next round of competitive bidding and its new moratorium on new supplier numbers.
Those issues were certainly discussed, but by far the most dominant – and most charged – topic on the show floor was the accelerating use of benefits managers and third‑party administrators to manage durable medical equipment products and services.
Just prior to Medtrade, we published a story on BlueCross...
Payers move deeper into TPA model, according to poll
May 1, 2026Theresa Flaherty
YARMOUTH, Maine – The accelerating shift to third‑party administrators (TPAs) appears to be gaining steam: Ninety‑two percent of respondents to a recent HME Newspoll say payers are already using or transitioning to this model, and most of the rest expect it within a year.
“I think this has the potential to be very disruptive and negative for small DMEs,” wrote one respondent. “The TPAs don’t seem interested in engaging suppliers of our size that have a personal...
Parachute Health helps build ‘digital rails’
April 17, 2026Liz Beaulieu, Editor
NEW YORK – As payers look for ways to streamline ordering and reduce administrative burden, many are turning to DME Navigator, an EHR-integrated ordering platform developed by OptumInsight and CareCentrix. Big picture, the platform – which uses a framework built by Parachute Health – also helps DME providers move to where the puck is going, says the company’s CEO, David Gelbard.
Payers adopt DME Navigator
Molina Healthcare is among the newest payers to announce that...
Providers push back on accelerating benefits management model
April 10, 2026Theresa Flaherty
YARMOUTH, Maine – Molina Healthcare’s plan to use CareCentrix and its DME Navigator solution in four states is drawing criticism from home medical equipment (HME) stakeholders, who say the model significantly reduces reimbursement, threatens patient access to care and adds unnecessary administrative layers.
Molina Healthcare has selected CareCentrix – which developed DME Navigator with OptumInsight – to manage all lines of business effective June 1, 2026, in Illinois, Washington...
Molina Healthcare taps DME Navigator to streamline provider workflows
March 24, 2026HME News Staff
LONG BEACH, Calif. – Molina Healthcare of Illinois (MHIL) on March 2 announced the implementation of a new DME Navigator program for all lines of business effective June 1, 2026.
“DME Navigator is an end-to-end solution operated by Optum and CareCentrix leveraging the CareCentrix DME provider network,” the company stated in a memo. “Using a digital DME Navigator Point-of-Care (POC) platform powered by Parachute Health, it streamlines provider workflows and reimagines how...
BCBS of Tennessee contract change rattles HME providers
February 6, 2026Liz Beaulieu, Editor
NASHVILLE, Tenn. — Home medical equipment (HME) providers that have served BlueCross BlueShield (BCBS) of Tennessee members for decades say they are shocked and concerned for patients following the insurer’s move to use CareCentrix to manage its commercial, Medicaid and Medicare Advantage plans.
'No one knows what is going to happen’
Provider Charles Satterfield said he received a letter from BCBS of Tennessee in December stating the...
Haley Sofiane on CareCentrix’s next chapter: Tech-driven, home-focused
November 21, 2025Theresa Flaherty
HARTFORD, Conn. – CareCentrix was recently acquired by Sycamore Partners, a New York-based private equity firm, marking its return to a standalone status after three years under Walgreens Boots Alliance. Leading this transition is Haley Sofiane, who stepped into the role of president on Oct. 1 after a steady rise through the organization.
Sofiane shares how CareCentrix plans to sharpen its focus on core services, accelerate innovation, and...
In brief: CareCentrix spin off, bid comment period, Rhythm expansion
September 3, 2025HME News Staff
HARTFORD, Conn. – CareCentrix is now a private standalone company following its acquisition by Sycamore Partners, a New York-based private equity firm.
The announcement coincides with Sycamore’s acquisition of Walgreens Boots Alliance, CareCentrix’s previous owner. The separation returns CareCentrix to its ownership structure prior to WBA’s acquisition of the company in 2022.
“This is an exciting moment for CareCentrix and our team,” said Steve...
CareCentrix spins off from Walgreens in Sycamore-backed deal
September 2, 2025HME News Staff
HARTFORD, Conn. – CareCentrix is now a private standalone company following its acquisition by Sycamore Partners, a New York-based private equity firm.
The announcement coincides with Sycamore’s acquisition of Walgreens Boots Alliance, CareCentrix’s previous owner. The separation returns CareCentrix to its ownership structure prior to WBA’s acquisition of the company in 2022.
“This is an exciting moment for CareCentrix and our team,” said Steve...