CareMore, a subsidiary of Anthem Inc., is an integrated health plan and care delivery system for Medicare and Medicaid patients. The company was founded in 1993 by Sheldon Zinberg as a small, Southern California regional medical group. Today, CareMore serves 100,000 patients across 8 states with annual revenues of $1.2B. CareMore's President and CEO is Sachin H. Jain.
The company has developed a care model designed to target high-risk, chronically ill patients through focused care coordination, patient education, and proactive disease management. This model has resulted in costs 18% below industry average, while tangibly increasing quality: hospital admissions are 42% below national average, average length of stay is 32% below traditional Medicare FFS, and diabetic amputation rates are 67% below traditional FFS. These results have led some health policy experts to point to CareMore as one of the most innovative models to reform Medicare. However, CareMore has also been criticized as a one-off success story that will not be able to scale beyond its core markets.