Care Transitions

Engage – Coach – Connect
Our advantage lies in the way we personalize each patient engagement

What We Do


CareMaestro solutions uniquely combine live patient calls with automated systems for the most efficient and effective engagement of patients when returning home – in support of both short (transitional care) and long term (chronic care) programs.


Our registered nurses personally reach out to all patients within 24 hours of referral to review and coach patients on discharge instructions, care plans and medications.


Our nursing staff triages all health alerts and connects at-risk patients to the dedicated staff of our care partners. Data collected generates actionable analytics and reports to providers for process improvement.

The CareMaestro Difference

Our advantage lies in the way we personalize each patient engagement. We stand behind the value of our services with our pay for performance programs, partnering with providers to achieve targeted reductions in readmissions, lower cost of care and benchmark ROI.

Transitional Care

Our patient engagement solutions are designed to substantially enhance your existing care transition services with industry-leading efficiency and effectiveness.

Chronic Care

Our chronic care management solution helps people stay healthier at home. It is designed to cost effectively engage patients in their homes with continuous and consistent follow up.

Who We Serve

CareMaestro serves different types of health care organizations in different ways. What remains consistent is our ability to enable our clients to engage every patient cost efficiently and learn from their experiences.
We facilitate communication between the various disciplines involved in each patient’s care and provide our clients an extraordinary base of knowledge to improve the quality and value of care, as well as the overall patient experience.

Proven Results

Case Study Summary
  • National Hospital System
  • 598 discharged patients enrolled with CareMaestro
  • Of this group, 48 were readmitted within 30 days
  • Resulting in a total 30 day PCR readmission rate of 8.0%
  • Compared to the provider’s readmission rate of 13.8%.
Financial Impact
  • $395,000 : Avoided Readmission Costs
  • $490 : Net Savings per Discharge
  • 288% : Return on Investment

Based on provider data and results