Overview
What is Caresource Ohio Inc?
CareSource Ohio Inc, a Dayton, Ohio-based nonprofit organization, has been dedicated to enhancing the health and well-being of over 1.5 million Ohio residents for over three decades. With a focus on Medicaid consumers, including low-income families, children, pregnant women, disabled individuals, and the elderly, CareSource Ohio serves as a leading managed care provider in the state. The organization's mission extends beyond Ohio, offering services to dually eligible consumers for Medicare and Medicaid, Medicare Advantage consumers, and individuals with low-cost comprehensive coverage through the Federal Health Insurance Marketplace. CareSource Ohio's comprehensive approach includes forging strong regulatory relationships, having a broad network of over 52,000 providers, and investing in evidence-based initiatives to improve health outcomes. The organization also prioritizes social partnerships with community organizations to support longitudinal health management. CareSource Ohio's care management infrastructure consists of three levels to address the unique needs of each member, with a focus on prevention and quality care. Their commitment to quality is demonstrated through NCQA accreditation and their integrated care management program, which addresses both physical and behavioral health needs.
Official website here: www.caresource.com
What are the reviews and ratings of this charity?
Charity Navigator Rating: 81% (Three-Star out of Four Stars)
Caresource Ohio Inc has received a Three-Star rating from Charity Navigator, reflecting a solid score of 81% in Accountability & Finance. This rating underscores the organization's commitment to transparency and responsible financial management, which is crucial for building trust with donors and stakeholders.
The charity scored particularly well in several key areas, such as its financial statements and oversight practices, where it achieved full points. Additionally, the organization has robust policies in place for conflict of interest, whistleblower protection, and document retention, which further emphasize its dedication to ethical governance. The high program expense ratio indicates that a significant portion of its budget is directed towards fulfilling its mission.
Despite its strengths, the rating is solely based on the Accountability & Finance beacon, indicating limited insights into other operational aspects such as program impact or community feedback. While the financial health appears strong, potential donors may seek additional information regarding the effectiveness and outcomes of its programs.
This AI summary has been generated from information found on Charity Navigator.
Is Caresource Ohio Inc legitimate?
Caresource Ohio Inc is a legitimate nonprofit organization registered as a 501(c)(3) entity. Caresource Ohio Inc submitted a form 990, which is a tax form used by tax-exempt organizations in the U.S., indicating its operational transparency and adherence to regulatory requirements. Donations to this organization are tax deductible.
Heare are some key statistics you may want to consider:
Executive Compensation: $0
Professional Fundraising Fees: $0
Other Salaries and Wages: $0
For more financial information, click here
Official website here: www.caresource.com
What is the mission statement of Caresource Ohio Inc?
Caresource Ohio Inc is a nonprofit organization dedicated to making a lasting difference in the lives of its members by improving their health and well-being. Its mission is to transform lives through innovative health and life services. The organization serves over 1.5 million members, including those on Medicaid, Medicare Advantage, and the Federal Health Insurance Marketplace. Caresource Ohio focuses on prevention and evidence-based investments to improve member health, healthcare quality, and accessibility. It has a broad network of providers and collaborates with community partners to support longitudinal health management efforts. The organization's care coordination programs are tailored to members' unique physical, behavioral, and social health needs, with a focus on preventing members from escalating to high-risk status. Caresource Ohio has a robust care management infrastructure, including self-management, rising risk, and high-risk support, to address members' complex health needs. It utilizes evidence-based protocols, such as disease management programs, to conduct targeted interventions and improve overall health outcomes.
Official website here: www.caresource.com
Who is the CEO of Caresource Ohio Inc?
Erhardt Preitauer is the Chief Executive Officer of Caresource Ohio Inc. The CEO's salary of Caresource Ohio Inc is $0 and their total compensation is $7,910,538.
Official website here: www.caresource.com
What is the revenue of Caresource Ohio Inc?
Caresource Ohio Inc's revenue in 2022 was $10,064,129,024.
Official website here: www.caresource.com
Who are the executives of Caresource Ohio Inc and what are their salaries?
Here are 9 key members and their salaries (Caresource Ohio Inc's CEO's salary is $0 and their total compensation is $7,910,538):
- Compensation: $0
- Related: $3,656,889
- Other: $4,253,649
- Compensation: $0
- Related: $1,235,514
- Other: $871,311
- Compensation: $0
- Related: $1,072,888
- Other: $998,867
- Compensation: $0
- Related: $966,866
- Other: $950,975
- Compensation: $0
- Related: $820,988
- Other: $716,902
- Compensation: $0
- Related: $1,505,969
- Other: $14,895
- Compensation: $0
- Related: $524,391
- Other: $577,351
- Compensation: $0
- Related: $524,895
- Other: $22,301
- Compensation: $0
- Related: $194,579
- Other: $0
Official website here: www.caresource.com
Where can I find the form 990 for Caresource Ohio Inc?
Caresource Ohio Inc's most recent form 990 was submitted in 2022 and can be accessed here.
Official website here: www.caresource.com
Learn more at the official website: www.caresource.com
Mission Statement of Caresource Ohio Inc
Caresource Ohio Inc, a leading nonprofit managed care organization, is dedicated to making a lasting difference in the lives of its members by improving their health and well-being. With a mission to transform lives through innovative health and life services, the organization has been serving over 1.5 million members in Ohio for over thirty-three years.
Caresource Ohio Inc's primary focus is on Medicaid members, including families with low income, children, pregnant women, adoption and foster kids, those who are aged, blind or disabled. The organization also caters to dually eligible consumers for Medicare and Medicaid, Medicare Advantage consumers, and individuals and families with a Qualified Health Plan.
Caresource Ohio Inc's approach to care is geared towards prevention, with a goal of improving member health, the quality of health care services received, and accessibility of health care services for Medicaid members. They have made an organizational commitment to make evidence-based investments towards improving health outcomes for members. The organization's services are designed to blend the recommendations of the Triple Aim framework and principles of population health management best practices, while leveraging emerging technological and analytic solutions to make measurable positive impacts in the health of the communities they serve.
Caresource Ohio Inc maintains a broad, statewide network of over 52,000 providers, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers. They incentivize certain providers through a value-based incentive model to deliver quality-based services that impact Healthcare Effectiveness Data and Information Set (HEDIS) measures. Caresource Ohio Inc has created a robust care management infrastructure that consists of three levels of member care to accelerate care transformation for each and every member. This design allows them to focus on preventing lower-risk and rising risk members from escalating to high-risk over time, while still tending to the one-to-one care management needs of high-risk populations.
Through targeted programs like Disease Management, Behavioral Health, and transitions of care, Caresource Ohio Inc focuses on achieving health and maintaining wellness to the highest level possible for each member. The organization's commitment to quality is demonstrated through its National Committee for Quality Assurance (NCQA) accreditation for its qualified Health Insurance Marketplace and Medicaid Health plans. Caresource Ohio Inc has implemented an integrated care model to empower members to become engaged and actively participate in their health and well-being. The CareSource Integrated Care Management program supports a member's holistic physical and behavioral health needs, employing a multi-faceted, evidence-based approach to achieve the best possible health outcomes.
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Impact
October, 2024
CareSource Ohio Inc. has a significant impact on the health and well-being of over 1.5 million members in Ohio, primarily through its comprehensive managed care programs tailored for diverse populations, including Medicaid recipients, dual-eligible individuals for Medicare and Medicaid, and those utilizing the Federal Health Insurance Marketplace.
By pioneering Ohio's first mandatory Medicaid managed care program in 1989, CareSource has established itself as a leader in the sector, capturing 51.2% of the statewide Medicaid managed care market share. Its success is reflected in the highest voluntary enrollment and lowest voluntary disenrollment rates among Ohio's managed care plans. This is largely due to CareSource's focus on preventive care, evidence-based investments, and a member-centered approach that prioritizes quality health care services and improved health outcomes.
CareSource's robust care management infrastructure employs a stratified model, categorizing members based on their health risks—self-management, rising risk, or high-risk. This allows for tailored care coordination, addressing complex physical, behavioral, and social health needs effectively. For high-risk members, care management includes enhanced support from community partners, such as local pharmacies and community mental health centers, ensuring comprehensive services are available.
The organization emphasizes collaborative approaches with over 52,000 providers across Ohio, fostering strong partnerships that enable effective population health strategies. Incentives based on quality care delivery encourage providers to meet specific health metrics, which in turn generates better health outcomes for members.
CareSource also focuses on targeted initiatives, such as the Women and Children’s Health program, which addresses prenatal and early childhood care, aiming to reduce preterm births and improve maternal health. This integrated care model combines disease management, care transitions, and member education, ensuring a holistic approach to health that empowers members to engage proactively in their care.
Furthermore, CareSource’s commitment to quality is underscored by its accreditation from the National Committee for Quality Assurance (NCQA), enhancing its credibility and ability to drive health improvement among its members. Through a strategic blend of preventive care, community partnerships, and tailored health management programs, CareSource continues to make a lasting difference in the lives of those it serves, transforming health and life services across Ohio.
This information is meant to be a general summary of Caresource Ohio Inc. Please take the time to review official sources before making any decisions based upon the content provided here.
Financials
This financial information is from Propublica.
Other financial information:
This information is from the most recently submitted tax form from this organization, which was in 2022.
- Investment Income: $53,326,439
- Program Service Revenue: $10,010,802,585
- Gross Receipts: $13,158,732,350
Assets and Liabilities:
- Total Assets: $2,667,085,761
- Total Liabilities: $1,267,345,373
- Net Assets: $1,399,740,388
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Programs
Programs are reported by nonprofits in their tax forms and are normally their tax-exempt activities.
MEDICAID
Revenue
$9,237,051,917
PREMIUMS
Revenue
$724,988,560
MEDICARE ADVANTAGE
Revenue
$48,762,108
Organization Details
Founding Year
1985
Phone
(937) 224-3300Principal Officer
Erhardt Preitauer
Main Address
PO Box 8738, Dayton, OH, 454018738
Website
www.caresource.comNTEE Category
Code: E31Z - Health
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