ComplexCare Solutions (CCS) provides comprehensive and flexible solutions to optimize revenue opportunities, lower medical costs and enhance quality by leveraging and maximizing the value of an in-home care management approach for our Medicare Advantage, Managed Long Term Care, Medicaid, Special Needs Plan and commercial members.
CCS offers full service or modular approaches that meet our clients’ health plan objectives and complement their existing initiatives, providing our clients the ability to impact the health and cost of their sickest and costliest member populations. We have a variety of programs that allow us to customize our care management solutions in order to accommodate the unique needs of every single one of our clients and their members. We use selective targeting to ID the highest at risk members and structure our care management programs around substantial in-person interactions, whether it be in the home, during physician visits or in the hospital. Additional care strategies include timely data collection on hospitalizations and discharges, select use of biometric devices, regular interaction with PCPs and other care providers, and integrated EMRs.