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Industry expertise

In an industry that is ever evolving with changing regulations, new technologies and medical discoveries, ComplexCare Solutions prides itself on staying ahead of the curve and pioneering change rather than playing catch-up.

We were among the first to recognize the importance of providing a multidisciplinary team of medical, behavioral and social experts for effective care management. We consistently leverage the latest scientific, evidence-based protocols in the design of our solutions. Through our comprehensive range of services and the successful integration of assessment and care management, we have enabled a level of customization for health plans and personalized care for members that is unique to the industry.

Our executive leadership team has deep payer experience, and many have held senior leadership roles at some of the largest national health plans in the country. Our CMO, Dr. Anthony Kotin, was CMO at Magellan Health Services, where he oversaw the implementation of many innovative medical management policies and procedures. Other members of our leadership team include former senior health plan executives, NCQA auditors and technical specialists.

White papers and presentations