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
- Covering the last mile: an in-home model for more effective care management of frail, elderly populations
- In-home AHRAs: A Best Practice Model for Changing Time
- Health Care Deals in the Wake of the Affordable Care Act
- In-House or Out-Source? Mastering the "Make or Buy" Decision-Making Process
- Successful Integration of Managed LTC and Dual Demonstration Plans
- What Can We Learn by Performing Broader Health Risk Assessments?