ComplexCare Solutions is a leading provider of Member Engagement and Health Information Management services, dedicated to serving health plan networks nationwide. ComplexCare Solutions focuses on engaging members, collecting comprehensive patient data, and implementing personalized care plans that drive meaningful change and bring patients closer to their desired outcomes. With extensive experience working with health plans, ComplexCare Solutions understands the challenges in today's healthcare landscape and is committed to helping clients achieve their goals.
ComplexCare Solutions’ modular services seamlessly integrate with health plan operations throughout the entire care management continuum. By partnering with ComplexCare Solutions, organizations can ensure compliance, receive appropriate reimbursements, reduce healthcare costs, and enhance member satisfaction and care quality. ComplexCare Solutions serves a diverse range of members, including Medicare Advantage, Medicaid Managed Long-Term Care, Dual-Eligible, Managed Medicaid, Commercial ACA, and General Commercial Populations. As an ACAP-endorsed organization, ComplexCare Solutions extends assessment and care management services across the United States.
ComplexCare Solutions is located at Primary: New York, NY 10004, US. The company offers key services such as in-home health risk assessments, annual wellness visits, health screenings, and comprehensive member engagement. Health information management services include medical record retrieval for retrospective risk score accuracy and HEDIS® reporting. ComplexCare Solutions provides various collection methods tailored to organizational preferences, including clinical data extraction, remote EHR access, and onsite data collection.
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Compare ComplexCare Solutions with 3 companies in Hospitals-and-Health-Care
| Comparison Field |
ComplexCare SolutionsMain Company |
Great Valley Publish...View Profile |
Horizon Health and W...View Profile |
MedPartnersView Profile |
|---|---|---|---|---|
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Founded Year
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— | 1978 | 2002 | |
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Company Size
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— | 11-50 | 501-1,000 | 1,001-5,000 |
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City
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New York, NY | Valley Forge, Pennsylvania | Apache Junction, Arizona | Tampa, FL |
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Country
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United States | United States | ||
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Skills & Keywords
Comparing with main company
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20 Total Skills
Member Engagement
Care Management
Health Information Management
Risk Adjustment
HEDIS Reporting
Healthcare Solutions
Patient Engagement
MRR
Social Work
Nurse Practitioners
SDOH
In-home assessments
POC
Coding
IHAs
Point of Care
AANP
Medical Record Reviews
Medical Record Review
Provider Engagement
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4 Total
4 Unique
Unique Skills:
Fitness
Geriatrics
Nutrition
Radiology
|
25 Total
25 Unique
Unique Skills:
Adult Services
Children's Services
Counseling
COVID-19 Services
Crisis Services
Domestic Violence Services
+19
|
10 Total
10 Unique
Unique Skills:
Case Management
CDI
Clinical Documentation Improvement
Clinical Documentation Integrity
DRG Validation Services
Education Services
+4
|
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