ComplexCare Solutions partners with health plans to engage hard-to-reach members, uncovering the clinical and social insights that only surface outside the office. Through in-home clinical engagement, we deliver personalized education and generate actionable findings that inform next steps, strengthen coordination, and connect members to the care, benefits, and support they need.
We start with the member, not the metric — reaching complex, high-risk populations who don’t respond to automated outreach. Every clinical encounter drives what comes next, generating documentation that reaches the right provider and enabling coordinated follow-up. Our work continues beyond the visit to ensure care plan recommendations are reviewed, acted on, and connected to broader care.
Our services include health assessments, ancillary testing, and emergency room diversion, delivered through flexible in-home and virtual models. With over 2,200 clinicians across 41+ states and U.S. territories, we support commercial, Medicare, and Medicaid plans in improving member outcomes and closing care gaps.
