Where Clinical Engagement Meets
Member Engagement Services, Built for Complex Populations
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.
Flexible Programs Designed to Meet the Needs of Your Members
The Programs Work Individually — The Model Is What Sets Us Apart
We Start With the Member, Not the Metric
Our engagement model begins with reaching the members your plan most needs to connect with — complex, high-risk populations who don’t respond to automated outreach and standard appointment scheduling. We invest in that first connection because everything else depends on it.
Every Clinical Encounter Drives What Comes Next
The in-home visit, the virtual assessment, the HRA — these are clinical touchpoints, not transactions. Every encounter generates actionable findings, clinical documentation that reaches the right provider, and a coordinated follow-up plan. The visit is the beginning of the care relationship, not the end of it.
We Stay Engaged Beyond the Visit
Our Continuity of Care and Encounter Facilitation programs exist for one reason: clinical value created during an assessment disappears if no one follows through. We coordinate with members and their PCPs after every visit to ensure care plan recommendations are reviewed, acted on, and connected to the broader care the member is receiving.
We Integrate With What You've Already Built
ComplexCare Solutions is designed to work inside your existing programs and vendor relationships — not replace them. We configure every engagement to your plan’s priorities, your quality measures, and your member populations. You get the specific programs you need without rebuilding what’s already working.
Trusted by Health Plans to Deliver Meaningful Engagement & Insight
From the Field
Read our latest perspectives and see what our programs look like in practice.