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HEALTHCARE | Healthcare Plans
complexcaresolutions.com

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Founded Year

2010

Stage

Acquired | Acquired

Total Raised

$40M

About ComplexCare Solutions

ComplexCare Solutions is a New York-based health services company with service centers in New York, NY, Rochester, NY, Albany, NY, Nashville, TN, and San Juan, Puerto Rico. The company specializes in face-to-face services for Medicare Advantage, Managed Long Term Care, Medicaid, Special Needs Plans, and commercial plan members. ComplexCare is focused on integrating the continuum of care for complex, frail, elderly, special needs, and dually-eligible individuals. ComplexCare seeks to rebalance healthcare utilization from high cost undesirable institutional settings to lower cost home and community-based solutions. ComplexCare's offerings provide interdisciplinary, member-centered assistance through every stage of care from acute hospitalization, to long-term management of chronic illnesses and comorbidities. ComplexCare currently provides assessment and care management services in 12 states and Puerto Rico.

ComplexCare Solutions Headquarter Location

75 Broad Street Suite 815

New York, New York, 10004,

United States

718-391-0611

Latest ComplexCare Solutions News

ComplexCare Solutions Licenses Continuance Health Solutions WellScore Software Seeking to Enhance Scoring of atRisk Elderly Populations to Improve Care and Control Costs

Apr 6, 2015

Greenville Health System Selects Caradigm for Population Health Continuance Health Solutions (CHS) announces a perpetual- license contract with ComplexCare Solutions (CCS) to enhance its ability to deliver high-touch, high-value assessment and care management services for health plans nationwide. CHS’s WellScore® software pushes health care analytics to the next level by identifying root causes of costs, (including environmental risk factors, social circumstances, care gaps and engagement history), and demonstrating a complete picture of an individual’s health — all with a single WellScore number. The resulting profiles direct intervention for at-risk patients — improving outcomes and reducing overall costs by focusing resources on individuals who have attributes that can be significantly impacted through high-touch clinical management services. ComplexCare Solutions anticipates that by enhancing this game-changing technology with CCS’s existing selection algorithms, the ability to identify and manage the most impactable frail, elderly and clinically complex members will increase greatly. CCS expects to implement WellScore mid-second quarter 2015. Stephan Yelenik, CHS CEO, states, “We are pleased to share a common vision with CCS on this new way to keep score of members’ health status. Our alliance demonstrates an alignment of our approach to improve outcomes based on opportunity and impactability – in addition to traditional clinical and utilization measures.” “Our ability to use WellScore to more effectively target members for intervention will allow us to deliver and document even more value to our customers and the members we care for,” adds Anthony Kotin, MD, Chief Medical Officer of CCS. Typically, health care analytics provide predictive modeling scores that utilize a retrospective measure and lead organizations into a guessing game of best next steps. Behind WellScore numbers are complex algorithms, which search individual vital signs, lab results, wellbeing indicators, lifestyle choices, program engagement and more to flag opportunities that can be meaningfully impacted by clinical interventions. More than assigning individual scores, CHS’s WellScore also provides an overall, real-time organizational score. An improvement of scores is an indicator of individual health, which is a leading indicator of downstream health care cost savings. Continuance Health Solutions, Inc. Continuance Health Solutions, Inc., combines data aggregation/integration, data analytics and consulting into a single solution that enables its clients to generate value by identifying opportunities to improve health status, control costs and enhance productivity. Continuance Health Solutions, Inc. P.O. Box 31, 1 Main Street, Peapack, NJ 07977-0031, 908-781-7400 ComplexCare Solutions, Inc. ComplexCare Solutions, Inc. is a leading healthcare payer services company that specializes in providing industry-leading care management and risk assessment services for complex care needs populations. ComplexCare Solutions, Inc., 75 Broad St., Suite 0815, New York, NY 10004, 718-391-0611 Continuance Health Solutions

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Expert Collections containing ComplexCare Solutions

Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.

ComplexCare Solutions is included in 1 Expert Collection, including Value-Based Care & Population Health.

V

Value-Based Care & Population Health

649 items

The VBC & Population Health collection includes companies that enable and deliver care models that address the health needs for defining populations along the continuum of care, including in the community setting, through participation, engagement, and targeted interventions.

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