About ComplexCare Solutions

ComplexCare Solutions provides services to some of the largest health plans in the country including Puerto Rico for thousands of members annually.

The management team of ComplexCare Solutions is represented by members from a variety of settings and diverse backgrounds. From disease management, hospital administration, health care services, health plan management, behavioral health, quality improvement, revenue management and telemedicine, this diversity has been molded in to a unified mission of impacting chronic illness.

Our breadth and depth of expertise and experience is unique in the industry. The combination of backgrounds and experience have been integrated to produce services that are highly effective at improving health outcomes for members, reducing medical expense, demonstrating regulatory and quality compliance while enhancing both revenue and member satisfaction.

  • • Turn-key process and experienced implementation team

    • • Proven track record of highly successful implementations
    • • Dedicated implementation Project Leader and IT resources

    • Integration process

    • • Work closely with plan UM and Case Management departments to limit crossover or duplication of effort

    • Dedicated Account Management and Client Clinical Services specialist to work with our clients throughout the partnership

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