ComplexCare Solutions

Hospitals and Health CareTennessee, United States501-1000 Employees

ComplexCare Solutions operates in the hospitals and health care sector as a mid-sized company based in Nashville, Tennessee. It provides member engagement and health information management services to health plan networks across the United States, aiming to engage members, collect patient data, and develop personalized care plans to improve outcomes. Its modular offerings are designed to integrate with a health plan's operations across the care management continuum, supporting compliance and efficient reimbursement workflows.

The company serves a broad mix of populations, including Medicare Advantage, Medicaid Managed Long-Term Care, Dual-Eligible, Managed Medicaid, and Commercial populations, and operates nationwide as an ACAP-endorsed organization. Its services fall into two main areas: Member Engagement, including in-home risk assessments, wellness visits, health screenings, vaccine adherence support, continuity of care, CAHPS surveys, and outbound outreach; and Health Information Management, focusing on medical record retrieval to improve retrospective risk score accuracy and support HEDIS reporting, with multiple data collection options. In January 2025, Vesey Street Capital Partners, LLC completed its acquisition of ComplexCare Solutions, Inc.

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