Complex Care

Complex Care

Member engagement and care management nationwide

Overview

ComplexCare Solutions provides care management and member engagement services for health insurance plans by conducting in-home or virtual health assessments. The company uses collected patient data to create personalized care plans and coordinates ongoing medical needs to ensure members follow their health goals. Unlike traditional services, it offers modular programs that integrate into existing health plans and operates on a performance-based model where payment is tied to actual health improvements. Its goal is to improve patient well-being while reducing costs for health plans through direct, high-touch member interaction.

Significant Headcount Growth

About Complex Care

Simplify's Rating
Why Complex Care is rated
C+
Rated C on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Enterprise Software

Healthcare

Company Size

501-1,000

Company Stage

Late Stage VC

Total Funding

$40M

Headquarters

New York City, New York

Founded

2010

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Simplify's Take

What believers are saying

  • CCS refreshed its brand on Mar. 19, 2026, signaling active commercial push.
  • RISE National 2026 outreach targets longitudinal care demand and provider connectivity.
  • CCS says it serves commercial, Medicare, and Medicaid partners across 41 states.

What critics are saying

  • CMS audit changes in 2026 raise compliance scrutiny for risk-adjustment vendors like CCS.
  • Inovalon divestiture removed a parent platform, leaving CCS reliant on VSCP execution.
  • Health plans can switch vendors quickly if CCS misses assessment quality or coding accuracy.

What makes Complex Care unique

  • CCS combines in-home and telehealth assessments across 41 states, per 2026 website.
  • VSCP backed CCS after Jan. 13, 2025 carveout from Inovalon, adding PE support.
  • CCS integrates member engagement, encounter facilitation, and point-of-care testing into health-plan workflows.

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Funding

Total Funding

$40M

Above

Industry Average

Funded Over

1 Rounds

Late VC funding comparison data is currently unavailable. We're working to provide this information soon!
Late VC Funding Comparison
Coming Soon

Benefits

Health Insurance

Life Insurance

401(k) Retirement Plan

Paid Vacation

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

2%

1 year growth

4%

2 year growth

4%
Citybiz
Jan 13th, 2025
VSCP Acquires ComplexCare Solutions Carveout

Vesey Street Capital Partners (VSCP) has completed the acquisition of ComplexCare Solutions (CCS) from Inovalon, marking VSCP's fifth corporate carveout. CCS, a provider of health assessments and member engagement services, is now a platform investment for VSCP's Healthcare Fund II. Benton Davis joins as Executive Chairman. The acquisition aims to enhance CCS's services and growth. Legal counsel was provided by McDermott Will & Emery, with RSM assisting in financial due diligence.

PE Hub
Jan 13th, 2025
Vesey Street acquires ComplexCare Solutions

Vesey Street Capital Partners has acquired the health tech firm ComplexCare Solutions.

Chicago Star Media
Jan 13th, 2025
Vesey Street Capital Partners Completes Corporate Carveout of ComplexCare Solutions

NEW YORK, Jan. 13, 2025 /PRNewswire/ - Vesey Street Capital Partners, LLC ("VSCP"), a healthcare services private equity firm, announced that funds managed by VSCP have completed the acquisition of ComplexCare Solutions ("CCS" or the "Company"), a leading independent provider of health assessments and member engagement services to health plans.

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