Medicaid • Dual Eligible • Complex Care
A Complex Care Medical Group Built for the Members Traditional Models Can’t Reach
AbsoluteCare combines full primary care accountability with intensive wraparound support to engage high-acuity Medicaid and Dual Eligible members who drive disproportionate cost and utilization.
25+
Years Serving Complex Populations
50%
Higher PCP Engagement
30%+
Lower ER & Specialty Utilization
Risk-Bearing
Savings Guarantees Available
Medicaid’s Most Challenging Members Need Different Care
Traditional primary care and care management programs were not built for members with serious mental illness, substance use disorder, housing instability, repeated hospitalizations, and multiple chronic conditions.
AbsoluteCare was.
- Highest Utilizers | Top 5-15%
- Chronic Conditions | 10+
- Behavioral Health Complexity | SMI & SUD
- Avoidable Utilization | Repeat ED Use
Not a Care Management Overlay. A Care Delivery Model.
Full PCP Assignment
We become the member’s primary care home through integrated medical, behavioral health, pharmacy, and complex care services.
Intensive Wraparound Support
Community-based teams stabilize life needs, coordinate care transitions, build trust, and keep members connected to care.
Two Models. One Accountable Partner.
Unlike traditional vendors, AbsoluteCare delivers clinical care and community-based engagement in a single integrated model.
No Wrong Front Door To Care
Members start wherever trust starts. Housing. Food. Safety. Mental Health. Substance Use. Primary Care. We solve the most urgent need first and build engagement from there.
Strong Engagement For Hardest To Reach
Once we identify this population, we engage them where they are: hospitals, homeless shelters, soup kitchens, barbershops - in their own communities. We welcome them as members rather than simply as patients. We reach 90% engagement or higher for PCP members.
Clinical Pathways Built for Medicaid Complexity
Proprietary Clinical Pathways bring together primary care, behavioral health, pharmacy, community teams, and specialists around evidence-based protocols for conditions that drive the highest cost and utilization, including serious mental illness, substance use disorder, chronic kidney disease, and HIV.
Data & Technology That Enable Complex Care
Purpose-built infrastructure gives our care teams real-time visibility, deeper member insights, and the tools needed to engage complex populations wherever care happens.
- Connected Community Technology | Our care teams have access to clinical, care management, and reporting platforms in the field, at the bedside, in members’ homes, and in our centers, ensuring critical information follows the member.
- Integrated Clinical Data | By connecting care management, primary care, behavioral health, pharmacy, and population health data, we create a longitudinal view of each member that supports coordinated decision-making and proactive intervention.
- AI & Predictive Intelligence | We are leveraging AI and advanced analytics to improve member engagement, support clinical outcomes, identify emerging risks, and increase care team efficiency so more time can be spent with members.
Member Impact
When Traditional Care Wasn’t Enough
One member with multiple chronic conditions, schizophrenia, substance use challenges, homelessness, and limited primary care engagement experienced repeated crises that resulted in 24 hospital admissions and 104 emergency department visits in a single year.
How We Helped
- Bedside engagement during hospitalization
- Community-based trust building through a Community Health Worker
- Rapid connection to primary care and behavioral health services
- Housing and social support stabilization
- Substance use treatment and ongoing care coordination
“By combining primary care, behavioral health, community outreach, and social support into one coordinated model, we helped this member move from repeated crises to lasting stability.”
Inpatient Admissions | 24 → 0
Emergency Department Visits | 104 → 0
Let’s Start a Conversation
Image Notice: To protect privacy, some images on this page feature professional models and stock photography. Actual AbsoluteCare teammates’ photos are identified by name and title.