Our Complete
Care Model
Value-Based Care (VBC)
Our Complete Care Model program partners with insurance plans and hospitals, combining physical, mental, and social support into one coordinated plan so clients can focus on healing. By addressing barriers like housing, food, and transportation, we create a stronger foundation for health.
Our pharmacist-led team is available 24/7 to manage medications, guide care, and connect clients to essential resources. We coordinate with doctors, specialists, and community services to keep care seamless and effective. Every plan is tailored to each person’s needs, preferences, and culture.
With compassion and expertise, we address every part of life that impacts health. Our From preventing crises to promoting long-term stability, our approach helps clients feel supported, understood, and empowered to achieve lasting well-being.
The Impact
Integrated Services
Medication Therapy Management
Physical Health Coordination with PCP & Specialists
Behavioral Health Counseling & Substance Use Support
Housing, Food, and Transportation Assistance
Crisis Prevention & Emergency Visit Reduction
Discharge & Transitional Care Planning
Care Navigation & Insurance Support
Core Team
Pharmacist (24/7 Medication Support)
Care Managers
Behavioral Health Clinicians
Social Workers
Peer Support Specialists
Meet Your Care Team
Community Support Roles
Community Health Workers
Transitional Care Managers (RN)
Peer Support Specialists
Enrollment Specialists
Transportation Support
Provider Relations & Quality Team
Care That Adapts
Health challenges don’t happen in isolation—they touch every part of life. That’s why our Complete Care Model brings together physical, mental, and social support under one coordinated plan. We adapt our services to meet each client’s unique needs, removing barriers and making health easier to manage.
Personalized Support
Some clients live with complex medical needs, behavioral health concerns, or unstable living situations. For these individuals, we assign a dedicated care manager—such as an RN, social worker, or behavioral health clinician—to create a personalized plan with clear goals. Our approach combines medical care, mental health support, and social resources to address the root causes of instability.
Care Beyond The Clinic
We know care doesn’t always happen in a clinic. Our community team—nurses, peer support specialists, social workers, and health workers—meets clients where they are, whether that’s at home, in the community, or over the phone. We coordinate services like transportation, housing assistance, and food access, making health support truly accessible.
Seamless Transition
When clients are hospitalized, our transitional care managers step in to coordinate discharge plans and follow-up. We connect with facility staff to arrange everything from medication therapy management to therapy and home care. This proactive approach helps reduce readmissions, prevent crises, and promote long-term stability.
The Complete Care Model
We do more than treat symptoms—we take time to understand your story and build a trusted relationship. Your care manager is your consistent point of contact, checking in regularly and making sure you feel confident in every step of your care.
We simplify the healthcare process, explaining conditions and treatments in plain language and making it easier to follow through with care. From coordinating appointments to resolving issues with insurance or billing, we’re here to remove stress so you can focus on your health.
With Family Insight, you always have someone in your corner—ready to listen, problem-solve, and help you reach your goals for a healthier, more stable life.
Get In Touch.
At Family Insight, your care is designed around what matters most—your goals, your progress, and measurable results. Our Complete Care Model (Value-Based Care) approach means every session, every plan, and every resource is focused on delivering meaningful outcomes, not just meeting appointment counts. From the very first conversation, we’ll work with you to ensure your care is coordinated, impactful, and aligned with your vision for success.