Clover Health, a healthcare company using technology to improve medical outcomes, has partnered with collaborative care management company, HealthHelp. This partnership will enable both companies to deliver care that is personalized and aligned with individual member needs across sleep care, radiology, cardiology, oncology, and musculoskeletal.
Clover uses its proprietary technology platform to collect, structure, and analyze health and behavioral data to improve medical outcomes and lower costs for patients. Clover proactively identifies at-risk individuals and teams up with providers to accelerate care coordination. HealthHelp, a WNS Company, has a consultative process that utilizes evidence-based guidelines to directly help providers facilitate the most appropriate tests and procedures for their patients. This collaborative approach leverages panels of specialists throughout the country.
“Clover Health is proud to join forces with HealthHelp, a trailblazer in the prior-authorization space,” says Ethan Lipkind, head of network and development, Clover Health, in a release. “Actively collaborating with physicians and provider networks minimizes roadblocks, moving towards a non-denial approach of insurance that guarantees our members receive appropriate and timely care. Most importantly, everything is done in the best interest of the member, as the HealthHelp platform removes any financial incentive to approve or deny coverage.”
Cherrill Farnsworth, CEO, WNS-HealthHelp, says, “WNS-HealthHelp is pleased to partner with Clover Health, an innovative leader in non-denial health insurance coverage. Clover Health’s unparalleled data analytics and mission to improve the member experience align perfectly with the work we are doing to strengthen provider-payer relationships.”
The partnership is now in effect in all Clover markets, which includes more than 30,000 seniors and others eligible for Medicare in parts of Georgia, New Jersey, Pennsylvania, and Texas.