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Clover Health Launches New Clinical Program In Partnership With Quartet Health To Address Serious Mental Illness

Author: Benzinga Newsdesk | March 19, 2024 09:00am

Clover Health ("Clover" or the "Company") announced a partnership with Quartet Health, a value-based behavioral health care enablement and delivery company, to increase the support and resources provided to Clover members with serious mental illness (SMI) through the Company's home-based care delivery unit, Clover Home Care.

 

As part of this partnership, Quartet will use its expert care teams to augment Clover Home Care's capabilities. Quartet's clinicians will also begin using the Clover Assistant platform to deliver care to the Clover patients under its care.

Clover Home Care addresses the needs of Clover's most complex patient cohorts by delivering in-home care access, medication support, mental and physical care coordination, as well as local community resource and transportation support. Its care teams – both in-home and virtual – are led by physicians and nurse practitioners trained in both palliative care and family medicine, along with care coordinators, social workers, medical assistants and dedicated case managers.

To augment Clover Home Care's robust care delivery model, and address one of Clover's highest need cohorts, the Company is tapping into the behavioral health expertise of Quartet Health's Whole Health program to provide additional support to members suffering from SMI. The Whole Health program is a unique, whole-person care delivery solution that delivers a fully-integrated physical and behavioral health model that will take accountability for the total cost of care (TCOC) on Clover Health's most complex members, while also providing wraparound care services for a traditionally underserved patient population.

"Patients with serious mental illness often have worse outcomes and a lower life expectancy, and they experience a fragmented healthcare system that does not adequately address their behavioral, physical, and social needs," said Dr. Michael J. Lipp, Quartet Health's Chief Medical Officer, and former CMO of the CMS Innovation Center. "Patients often struggle to get access to care, and the care they do receive is often uncoordinated. Layered on top of Clover Assistant's data-driven insights, this program will provide care that is coordinated, comprehensive and convenient, at no additional cost to patients."

"Through Clover Home Care, we are delivering impactful, proactive support to our members via a high-touch model built on top of the computing power of Clover Assistant. This allows our highly skilled and compassionate care teams to have a holistic view of each patient's individual needs and address them accordingly," said Brady Priest, CEO of Clover Home Care. "We're confident that additional behavioral health support for our SMI cohort will increase the quality of life for these members, while continuing to reduce unnecessary spend."

In addition to its care management capabilities, Clover's proprietary technology stack is essential in driving enrollment in disease-specific programs like Whole Health by Quartet. For example, Artificial intelligence (AI) embedded in Clover Assistant will identify members at highest risk of suffering from under-treated SMI, and identify increasing risk of hospitalizations for the SMI population.

As of January 1, Clover Home Care with Whole Health by Quartet Health is available to eligible members in New Jersey for no additional cost. For Clover members interested in learning more about the program, including eligibility, visit https://www.quartethealth.com/whole-health or call 888-528-7618.

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