Upward Health Announces Contract with Clover Health to Serve Patients In Four States Under New Direct Contracting Initiative
June 10, 2021 at 08:45 am EDT
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Upward Health announced a new Preferred Provider relationship with Clover Health, an innovative technology company improving health outcomes for America’s seniors, to serve patients with complex medical, behavioral, and social challenges through Clover’s in-home primary care program, Clover Home Care. The effort was launched shortly after Clover was identified as a participant in CMS’ new Direct Contracting initiative, which is designed to improve healthcare quality and contain costs for beneficiaries with Original Medicare. As Clover scales Clover Home Care through Direct Contracting, the company has contracted with Upward Health to provide integrated home-based medical and behavioral care for aligned beneficiaries with complex needs in the States of New York, Pennsylvania, Georgia, and Texas. In addition to in-home services, Upward Health offers Facilitated Virtual Care to expedite access for primary physical, behavioral, urgent and specialty care and to maintain the health of complex patients managing multiple chronic conditions. This enables same-day access to providers for patients who have difficulty getting to a provider’s office – or those who cannot wait for the next available appointment. Facilitated Virtual Care is also available for patients suffering from mental illness and substance use disorders who need expedited psychiatric care or therapy. The company also offers extensive support through field-based personnel for patients struggling with social determinants of health such as food, housing, transportation, and social isolation.
Clover Health Investments, Corp. is a physician enablement company. The Company is focused on seniors who have historically lacked access to affordable healthcare. It offers a software platform, Clover Assistant, which is designed to aggregate patient data from across the health ecosystem to support clinical decision-making and improve health outcomes. The Company operates under two segments: Insurance and Non-Insurance. Through its Insurance segment, it provides Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) plans to Medicare Advantage (MA) members in several states. The Company's Non-Insurance segment consists of operations in connection with its participation in the Direct Contracting program. The Companyâs subsidiaries include Clover Health Labs, LLC, Medical Service Professionals of NJ LLC, Clover HMO of New Jersey Inc., Clover Health Holdings, Inc. and Clover Health Partners, LLC.