Clover Health Partners with HealthHelp
November 26 2018 - 8:00AM
Business Wire
Collaboration with healthcare management leader
broadens access to specialty providers; ensures members receive
most appropriate care
Clover Health, a healthcare company using technology to improve
medical outcomes, today announced a new partnership with
collaborative care management leader, HealthHelp, a WNS company.
This partnership will enable both companies to deliver care that is
highly personalized and fully aligned with individual member needs
across radiology, cardiology, oncology, musculoskeletal, and sleep
care. Also included is an Integrative Oncology program that creates
a continual pathway for managing cancer. This unites multiple
aspects of cancer care, including screening, risk modeling, imaging
& staging, biopsies and interventions, prognostic indicators,
and treatments including chemotherapy, radiation therapy,
supportive therapy, oncology surgeries.
WNS-HealthHelp 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 to ensure that every patient has access to the best
doctors in each practice field and the most up-to-date form of
care.
“Clover Health is proud to join forces with HealthHelp, a
trailblazer in the prior-authorization space,” said Ethan Lipkind,
Head of Network and Development, Clover Health. “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.”
HealthHelp also provides education and access to a network of
leading practicing specialists, resulting in improved transparency,
safety, and quality of care. Doctors have no financial incentive to
recommend or deny treatment that is not in the best interest of the
patient. As a result, members and providers benefit from increased
collaboration between physicians and provider networks, further
strengthening rapport and communication activities and ensuring
optimal care.
“WNS-HealthHelp is pleased to partner with Clover Health, an
innovative leader in non-denial health insurance coverage,” said
Cherrill Farnsworth, CEO, WNS-HealthHelp. “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.
Currently, Clover serves more than 30,000 seniors and others
eligible for Medicare in parts of Georgia, New Jersey, Pennsylvania
and Texas.
About Clover Health
Clover Health is a healthcare technology company with a
deeply-rooted mission of helping its members live their healthiest
lives. Clover uses its proprietary technology platform to collect,
structure and analyze health and behavioral data to improve medical
outcomes and lower costs for patients. As the only company whose
business goals fully align with its members' health needs, Clover
works with members and their caregivers to become a valued partner.
This trust is built by proactively identifying at-risk individuals
and teaming up with providers to accelerate care coordination and
simultaneously improve health outcomes and reduce avoidable costs.
Clover is headquartered in San Francisco. For more
information, visit www.cloverhealth.com.
About HealthHelp
HealthHelp, a WNS Company, is a leader in specialty
benefits management. HealthHelp generates significant savings
and return on investment for health care payers by enhancing
physician knowledge, improving the quality of care, and
reducing unnecessary radiation exposure. Each of its programs
addresses a different aspect of radiology, cardiology, oncology,
musculoskeletal, and sleep care. The clients of Houston-based
HealthHelp administer local, statewide, and national
health care plans across the country. For more information
about HealthHelp’s
programs, visit www.healthhelp.com.
About WNS
WNS (Holdings) Limited (NYSE: WNS), is a leading global business
process management company. WNS offers business value to 350+
global clients by combining operational excellence with deep domain
expertise in key industry verticals including Travel, Insurance,
Banking and Financial Services, Manufacturing, Retail and Consumer
Packaged Goods, Shipping and Logistics, Healthcare and Utilities.
WNS delivers an entire spectrum of business process management
services such as finance and accounting, customer interaction
services, technology solutions, research and analytics and industry
specific back office and front office processes. As of September
30, 2018, WNS had 38,516 professionals across 57 delivery centers
worldwide including China, Costa Rica, India, Philippines, Poland,
Romania, South Africa, Sri Lanka, Turkey, United Kingdom and the
United States. For more information, visit www.wns.com.
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version on businesswire.com: https://www.businesswire.com/news/home/20181126005380/en/
Clover HealthMediaAndrew
Still-Baxterandrew.stillbaxter@cloverhealth.com406-250-8397
HealthHelp (WNS)Investors:David MackeyCorporate
SVP - Finance & Head of Investor RelationsWNS (Holdings)
Limited+1 (201) 942-6261david.mackey@wns.com
Media:Archana RaghuramHead – Marketing &
CommunicationsWNS (Holdings) Limited+91 (22) 4095
2397archana.raghuram@wns.com; pr@wns.com
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