Insurance startup uses data to offer personalized healthcare

Clover Health, a San Francisco insurance startup, is using data to change the landscape of modern healthcare. The company examines insurance claims from a person’s medical history to offer directed care to high-risk patients, especially seniors.

In an equity round led by First Round Capital, Clover raised over $100 million in funding. The company looks to replace the larger, more conventional Medicare health insurance companies that don’t currently analyze data to offer targeted healthcare.

Clover accesses medical information only available to insurance providers who collect claims, like lab tests and radiology results. Using this information, Clover’s software models identify patient issues and trends, allowing the company’s staff of nurses and social workers the opportunity to intervene. This falls in line with one of the company’s Health goals to reduce the number of visits customers take in hospitals.

Clover Health’s CTO, Kris Gale, describes the company model: “At the core we’re using data and software to build clinical profiles of people, identify gaps in care, and fill those gaps in care. We have a small team that will do targeted interventions to drive improved health outcomes of people. Every in-patient hospital admission we can prevent by filling these gaps in care, this ends up being a positive for us.”

Article via TechCrunch; September 19, 2015

Photo: Child receives ear exam via World Bank Photo Collection [Creative Commons Attribution-NonCommercial-NoDerivs]

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