Spiras Health Secures 5 Year Value-Based Contract with Clover Health Direct Contracting

 Agreement Will Provide Complex Care Management and Care Delivery Services to Some of the Most Vulnerable Patients as Clover Scales Its In-Home Primary Care Program

Spiras Health today announced a five-year agreement with Clover Health, an innovative technology company improving health outcomes for America’s seniors, to provide complex care management services to Medicare members in Kansas and New Jersey. The value-based contract will provide Spiras Health’s personalized multi-modal approach to some of Clover’s most vulnerable patients.

As Clover scales Clover Home Care, its in-home primary care program for medically complex and homebound members, through the U.S. Centers for Medicare and Medicaid Services’ (CMS) new Direct Contracting model, Spiras Health will support the growing number of Clover-aligned beneficiaries with complex chronic conditions with its unique model that includes home-based services, virtual care and remote patient monitoring at no cost to patients. A dedicated clinical team will provide eligible individuals with in-home, virtual and telephonic visits to promote treatment compliance, identify social determinants that may impact their health, and support the patients’ physicians and care teams.

"Spiras Health and Clover Health share a commitment to addressing the needs of patients with complex chronic conditions with a unique and specialized home-based approach focused on improving the patient’s health and quality of life while reducing costs," said Scott A. Bowers, CEO, Spiras Health. "We are excited to work with Clover Health’s technology platform and provider network to bring a value-based approach to their most vulnerable patients right in their own homes."

Within the new Direct Contracting program from CMS, Clover will use its proprietary platform, the Clover Assistant, to proactively identify fee-for-service Medicare patients with complex chronic conditions who are eligible for Clover Home Care and may benefit from Spiras Health’s high-touch individualized delivery model. Spiras’ Clinical Care Teams, led by an Advanced Care Nurse Practitioner and including state-licensed nurses, respiratory therapists, and other allied health professionals, work with each patient’s physician to diagnose, treat, educate, and engage the patient in self-care.

https://finance.yahoo.com/news/spiras-health-secures-five-value-130500677.html