SAN FRANCISCO – Clover Health, a technology-focused health insurer, will expand its offering of Medicare Advantage health plans to Camden, N.J.; Charleston, S.C.; El Paso, Texas; Nashville, Tenn.; Philadelphia; and Tucson, Ariz., next year. Clover announced a strategic partnership with Cathay Life Insurance, a subsidiary of Cathay Financial Holdings, to leverage Clover’s sophisticated artificial intelligence platform to provide Cathay Life with actionable, data-driven insights. Clover recently released results that show its technology has an 85% accuracy rate in identifying patients at risk of being admitted to the hospital in the next 28 days. “Expanding into new cities and deploying our AI platform with international partners are both core to Clover’s mission of improving the health of our customers by uniting cutting-edge technology with committed, personalized medical care,” said Vivek Garipalli, CEO of Clover Health, in a statement. “We are already seeing the extremely positive results that our technology is having on the lives of our members and are optimistic about how we can begin to impact health on a global scale.”
NEW YORK – Alphabet, the parent company of Google, has invested $375 million in technology-driven insurer Oscar Health.
“We’re humbled that Alphabet’s coming in,” said Mario Schlosser, co-founder of Oscar Health, in an interview with Wired magazine, where he made the announcement. “It will really allow us to focus fully on the core model we’ve been building for the past six years, which is: use technology, use data, use design, use a human approach to build a very different health care experience.”
Schlosser said the funding will allow the company to hire more engineers and data scientists, product designers and clinicians. The company will also be launching new product lines, including Medicare Advantage, for 2020.
“So we’re coming into an additional business market,” Schlosser said. “We’re in the individual market, we’re in the small employer market and we’re going into Medicare Advantage in 2020.”
Oscar also announced the addition of Salar Kamangar, a senior executive at Google, to its board of directors.
PITTSBURGH, Pa. – Health insurer Highmark has announced a six-year partnership with Sharecare, the digital health company helping people manage all their health in one place, to offer personalized health and wellness solutions to its employer group customers in Pennsylvania, Delaware and West Virginia. Highmark members will also have access to Sharecare’s personalized mobile and web-based platform that will help them better manage and understand their health, and provide timely and actionable steps to improve it. “Consumers are more active in their own health care, but they are challenged with credible real-time information to help with health care decisions,” said Dr. Charles DeShazer, senior vice president and chief medical officer for Highmark, in a statement. “Sharecare is laser focused to meet consumer expectations and ensure an exceptional member experience, and further sets its platform apart with personalized articles, videos and health content from trusted sources like the National Institutes of Health, American Heart Association and Centers for Disease Control—all through the smartphone and in the palm of your hand.” Sharecare will be offered as the digital companion to Well360, Highmark’s comprehensive care management platform, which helps members close gaps in care, access appropriate care and decrease health risks. “Highmark shares our vision to improve the health of diverse populations by engaging the member, and leveraging data-driven insights to provide people with real-time access to the tools and resources they need to best manage their health,” said Jeff Arnold, co-founder, chairman and CEO of Sharecare, in a statement.
HARTFORD, Conn. – The Travelers insurance company has introduced a telehealth capability, enabling qualified injured employees to conduct appointments with a physician video connection on their computer or smartphone. “We continually look for new ways to deliver a better workers compensation claim experience for someone who has been injured on the job,” said Rich Ives, vice president of workers compensation claim at Travelers. “Our latest capabilities not only speed up access to medical care and make it easier to communicate, but they also address our customers’ top concerns—the health of their employees and the rising costs of health care.” The company also launched a new web-based and mobile-friendly self-service tool for workers compensation claims.
NEW YORK – Tech-driven health startup Oscar Health is partnering with AXA’s International Employee Benefits division to accelerate expansion and enable long-term growth. The announcement comes as Oscar doubles its individual market presence to six states: New York, New Jersey, Texas, California, Ohio and Tennessee. The AXA IEB will provide a focus on preventative health and consumer experience. “As Oscar prepares for its next phase of growth and pursues its mission to use technology to deliver better care at a lower cost, we will benefit from this strategic partnership with AXA and its global scope, deep reinsurance expertise and a shared vision for the future of health care,” said Joel Klein, chief strategy and policy officer at Oscar Health, in a statement.
THOUSAND OAKS, Calif. – Anthem Blue Cross has launched an integrated digital health platform called Engage that creates a personalized member experience by connecting health plan and benefits data with individual clinical and claims data and information pulled from health and wellness apps.
“Engage is born out of Anthem’s commitment to provide an engaging health care experience for everyone while sparking personal action and empowerment,” said Brian Ternan, president of commercial business at Anthem Blue Cross, in a statement. “Rather than contending with a myriad of one-off digital offerings that address only small portions of their health benefits and health care or fitness data, Engage brings together an individual’s health and benefits into one location, empowering employees with information and support for better health and better health care decisions.”
The platform offers employers access to a single web and mobile digital solution that brings all of their employees’ key health and benefits together in one place, providing employees with personalized messaging based on their individual clinical and claims data.
Developed in collaboration with Castlight Health, Engage includes online guidance and support on health care questions, including assistance to locate after-hours health care and information on out-of-pocket costs for lab tests, procedures and prescription drugs, as well as access to information on all of the doctors and hospitals in a member’s network. The digital health platform also connects to fitness trackers and can be used to administer wellness challenges and incentives, helping support a company’s culture of health.
COLUMBIA, S.C. – Blue Cross Blue Shield of South Carolina recently began using a web-based mobile communications platform from Relay Network to allow personalized interactions with its members.
“We know many people have smartphones these days so we have to extend the way we engage with members,” said Sarah Martin, vice president of product and consumer innovation for BCBSSC. “We have to communicate with them the way that works best for them.”
Text messages sent through the platform engage members with information about their health plan, links for finding in-network providers, information about managing a chronic condition, or scheduling an appointment with their physician.
Martin said the insurer still communicates with members through more traditional methods like mail and telephone, but the Relay system allows the company to use demographics and other data to customize the communications.
BCBSSC already had an established member communication strategy, and the Relay platform is an extension of that and part of the payer’s precision medicine strategy, which encompasses virtual visits, telehealth and remote monitoring.
“We knew we had to extend our modalities to become more personalized,” said Martin.
She said the insurer is hoping for a benchmark of 30% overall member use to gauge whether the integration of the platform has been a success.
“We’ll be looking to increase that number as we get more mature with using it,” Martin said.
Relay Network is a provider of mobile customer communications platforms and has seen its number of connected consumers grow more than 200% from 2015 to 2016. The company expects that number to double for 2017, said Matt Gillin, CEO and co-founder of Relay Network.
“We allow health insurers to offer a single, secure channel for self-service, and the significant growth and rapid adoption we have seen among our health care customers makes it clear that this approach is working,” he said.